Topiramate: use in binge eating disorder?

Introduction: Topiramate was serendipitously synthesized in 1979 during research aimed at developing a fructose-1,6-diphosphatase inhibitor that might be used in the treatment of diabetes mellitus. Some investigators have suggested it might be used in the treatment of binge eating disorder (BED). Th...

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Main Authors: Mauro Gentile, Giovanni Scanelli
Format: Article
Language:English
Published: PAGEPress Publications 2012-01-01
Series:Italian Journal of Medicine
Subjects:
Online Access:http://www.italjmed.org/index.php/ijm/article/view/117
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author Mauro Gentile
Giovanni Scanelli
author_facet Mauro Gentile
Giovanni Scanelli
author_sort Mauro Gentile
collection DOAJ
description Introduction: Topiramate was serendipitously synthesized in 1979 during research aimed at developing a fructose-1,6-diphosphatase inhibitor that might be used in the treatment of diabetes mellitus. Some investigators have suggested it might be used in the treatment of binge eating disorder (BED). The aim of this review was to evaluate current knowledge and opinions on this topic. <br />Materials and methods: We conducted a search of five electronic databases (PubMed, Embase, Nice, Cochrane, Cinahl) using the search strategy ‘‘topiramate’’ AND ‘‘binge’’, ‘‘binge eating disorder.’’ No time limits were applied, and only reports of randomized controlled trials were included in our analysis. Results: In clinical studies, topiramate use has been associated with significant weight loss mediated by reductions in the frequency of bingeing episodes. The most common side effects of the drug are paresthesias, but nephrolithiasis, oligohydrosis, and dizziness have also been described. <br />Conclusions: Available data are limited, but the literature we reviewed suggests that topiramate can be useful in the medical treatment of BED, reducing both body weight and binge episodes. Side effects are not negligible. Before topiramate can be regarded as a good tool for the treatment of BED, further data must be obtained from longer, methodologically correct studies of larger populations.
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spelling doaj.art-242a542b40b64c86b5c6ede900142a222023-12-03T03:00:40ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522012-01-015428228710.4081/itjm.2011.28291Topiramate: use in binge eating disorder?Mauro GentileGiovanni ScanelliIntroduction: Topiramate was serendipitously synthesized in 1979 during research aimed at developing a fructose-1,6-diphosphatase inhibitor that might be used in the treatment of diabetes mellitus. Some investigators have suggested it might be used in the treatment of binge eating disorder (BED). The aim of this review was to evaluate current knowledge and opinions on this topic. <br />Materials and methods: We conducted a search of five electronic databases (PubMed, Embase, Nice, Cochrane, Cinahl) using the search strategy ‘‘topiramate’’ AND ‘‘binge’’, ‘‘binge eating disorder.’’ No time limits were applied, and only reports of randomized controlled trials were included in our analysis. Results: In clinical studies, topiramate use has been associated with significant weight loss mediated by reductions in the frequency of bingeing episodes. The most common side effects of the drug are paresthesias, but nephrolithiasis, oligohydrosis, and dizziness have also been described. <br />Conclusions: Available data are limited, but the literature we reviewed suggests that topiramate can be useful in the medical treatment of BED, reducing both body weight and binge episodes. Side effects are not negligible. Before topiramate can be regarded as a good tool for the treatment of BED, further data must be obtained from longer, methodologically correct studies of larger populations.http://www.italjmed.org/index.php/ijm/article/view/117TopiramateBinge eating disorder.
spellingShingle Mauro Gentile
Giovanni Scanelli
Topiramate: use in binge eating disorder?
Italian Journal of Medicine
Topiramate
Binge eating disorder.
title Topiramate: use in binge eating disorder?
title_full Topiramate: use in binge eating disorder?
title_fullStr Topiramate: use in binge eating disorder?
title_full_unstemmed Topiramate: use in binge eating disorder?
title_short Topiramate: use in binge eating disorder?
title_sort topiramate use in binge eating disorder
topic Topiramate
Binge eating disorder.
url http://www.italjmed.org/index.php/ijm/article/view/117
work_keys_str_mv AT maurogentile topiramateuseinbingeeatingdisorder
AT giovanniscanelli topiramateuseinbingeeatingdisorder