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The start of an attack. Topiramate has been approved for migraine prophylaxis in many countries worldwide. Both Neurontin and Topamax are prescribed off-label, which means that there is anecdotal evidence enough to prescribe them for this use. The risk of seizures. Topiramate can help reduce the frequency, severity, and duration of migraines. The millions of patients who suffer from frequent or severe migraines. Topiramate is prescribed for epilepsy, but it also is used to help control seizures for as long as you continue to take it.

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