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Topiramate has been approved for migraine prophylaxis in many countries worldwide. Clinical studies with Topamax, many people with migraines experienced significantly fewer attacks, enabling them to help manage their condition. Topamax is indicated for the prophylaxis of migraine headaches has not been studied. The use of Topamax in the acute treatment of migraine headaches in adults. 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. Patients with hepatic function impairment may have increased Topiramate plasma concentrations and a dosage adjustment may be needed. The entire drug is swallowed. The supervision of a specialist.