© 2005 by the American Diabetes Association, Inc.
Anticraving Effects of Topiramate in a Diabetic Patient
1 Division of Neurology, University of Alberta Hospital, Edmonton, Alberta, Canada Address correspondence to S. Nizam Ahmed, MD, FRCPC, 2E3.12. University of Alberta Hospital, Edmonton, AB T6G 2B7, Canada. E-mail: snahmed@ualberta.ca
Topiramate is an effective antiepileptic medication. It holds promise in the care of diabetic patients by virtue of its effect on weight loss (1). It is also reported efficacious as an adjunct in the treatment of alcohol dependence (2) and in the management of binge-eating disorder (3). We report a case illustrating the potential anticraving effects of topiramate against chocolate, leading to significantly improved glycemic control in an epileptic patient with concurrent diabetes.
A 67-year-old woman presented to the epilepsy clinic in September 2003 for evaluation of "possible seizures" and was subsequently treated with topiramate. She also had an 11-year
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