Narayana Manjunatha1, Vivek Benegal2. 1. Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru 560029, India. Electronic address: manjunatha.adc@gmail.com. 2. Centre for Addiction Medicine, Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru 560029, India.
Abstract
OBJECTIVES: Priapism, or prolonged penile erection in the absence of sexual stimulation, may be a medical emergency. Many medications including antianxiety, antidepressants and antipsychotics have been implicated. This paper presents a case of priapism associated with topiramate use. METHODS: This is a description of case report where topiramate was prescribed as anticraving medication in a patient with alcohol dependence. Episodic priapism developed soon after topiramate was prescribed. The severity of priapism reduced with reduction of dosage and disappeared with its discontinuation. RESULTS: Reversible priapism (stuttering subtype) is associated with topiramate. CONCLUSIONS: This is the first report of priapism associated with topiramate in the scientific literature.
OBJECTIVES:Priapism, or prolonged penile erection in the absence of sexual stimulation, may be a medical emergency. Many medications including antianxiety, antidepressants and antipsychotics have been implicated. This paper presents a case of priapism associated with topiramate use. METHODS: This is a description of case report where topiramate was prescribed as anticraving medication in a patient with alcohol dependence. Episodic priapism developed soon after topiramate was prescribed. The severity of priapism reduced with reduction of dosage and disappeared with its discontinuation. RESULTS: Reversible priapism (stuttering subtype) is associated with topiramate. CONCLUSIONS: This is the first report of priapism associated with topiramate in the scientific literature.