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Topamax is being studied for use in weight loss and to help treat alcoholics. Although still classified as an anticonvulsant, Topamax is mostly prescribed for the treatment of epilepsy. You stop taking this medicine suddenly it may increase the risk of seizures. This medication rarely may cause mood or behavior changes, such as phenytoin. It also is used to prevent migraine headaches. Topiramate can help reduce the frequency, severity, and duration of migraines. It may increase the risk of seizures. Topiramate is an anticonvulsant used with other medicines to control certain types of seizures in the treatment of epilepsy. When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended.