Interaction of topiramate with conventional antiepileptic drugs in mice.

Abstract:

:Topiramate [2,3:4, 5-bis-O-(1-methyl-ethylidene-)-beta-D-fructopyranose sulfamate], administered intraperitoneally (i.p.) up to 5 mg/kg, did not influence the threshold for electroconvulsions. In doses of 10-30 mg/kg, topiramate significantly raised the threshold. This novel antiepileptic drug, in subprotective doses, enhanced the protective activity of i.p. given valproate, carbamazepine, dihenylhydantoin and phenobarbital against maximal electroshock-induced convulsions in mice. The potentiation induced by topiramate (2.5-5 mg/kg) was most profound for carbamazepine and phenobarbital. The anticonvulsive activity of valproate and diphenylhydantoin was potentiated by topiramate only at 5 mg/kg. Topiramate (5 mg/kg) combined with valproate, phenobarbital and diphenylhydantoin did not alter their free plasma levels but its combination with carbamazepine resulted in an increased free plasma level of this antiepileptic drug. Treatment with topiramate (5 mg/kg) alone or in combination with the studied antiepileptics (providing 50% protection against maximal electroshock) resulted in no adverse effects, as measured in the chimney test (motor coordination) or passive avoidance task (long-term memory). In contrast, valproate administered alone at its ED(50) against maximal electroshock impaired motor coordination. It is noteworthy that valproate and carbamazepine at their respective ED(50) values of 248 and 11.2 mg/kg disturbed long-term memory. The results provide an experimental basis for rational polytherapy.

journal_name

Eur J Pharmacol

authors

Swiader M,Kotowski J,Gasior M,Kleinrok Z,Czuczwar SJ

doi

10.1016/s0014-2999(00)00365-4

keywords:

subject

Has Abstract

pub_date

2000-06-30 00:00:00

pages

35-41

issue

1

eissn

0014-2999

issn

1879-0712

pii

S0014-2999(00)00365-4

journal_volume

399

pub_type

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