Drug intelligence / Profile preview

topiramate

Development stage
Approved
Lead developer
Johnson & Johnson
Modality
Small Molecules
Administration
Oral
01

Overview

Topiramate is an oral small molecule anticonvulsant medication primarily used to treat epilepsy (including partial-onset and primary generalized tonic-clonic seizures) and to prevent migraine headaches. It is also used off-label for conditions such as bipolar disorder, weight loss (as part of a combination), alcohol dependence, essential tremor, and other neurological or psychiatric disorders. The drug acts through multiple mechanisms including blocking voltage-gated sodium channels; enhancing the activity of GABA-A receptors; antagonizing AMPA/kainate glutamate receptors; and inhibiting certain carbonic anhydrase isoenzymes. These actions reduce neuronal excitability in the brain[3][5][7]. Topiramate was originally developed by McNeil Pharmaceutical (now part of Johnson & Johnson)[5].

Brand names
TopamaxTrokendi XRQudexy XREprontiaTopamax Sprinkle
Other names
Topiragen
02

Targets

AMPAR (AMPA receptor)CA2 (Carbonic Anhydrase 2)Kainate-type ionotropic glutamate receptorCA4 (Carbonic anhydrase 4)GABRR (GABA-A receptor subunit rho)NaV (Voltage-gated sodium channels)

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