Indian Journal of Psychological Medicine
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Year : 2012  |  Volume : 34  |  Issue : 1  |  Page : 85-86

Successful Use of Add - On Topiramate for Antipsychotic - Induced Weight Gain

Department of Psychiatry, The Metabolic Clinic in Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India

Correspondence Address:
Venkataram Shivakumar
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Hosur Road, Bangalore, Karnataka - 560 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7176.96168

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Antipsychotic induced weight gain is the most common and distressing side effect. This also affects the compliance toward the treatment and hence the prognosis. Non - pharmacological interventions such as exercise and diet modifications alone might not be sufficient most of the times; also ensuring compliance toward this is difficult in patients with psychiatric illness. So, the role of weight - reducing drugs become important. In this case report, we describe the use of low - dose topiramate as a weight - reducing agent, in a patient with a bipolar affective disorder - mania with psychotic symptoms, who had significant risperidone - induced weight gain.

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