Used primarily in the treatment of epilepsy, this compound serves as an anticonvulsant that helps control various types of seizures, including partial-onset and primary generalized tonic-clonic seizures. It is also prescribed for the prevention of migraine headaches in adults and adolescents. In some cases, it is utilized off-label for conditions such as bipolar disorder, neuropathic pain, and weight management due to its effects on appetite suppression. Its mechanism involves modulating sodium channels, enhancing GABA activity, and inhibiting carbonic anhydrase, contributing to its broad therapeutic effects.