Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

Question

Quizplus · Accepted Answer

Topiramate has been shown to cause weight loss as a side effect. It is important to reassure Selma that this is a normal effect of the medication and to continue monitoring her weight. There is no need to increase her caloric intake or decrease her dose unless there are other concerns or adverse effects. Consultation with a neurologist may not be necessary in this case as weight loss is a known side effect of topiramate.

Selma, Who Is Overweight, Recently Started Taking Topiramate for Seizures