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Topamax can also be used in an off label capacity for the treatment of alcoholism as well obesity. It is also used to reduce the incidence of binge eating in those that suffer from it. Topamax Without Prescription. It is currently under clinical trials to determine if it is useful in treating posttraumatic stress disorder. Off label uses are many and include such uses include smoking cessation, obsessive compulsive disorder, cocaine dependence, essential tremors, bulimia nervosa, idiopathic intracranial hypertension, as well as neuropathic pain.
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