The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood

Introduction: In this study, the effectiveness and safety of topiramate treatment in children with chronic daily headache were investigated.Materials and Method: This study was perfomed prospectively among 100 children who were diagnosed with chronic daily headache. Before the treatment, Pediatric M...

Full description

Saved in:
Bibliographic Details
Main Authors: Adem Parlak, Aytuğ Dikililer, Ümit Aydoğan, Sebahattin Vurucu, Bülent Ünay, Rıdvan Akın
Format: Article
Language:English
Published: Galenos Publishing House 2010-05-01
Series:Güncel Pediatri
Subjects:
Online Access:http://www.guncelpediatri.com/yazilar.asp?yaziid=918&sayiid=25
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846094821882593280
author Adem Parlak
Aytuğ Dikililer
Ümit Aydoğan
Sebahattin Vurucu
Bülent Ünay
Rıdvan Akın
author_facet Adem Parlak
Aytuğ Dikililer
Ümit Aydoğan
Sebahattin Vurucu
Bülent Ünay
Rıdvan Akın
author_sort Adem Parlak
collection DOAJ
description Introduction: In this study, the effectiveness and safety of topiramate treatment in children with chronic daily headache were investigated.Materials and Method: This study was perfomed prospectively among 100 children who were diagnosed with chronic daily headache. Before the treatment, Pediatric Migraine Disability Assesment (PEDMİDAS) scores and grades of the patients were determined. Topiramate was given as 1 mg/kg/day then the dose was increased to 2 mg/kg/day at the tenth day of the treatment. At the third month, PEDMİDAS scores and grades were redetermined and compared with the first one.Results: The PEDMİDAS scores of the patients before and after the treatment were found as 34.60±22.28, 12.77±12.2, respectively. There was a statistical difference between these two values (p<0.001). When we group the patients according to the PEDMİDAS scores before the treatment 68% of the patients were grouped as grade 4, 23% as grade 3, 6% as grade 2 and 3% as grade 1; then after the treatment these percentages changed as 38.4% for grade 4, 29.4% for grade 3, 21.5% for grade 2 and 10.7% for grade1, respectively. Also forgetfulness in 8.8% (n=6) of patients, weight loss (average 250 grams) in 5.8% (n=4) and paresthesia in 4.4% (n=3) were determined.Conclusions: This study has shown that topiramate is safe, well tolerable and can be used with low doses in the treatment of chronic daily headache in childhood and is an alternative treatment choice that can be used in case no answers with other drugs. (Journal of Current Pediatrics 2010; 8: 20-3)
format Article
id doaj-art-f5d0614bc39d4471bd3d1e01b6f488b0
institution Kabale University
issn 1304-9054
language English
publishDate 2010-05-01
publisher Galenos Publishing House
record_format Article
series Güncel Pediatri
spelling doaj-art-f5d0614bc39d4471bd3d1e01b6f488b02025-01-02T12:14:06ZengGalenos Publishing HouseGüncel Pediatri1304-90542010-05-01812023The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in ChildhoodAdem ParlakAytuğ DikililerÜmit AydoğanSebahattin VurucuBülent ÜnayRıdvan AkınIntroduction: In this study, the effectiveness and safety of topiramate treatment in children with chronic daily headache were investigated.Materials and Method: This study was perfomed prospectively among 100 children who were diagnosed with chronic daily headache. Before the treatment, Pediatric Migraine Disability Assesment (PEDMİDAS) scores and grades of the patients were determined. Topiramate was given as 1 mg/kg/day then the dose was increased to 2 mg/kg/day at the tenth day of the treatment. At the third month, PEDMİDAS scores and grades were redetermined and compared with the first one.Results: The PEDMİDAS scores of the patients before and after the treatment were found as 34.60±22.28, 12.77±12.2, respectively. There was a statistical difference between these two values (p<0.001). When we group the patients according to the PEDMİDAS scores before the treatment 68% of the patients were grouped as grade 4, 23% as grade 3, 6% as grade 2 and 3% as grade 1; then after the treatment these percentages changed as 38.4% for grade 4, 29.4% for grade 3, 21.5% for grade 2 and 10.7% for grade1, respectively. Also forgetfulness in 8.8% (n=6) of patients, weight loss (average 250 grams) in 5.8% (n=4) and paresthesia in 4.4% (n=3) were determined.Conclusions: This study has shown that topiramate is safe, well tolerable and can be used with low doses in the treatment of chronic daily headache in childhood and is an alternative treatment choice that can be used in case no answers with other drugs. (Journal of Current Pediatrics 2010; 8: 20-3)http://www.guncelpediatri.com/yazilar.asp?yaziid=918&sayiid=25Topiramateefficacyreliabilitychildhoodheadache
spellingShingle Adem Parlak
Aytuğ Dikililer
Ümit Aydoğan
Sebahattin Vurucu
Bülent Ünay
Rıdvan Akın
The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
Güncel Pediatri
Topiramate
efficacy
reliability
childhood
headache
title The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
title_full The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
title_fullStr The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
title_full_unstemmed The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
title_short The Efficacy and Reliability of Topiramat Use in Chronic Daily Headache in Childhood
title_sort efficacy and reliability of topiramat use in chronic daily headache in childhood
topic Topiramate
efficacy
reliability
childhood
headache
url http://www.guncelpediatri.com/yazilar.asp?yaziid=918&sayiid=25
work_keys_str_mv AT ademparlak theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT aytugdikililer theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT umitaydogan theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT sebahattinvurucu theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT bulentunay theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT rıdvanakın theefficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT ademparlak efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT aytugdikililer efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT umitaydogan efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT sebahattinvurucu efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT bulentunay efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood
AT rıdvanakın efficacyandreliabilityoftopiramatuseinchronicdailyheadacheinchildhood