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Topiramate is a sugar sulfamate with anticonvulsant activity.1 It inhibits carbonic anhydrase in intact human erythrocytes (Ki = ~200 μM), as well as blocks sodium and calcium channels and kainate-induced currents in vitro.1,2,3 It also increases GABAA receptor-mediated chloride ion flux.3 Topiramate inhibits hind-limb tonic-extensor seizures in the maximal electroshock seizure test in mice (ED50 = 39 mg/kg, p.o.).1 Formulations containing topiramate have been used in the treatment of epilepsy and prophylaxis of migraine headaches.
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1. Anticonvulsant O-
2. Molecular mechanisms of antiseizure drug activity at GABAA receptors. Seizure 22(8), 589-600 (2013).
3. Topiramate: A review of preclinical, pharmacokinetic, and clinical data. Clin. Ther. 19(6), 1294-1308 (1997).