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Elderly people may be at greater risk for side effects such as drowsiness and dizziness while using this drug. When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended. The adjunctive treatment of partial onset seizures in adults. Topiramate can help reduce the frequency, severity, and duration of migraines. The most benefit. 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.