Topiramate (1000 mg) Abuse for Weight Loss in an Adolescent With Anorexia Nervosa

Semaglutide Misuse in Atypical Anorexia Nervosa—A Case Report

“…The patient herself switched her medication to topiramate that she ordered online and ended up taking up to 1000 mg/d and losing weight down to a BMI of 14.6 kg/m 2 . 6 Atypical anorexia nervosa is a prevalent health problem that remains underrecognized. 7 Glucagon-like peptide-1 receptor agonists are receiving wide publicity regarding their weight loss properties, 8 and the greater ease of obtaining them, including from commercial weight loss program such as Weight Watchers and Noom, 9 may contribute to creating a potentially harmful environment for overweight or obese patients with undisclosed EDs who engage in inappropriate and often dangerous weight loss behaviors.…”

“…The second report explored topiramate abuse in classic AN and presented a 16-year-old girl who underwent right temporal lobe glioma operation and was started on antiseizure medications resulting in weight gain. The patient herself switched her medication to topiramate that she ordered online and ended up taking up to 1000 mg/d and losing weight down to a BMI of 14.6 kg/m 2 6 …”