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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.generic topiramate Doctors and patients should work closely together to determine that Topamax is and continues to be the best treatment option for each patient and their individual health needs. Generally it has been proven to be very safe to use and is prescribed by doctors in just about every field as symptoms and disease indicates is appropriate.