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Wiley InterScience

Psychiatry and Clinical Neurosciences

Psychiatry and Clinical Neurosciences

Volume 60 Issue 3, Pages 384 - 388

Published Online: 24 May 2006

Journal compilation © 2010 Japanese Society of Psychiatry and Neurology



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Short Communication
Topiramate for smoking cessation
YASSER KHAZAAL, md , 1 JACQUES CORNUZ, md , mph , 2 ROMAIN BILANCIONI, md 1 AND DANIELE FABIO ZULLINO, md 3
  1 University Department of Adult Psychiatry, Prilly,   2 Department of Community Medicine and Public Health, University Hospital, Lausanne,   3 Division of Substance Abuse, University Hospitals of Geneva, Geneva, Switzerland
Correspondence to  Yasser Khazaal md, Département Universitaire de Psychiatrie Adulte, Site de Cery, CH 1008 Prilly, Lausanne, Switzerland. Email: yasser.khazaal@hospvd.ch
Copyright © 2006 The Authors; Journal compilation © 2006 Folia Publishing Society
KEYWORDS
AMPA • glutamate • smoking cessation • smoking • topiramate

ABSTRACT

Abstract  Due to its AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid)/kainate antagonism, topiramate would be particularly interesting in addiction treatment. Flexible-dose topiramate was prescribed to 13 smokers (10 smokers who wanted to stop smoking, and three who received topiramate for other reasons). Six out of 13 smokers were abstinent at 2 months and two more subjects had reduced their cigarette consumption by >50%. With one exception, temporary reduction of the number of smoked cigarettes preceded definitive abstinence at month 2. Three more subjects who achieved a momentary reduction had, however, to interrupt the treatment due to intolerable side-effects. Controlled trials are needed to confirm these preliminary observations.


Received 30 June 2005; revised 18 October 2005; accepted 13 November 2005.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1440-1819.2006.01518.x About DOI

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