User Reviews for Topiramate to treat Obesity. Also known as: Qudexy XR, Topamax, Topamax Sprinkle, Topiragen, Trokendi XR. The following information is NOT intended to endorse drugs or recommend therapy. Topiramate is a seizure medicine, also called an anticonvulsant. Topiramate is used to treat seizures in adults and children who are at least 2 years old. Warning:The primary use of Topiramate, and the only use for which it has regulatory approval, is to treat seizures. Some people use Topiramate to treat other conditions, which may include PTSD, Axis II mood disorders, and eating disorders. Topiramate is an anticonvulsant medication used to treat seizures. It can also be taken to prevent migraines. This lesson will discuss the issues with overdose, withdrawal, and toxicity of topiramate. Supernus® Support is available to answer your questions about Trokendi XR (topiramate) Supernus Support provides a single point of contact for all of your questions regarding Trokendi XR (topiramate) —including medicine access and insurance coverage. Most commonly, topiramate immediate release tablets and sprinkles are started in low doses, 25 or 50 mg per day, and then increased slowly by 25 to 50 mg per week until an effective daily dose is reached for treatment of seizures. Learn about Trokendi XR® (topiramate), a migraine prevention medicine for adults and children ages 12 years of age and older. See Full Prescribing & Safety Info. Topiramate is used alone or with other medications to treat certain types of seizures including primary generalized tonic-clonic seizures (formerly known as a grand mal seizure; seizure that involves the entire body) and partial onset seizures (seizures that involve only one part of the brain). Does Topiramate Cause Weight Loss: There is definitely proof that topiramate helps with weight loss, however be sure to check with your doctor before using. 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.