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When other anticonvulsant treatments don't have an effect on people Topamax is normally recommended. Patients who suffer from frequent or severe migraines. Topiramate can help reduce the frequency, severity, and duration of migraines. The metabolic breakdown of Topamax will be reduced increasing the duration and intensity of its effects. Drink some liquid after swallowing Topiramate to make sure the entire drug is swallowed. It is especially important that your doctor knows if you are taking digoxin, contraceptive pills, amitriptyline, or anti-epileptic drugs, such as phenytoin.
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