中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
5-溴-2-甲氧基苯酚乙酸酯 | 5-bromo-2-methoxyphenyl acetate | 66037-04-5 | C9H9BrO3 | 245.073 |
5-溴-2-甲氧基苯酚 | 5-bromo-2-methoxyphenol | 37942-01-1 | C7H7BrO2 | 203.035 |
邻甲氧基苯乙酸酯 | 2-methoxyphenyl acetate | 613-70-7 | C9H10O3 | 166.177 |
To report a case of weight loss and mood stabilization in a patient being treated with the antiepileptic drug topiramate.
A 37-year-old obese white woman with affective instability and obesity was being treated with adjunctive topiramate therapy. The patient lost 10 kg over 10 weeks of treatment with topiramate and improved clinically, as evidenced by a reduction in the number of × that she had to be admitted to a management unit for constant observation, and a decrease in the number of × that mechanical restraints or medication interventions were required for aggressive outbursts. Furthermore, the patient successfully completed two home visits while receiving topiramate therapy and was out of the hospital on her third home visit at the time of this writing.
This case further strengthens previous reports that topiramate may be useful in treating affective disorders as well as inducing weight loss in a patient population in which weight gain is common. The patient discussed in this case report had no acute illnesses or changes in health status, no changes in diet, and no changes in her medications that could have accounted for the sudden weight loss. In addition, the patient's behavior did not improve until topiramate was added as adjunctive therapy of valproic acid, citalopram, and chlorpromazine during an adequate trial period.
Controlled studies need to be performed to evaluate the use of topiramate in the psychiatric population and, in particular, the benefits of topiramate therapy in psychiatric patients with an additional diagnosis of obesity.
报告一例使用抗癫痫药物托吡酯治疗的患者的体重减轻和情绪稳定案例。
一位37岁的肥胖白人女性,情绪不稳定且肥胖,正在接受辅助托吡酯治疗。患者在接受托吡酯治疗的10周内体重减轻了10公斤,并且临床状况有所改善,这从她需要被送入管理单位进行持续观察的次数减少以及需要机械约束或药物干预的激烈爆发次数减少中得到证明。此外,在接受托吡酯治疗期间,患者成功完成了两次家庭访问,并且在撰写本文时,她正在进行第三次家庭访问,已经出院。
这个案例进一步强化了之前的报告,即托吡酯可能有助于治疗情感障碍以及在体重增加常见的人群中诱导体重减轻。本案例报告中的患者没有急性疾病或健康状况的变化,饮食没有变化,也没有药物变化,这些都不可能导致突然的体重减轻。此外,患者的行为在足疗程的试验期间,将托吡酯作为辅助治疗加入丙戊酸、西酞普兰和氯丙嗪后才有改善。
需要进行控制研究,以评估托吡酯在精神病患者中的使用,特别是对于额外诊断为肥胖的精神病患者,托吡酯治疗的益处。