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[Current data on topiramate].

J L Herranz1

  • 1Servicio de Neuropediatría, Hospital Universitario Marqués de Valdecilla, Santander, España. med003087@nacom.es

Revista De Neurologia
|July 25, 2000
PubMed
Summary
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Topiramate (TPM) is a broad-spectrum antiepileptic drug that effectively reduces seizure frequency by over 50% in 78% of patients. This epilepsy treatment is well-tolerated, with only 5% discontinuing due to side effects.

Area of Science:

  • Neurology
  • Pharmacology

Background:

  • Topiramate (TPM) is a novel antiepileptic drug with a broad spectrum of action.
  • It influences multiple mechanisms involved in the generation of epileptic seizures.

Purpose of the Study:

  • To review the mechanisms of action, pharmacokinetics, clinical efficacy, and tolerance of topiramate.
  • To describe the Spanish experience with topiramate in 224 patients of all ages.

Main Methods:

  • Review of existing literature on topiramate's mechanisms and pharmacokinetics.
  • Analysis of clinical data from 224 patients with various epilepsy types and ages treated with topiramate.

Main Results:

  • Seizure frequency reduction exceeding 50% was observed in 78% of patients.

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  • Complete seizure abolition occurred in 25% of the treated individuals.
  • Topiramate demonstrated good tolerability, with only 5% of patients discontinuing treatment due to adverse effects.
  • Conclusions:

    • Topiramate is an effective antiepileptic medication for patients of all ages and epilepsy types.
    • The drug is generally well-tolerated, making it a viable treatment option for uncontrolled seizures.