Clinical pharmacology of topiramate: a review.

Article Details

Citation

Garnett WR

Clinical pharmacology of topiramate: a review.

Epilepsia. 2000;41 Suppl 1:S61-5.

PubMed ID
10768303 [ View in PubMed
]
Abstract

Clinical success with an antiepileptic drug (AED) depends primarily on its efficacy and tolerability. Clinicians also need to have a basic understanding of an AED's pharmacokinetic characteristics, particularly those affecting the potential for drug interactions such as hepatic enzyme inhibition or induction and protein-binding displacement. Successful treatment may be complicated by pharmacokinetic characteristics such as a short half-life, nonlinear kinetics, and active metabolites. Pharmacokinetic characteristics that make a drug easy to use may affect patient adherence. In general, newer AEDs such as topiramate (TPM) are simpler to use than traditional AEDs because they have more favorable pharmacokinetic characteristics and fewer drug interactions.

DrugBank Data that Cites this Article

Drugs
Drug Targets
DrugTargetKindOrganismPharmacological ActionActions
TopiramateGamma-aminobutyric acid receptor subunit alpha-1ProteinHumans
Yes
Agonist
Details
Drug Enzymes
DrugEnzymeKindOrganismPharmacological ActionActions
TopiramateCytochrome P450 2C19ProteinHumans
Unknown
Inhibitor
Details