title: Topiramate in Bipolar and Schizoaffective Disorders: Weight Loss and Efficacy.
abstract: BACKGROUND: Although useful in bipolar disorder, mood stabilizers, such as lithium, divalproex sodium, and carbamazepine, can cause significant weight gain. METHOD: We conducted a retrospective chart review of 5 patients with DSM-IV bipolar disorder or schizoaffective disorder who were treated with topiramate as adjunctive therapy or monotherapy. RESULTS: All 5 patients had a good response to treatment at a mean topiramate dose of 195 mg/day (range, 100-375 mg/day). All patients lost a substantial amount of weight on topiramate treatment. The average weight loss was 22 lb (10 kg; range, 8-56 lb [4-25 kg]). None of the patients discontinued topiramate because of side effects. CONCLUSION: Topiramate may represent a valuable alternative to existing mood stabilizers, either as an adjunct or as monotherapy in patients with bipolar disorder or schizoaffective disorder.
authors.affiliation: Department of Psychiatry, Olean General Hospital, Olean; the Department of Psychiatry, SUNY Upstate Medical University at Syracuse, Syracuse; the Department of Psychiatry, University of Buffalo, Buffalo; the Department of Psychiatry, WCA Hospital, Jamestown; the Research and Education Division, Psychiatric Network, Olean; and Cattaraugus County Continuing Day Treatment Program, Olean, N.Y.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Gupta
authors.forename: Prakash S.
authors.initials: PS
authors.lastname: Masand
authors.forename: Bradford L.
authors.initials: BL
authors.lastname: Frank
authors.forename: Kari L.
authors.initials: KL
authors.lastname: Lockwood
authors.forename: Peggy L.
authors.initials: PL
authors.lastname: Keller