Topamax (topiramate) is an anticonvulsant prescribed for preventing epileptic seizures and migraine headaches. Topamax is available as a generic drug. How to use Topamax. Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking topiramate and each time you get a refill. Topamax (topiramate) is an anticonvulsant medication used in the treatment of epilepsy and migraine headaches. Topamax is also commonly used off-label to treat a wide range of mood disorders and to aid in substance abuse therapy. For the Consumer. Applies to topiramate: oral capsule, oral capsule extended release, oral tablet. Along with its needed effects, topiramate (the active ingredient contained in Topamax) may cause some unwanted effects. Topamax is the brand name of topiramate, an anticonvulsant drug used to prevent seizures and reduce the frequency of migraines. While its exact mechanism of action is unknown, studies suggest. Topiramate, sold under the brand name Topamax among others, is a medication used to treat epilepsy and prevent migraines. It has also been used in alcohol dependence. For epilepsy this includes with generalized or focal seizures. It is taken by mouth. Is Topamax a Wonder Drug? Over the past week alone, I have talked to several people about their doctor visits. Each one of them had a different illness and each one of them was prescribed the drug Topamax. Attention TOPAMAX ® Patients and Medical Professionals Dispensing errors have been reported between TOPAMAX ® (topiramate) tablets and TOPROL-XL ® (metoprolol succinate) extended-release tablets. TOPAMAX ® (topiramate) Tablets and Capsules. DESCRIPTION. Topiramate is a sulfamate-substituted monosaccharide. TOPAMAX ® (topiramate) Tablets are available as 25 mg, 50 mg, 100 mg, and 200 mg round tablets for oral administration. What other drugs will affect Topamax? Taking Topamax with other drugs that make you sleepy can worsen this effect. Ask your doctor before taking a sleeping pill, opioid pain medication, muscle relaxer, or medicine for anxiety or depression.