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Wiley InterScience

Psychiatry and Clinical Neurosciences

Psychiatry and Clinical Neurosciences

Volume 59 Issue 5, Pages 613 - 615

Published Online: 30 Sep 2005

Journal compilation © 2010 Japanese Society of Psychiatry and Neurology



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Short Communication
Management of atypical antipsychotic-induced weight gain in schizophrenic patients with topiramate
YI-HSIUNG LIN, md 1 , CHIA-YIH LIU, md 1,2 AND MEI-CHUN HSIAO, md 1,2
  1 Department of Psychiatry, Chang Gung Medical Center , and   2 Department of Psychiatry, Chang Gung University School of Medicine, Kuei-San, Tao-yuan, Taiwan
Correspondence to  Dr Mei-Chun Hsiao, Department of Psychiatry, Chang Gung Memorial Hospital (CGMH), 5 Fu-Shin Road, Kuei-San, Tao-yuan 333, Taiwan, China. Email: liucy752@adm.cgmh.org.tw
Copyright 2005 Blackwell Science Pty Ltd
KEYWORDS
atypical antipsychotics • obesity • schizophrenia • topiramate

ABSTRACT

Abstract  Patients treated with atypical antipsychotic drugs commonly gain excess weight. Because obesity is associated with considerable morbidity and decreased life expectancy, treatment of weight gain in these patients is critical. Topiramate, a fairly new anticonvulsant, promotes bodyweight loss in healthy obese subjects, patients with bipolar disorder, and patients with eating disorder. However, there are very few reports about the efficacy of topiramate for weight management in schizophrenic patients. We present the cases of three Taiwanese patients with schizophrenia whose bodyweight increased as a result of atypical antipsychotics treatment, then was controlled by topiramate without aggravation of their psychotic symptoms.


Received 15 November 2004; revised 22 February 2005; accepted 3 April 2005.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1440-1819.2005.01424.x About DOI

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