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Topiramate is a prescription medication used to manage and prevent seizures, including partial, tonic-clonic seizures, and conditions like Lennox-Gastaut syndrome. It is also effective in preventing migraine headaches. Topiramate belongs to a group of drugs called anticonvulsants. While its exact mechanism for migraine prevention is not fully understood, topiramate works by blocking certain signals or chemicals in the brain that can cause nerve over-excitation, thus helping to reduce excessive brain activity that leads to seizures. Available in various formulations such as immediate-release and extended-release tablets, capsules, and a liquid form, topiramate is typically taken once or twice a day, depending on the specific product. Generic versions of this medication are also accessible as a cost-effective alternative. Always consult your healthcare provider before starting any new medication to ensure it is suitable and safe for your condition.