You may take Topiramate with you usual meals. It may increase the risk of seizures. The new Topiramate tablets have a new appearance, but they have the same active ingredient. Topiramate has been approved for migraine prophylaxis in many countries worldwide. When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug.