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Topiramate: Comprehensive profile.

Nasr Y Khalil1, Haitham K AlRabiah1, Saad S Al Rashoud1

  • 1Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

Profiles of Drug Substances, Excipients, and Related Methodology
|April 29, 2019
PubMed
Summary
This summary is machine-generated.

Topiramate is an antiepileptic drug effective for seizures and migraine prevention. Its weight loss effects led to approval as an anti-obesity medication, potentially via carbonic anhydrase inhibition.

Keywords:
Analytical methodsAntiepilepticPharmacokineticsPreparation methodThermal and spectral behaviorTopiramate

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Area of Science:

  • Pharmacology
  • Neuroscience
  • Metabolic Disorders

Background:

  • Topiramate is a sulfamate-substituted derivative of the monosaccharide D-fructose.
  • It exhibits broad-spectrum anticonvulsant activity against various seizure types.

Purpose of the Study:

  • To provide a comprehensive profile of topiramate, including its physical and chemical properties.
  • To discuss its pharmacological actions, pharmacokinetics, and therapeutic applications.

Main Methods:

  • Review of existing literature on topiramate's properties, efficacy, and safety.
  • Analysis of its mechanism of action, including carbonic anhydrase inhibition.
  • Discussion of analytical methods and pharmacokinetic profiles.

Main Results:

  • Topiramate is effective for partial and generalized seizures and migraine prevention.
  • Common adverse events include paresthesia, fatigue, and decreased appetite.
  • Observed weight loss in obese epileptic patients led to its approval for anti-obesity treatment.

Conclusions:

  • Topiramate possesses a multifaceted pharmacological profile with applications in epilepsy, migraine, and obesity.
  • Its efficacy is linked to the inhibition of mitochondrial carbonic anhydrase isoforms.
  • Understanding its characteristics is crucial for clinical application and further research.