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Individual Differences in Working Memory Capacity Predict Topiramate-Related Cognitive Deficits
Christopher M Barkley, Zhenhong Hu1, Ann M Fieberg2
1Department of Biomedical Engineering, University of Florida, Gainesville, FL.
Journal of Clinical Psychopharmacology
|August 21, 2018
Summary
High working memory capacity (WMC) may predict severe cognitive side effects from medications like topiramate (TPM). This suggests WMC is a clinical risk factor for adverse drug reactions impacting cognition.
Area of Science:
- Neuroscience
- Cognitive Psychology
- Pharmacology
Background:
- Topiramate (TPM) and lorazepam (LZP) are common medications linked to cognitive impairment.
- Individual differences in drug side effect profiles are not fully understood.
Purpose of the Study:
- To investigate if working memory capacity (WMC) influences cognitive impairment from TPM and LZP.
- To determine if WMC is a factor in interindividual differences in drug side effect profiles.
Main Methods:
- A double-blind, placebo-controlled crossover study with 29 healthy volunteers.
- Subjects received placebo, TPM, or LZP, followed by cognitive testing (verbal working memory task).
- WMC was assessed during placebo, and its role in moderating drug effects was analyzed.
Main Results:
- Both TPM and LZP negatively impacted cognitive task performance.
- TPM-induced cognitive deficits were modulated by WMC.
- Higher WMC correlated with more severe impairments and increased sensitivity to TPM concentrations.
Conclusions:
- High WMC is identified as a potential clinical risk factor for drug-related cognitive adverse events.
- These findings support clinical observations of high-functioning individuals experiencing greater cognitive impairment.
- WMC may predict susceptibility to cognitive side effects of certain medications.
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