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. 2021 Oct 8;59(12):784–786. doi: 10.5414/CP204067

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.