title: Stuttering priapism associated with topiramate.
abstract: OBJECTIVE
  Priapism, or prolonged penile erection in the absence of sexual stimulation, may be a medical emergency. Many medications including antianxiety, antidepressants and antipsychotics have been implicated. This paper presents a case of priapism associated with topiramate use.
  
  
  METHODS
  This is a description of case report where topiramate was prescribed as anticraving medication in a patient with alcohol dependence. Episodic priapism developed soon after topiramate was prescribed. The severity of priapism reduced with reduction of dosage and disappeared with its discontinuation.
  
  
  RESULTS
  Reversible priapism (stuttering subtype) is associated with topiramate.
  
  
  CONCLUSIONS
  This is the first report of priapism associated with topiramate in the scientific literature.
authors.affiliation: Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru 560029, India. Electronic address: manjunatha.adc@gmail.com.
authors.forename: Narayana
authors.initials: N
authors.lastname: Manjunatha
authors.affiliation: Centre for Addiction Medicine, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru 560029, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Benegal
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000188:drug therapy; D004305:Dose-Response Relationship, Drug; D005632:Fructose / Q000009:adverse effects / Q000031:analogs & derivatives*; D006801:Humans; D008297:Male; D018696:Neuroprotective Agents / Q000009:adverse effects*; D011317:Priapism / Q000139:chemically induced*; D000077236:Topiramate
chemical_list: D018696:Neuroprotective Agents; D000077236:Topiramate; D005632:Fructose
keywords: Alcohol dependence; Dose-dependent; Priapism; Topiramate