Table 1. Pharmacokinetic modeling using MWPharm 3.58 of three different oral doses of topiramate: 100, 2,500, and 8,000 mg.
General population | Present case report | Patient by Brandt et al. [2] | |
---|---|---|---|
Ingested dose (mg) | 100 | 2,500 | 800 |
tmax (h), ranges | 2.5 (2 – 3) | 5.28 (3.6 – 7.8) | 9.84 (8.7 – 10.9) |
T1/2 (h) | ± 21 | 16.48 | 23.26 |
Vd (L/kg) | 0.55 – 0.80 | 0.69 | 0.46 |
Total body clearance (L/h) | 1.7 – 1.8 | 2.39 | 1.04 |
The pharmacokinetic parameters were assessed in: 1. an adult healthy subject using published clinical PK data from the Summary of Product Characteristics of Topamax (Janssen-Cilag B.V., Breda, The Netherlands) [6]; 2. the present patient using experimental data of 5 measurements; 3. a patient with a topiramate intoxication described by Brandt et al. [2] using experimental data of 10 measurements. tmax (h) values are presented as mean and ranges. Drug dosing and calculation of the volume of distribution (L/kg) were based on lean body mass.