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Topamax Topiramate is used to treat seizures in adults and children who are at least 2 years old. It can also be used to prevent migraines in adults and teenagers who are over the age of It will not treat a migraine that has begun, but it will reduce the number of attacks. It works by affecting chemicals in the brain that are involved with sending signals to the nerves. The usual recommended start dose is 25 mg.
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