Topiramate-Induced Acute Psychotic Symptoms: A Case Report

Hamed Jafarpour; Alireza Razavi; Kamal Alaedini; Maryam Sefidgarnia; Davood Hosseini Talari

doi:10.36131/clinicalnpsych20200104

Topiramate-Induced Acute Psychotic Symptoms: A Case Report

Clin Neuropsychiatry. 2020 Feb;17(1):34-35. doi: 10.36131/clinicalnpsych20200104.

Authors

Hamed Jafarpour¹, Alireza Razavi¹, Kamal Alaedini², Maryam Sefidgarnia², Davood Hosseini Talari³

Affiliations

¹ Medical Student, Student Research Committee, Addiction Institute and Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran.
² Psychiatry and Behavioral Sciences Research Centre, Addiction Institute and Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, Iran.
³ Assistant Professor of Psychosomatic Medicine, Department of Psychiatry, School of Medicine, Rouhani Hospital Babol University of Medical Sciences, Babol, Iran.

Abstract

A 36-year-old man, married, nurse, presented with feeling fear and injury from imaginary creatures to a psychiatric clinic in Sari, Iran. Symptoms began two days before admission when tablet Topiramate was started due to the increasing intensity of chronic headache. About one hour after the first dose, Symptoms became apparent and resolved when he woke up. There was no hallucination and loss of consciousness. Next day, following use the same dose, the symptoms appeared. Eventually, Topiramate was discontinued and the patient did not experience similar symptoms in follow up.

Keywords: Migraine; Psychosis; Topiramate.

Publication types

Case Reports