My previous neurologist prescribed Topiramate, but it was giving me confusion spells. I have since changed neurologists and my new neurologist s PA prescribed Trokendi XR. I have always been leery of XL, XR, etc. type medications. Do you know if it has as much of a track record of confusion spells as Topiramate? While I was on Topiramata I had a couple of trips to the emergency room. On another occasion, I had two confusion spells within a 30 day stretch. The first one on December 16, 2017, and the second one on January 4, 2018. Any thoughts?