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Published Online, 23 March 2004, www.theannals.com, DOI 10.1345/aph.1D219.
The Annals of Pharmacotherapy: Vol. 38, No. 5, pp. 887-891. DOI 10.1345/aph.1D219
© 2004 Harvey Whitney Books Company.
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DRUG INFORMATION ROUNDS

Weight Gain Mitigation with Topiramate in Mood Disorders

Tonja M Woods, PharmD

Clinical Assistant Professor of Pharmacy Practice, School of Pharmacy, College of Health Sciences, University of Wyoming, Laramie, WY

Samantha F Eichner, PharmD

Assistant Professor, College of Pharmacy, University of Tennessee; Associate Director, Drug Information Center, University of Tennessee Health Science Center, Memphis, TN

Andrea S Franks, PharmD BCPS

Assistant Professor, Colleges of Pharmacy and Medicine, University of Tennessee Health Science Center

Reprints: Tonja M Woods PharmD, School of Pharmacy, Department 3375, University of Wyoming, 1000 E. University Ave., Laramie, WY 82071-3375, fax 307/766-2953, tmwoods{at}uwyo.edu

OBJECTIVE: To review the evidence of weight loss with use of topiramate in patients with mood disorders.

DATA SOURCES: Literature search included MEDLINE (1966–December 2003), International Pharmaceutical Abstracts (1970–December 2003), and EMBASE (1980–December 2003). Search terms included topiramate, weight loss, adverse effect, mood disorders, bipolar disorder.

DATA SYNTHESIS: Weight gain is a common adverse effect of many agents used to treat mood disorders. Topiramate has been evaluated in the management of some mood disorders, and weight loss may be a beneficial side effect in these patients. Case reports, letters to the editor, prospective investigations, and retrospective observational studies were reviewed to identify evidence of weight loss with topiramate use in patients with mood disorders.

CONCLUSIONS: Current evidence suggests an association between topiramate and weight loss. Based on the limited data, controlled studies need to be conducted to define the role of topiramate in patients with mood disorders who would also benefit from weight reduction.

Key Words: bipolar disorder, mood disorder, topiramate, weight loss

Published Online, March 23, 2004. www.theannals.com, DOI 10.1345/aph.1D219


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Z. Li, M. Maglione, W. Tu, W. Mojica, D. Arterburn, L. R. Shugarman, L. Hilton, M. Suttorp, V. Solomon, P. G. Shekelle, et al.
Meta-Analysis: Pharmacologic Treatment of Obesity
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[Abstract] [Full Text] [PDF]




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