Anticonvulsant / carbonic anhydrase inhibitor
Topiramate
White capsule
Typical Strength
per prescriber (low-dose titration)
Formulations
0 compounds
Formula
C₁₂H₂₁NO₈S
Mol. Weight
339.36 g/mol
How It Works
Mechanism of action
Anticonvulsant that blocks voltage-gated sodium channels, enhances GABA-A activity, antagonizes AMPA/kainate glutamate receptors and weakly inhibits carbonic anhydrase. Low doses are used off-label to reduce appetite as a weight-management adjunct.
What compounding can change
When Topiramate is compounded for one patient, your prescriber can choose the concentration, combine it with other ingredients, and pick the base. Commercial products come in fixed strengths and bases.
Safety Considerations
Please note: Compounded medications require a prescription from a licensed prescriber for an individual patient. Compounded medications are not FDA-approved. The FDA does not review them for safety, effectiveness or quality. A compounded medication is not the same as, or a generic version of, any FDA-approved drug. This page is general information, not medical advice. Your prescriber decides whether a treatment is right for you and sets the final ingredients, strength and dosage form.