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The most benefit. Clinical trials found that patients receiving the recommended daily dose of Topamax experienced a significant reduction in monthly migraine attacks, compared with placebo. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. You are using Topiramate to control epilepsy and you stop taking this medicine suddenly it may increase the risk of seizures. Topamax is an anticonvulsant that works in several ways to prevent seizures and migraines. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug.
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