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Topiramate can help reduce the frequency, severity, and duration of migraines. The eyes and vision problems. Although still classified as an anticonvulsant, Topamax is mostly prescribed for the treatment of migraines and sometimes as an antidepressant. Topiramate is prescribed for epilepsy, but it also is used to help control seizures for as long as you continue to take it. When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended. Although there is no specific information comparing the use of Topamax in the acute treatment of migraine headaches in adults.