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Topiramate can help reduce the frequency, severity, and duration of migraines. Although still classified as an anticonvulsant, Topamax is mostly prescribed for the treatment of migraines and sometimes as an antidepressant. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. The eyes and vision problems. Topiramate, which was originally used for seizures but now is mostly used for migraine prevention, has been found to increase a person's risk of getting kidney stones. Topiramate is prescribed for epilepsy, but it also is used to prevent migraine headaches. Treatment must be started under specialist care and continued under the supervision of a specialist. Topiramate, which was originally used for seizures but now is mostly used for migraine prevention, has been found to increase a person's risk of getting kidney stones.