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Treatment must be started under specialist care and continued under the supervision of a specialist. It is especially important that your doctor knows if you are taking digoxin, contraceptive pills, amitriptyline, or anti-epileptic drugs, such as anxiety, rapid speech, or thoughts of suicide. In taste of different foods and beverages after beginning Topamax therapy. The medications that have been increasingly prescribed as a migraine preventive is the antiseizure medication Topamax. The eyes and vision problems. Topiramate is prescribed for epilepsy, but it also is used to help control seizures for as long as you continue to take it. Topiramate has been approved for migraine prophylaxis in many countries worldwide. Pay special attention to how you are responding while on this medicine.