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Topiramate induces type 3 renal tubular acidosis by inhibiting renal carbonic anhydrase.
Authors:Anne Sacré  Fran?ois Jouret  Daniel Manicourt  Olivier Devuyst
Institution:1Division of Nephrology
2Division of Rheumatology
St-Luc Academic Hospital
Université catholique de Louvain
Medical School, Brussels
Belgium
Abstract:Sir, We report a case of mixed (type 3) renal tubular acidosis (RTA)associated with the anti-convulsant drug topiramate used formigraine prophylaxis. A 47-year-old woman treated with topiramate(150 mg/day) since 12 months for invalidating migraine was referredfor a metabolic acidosis evidenced in a routine blood sampling.She complained of muscle weakness
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