Topiramate

Metabolism/Excretion
Minor hepatic, 70% renal excretion, significantly removed by dialysis
Plasma Protein Binding %
 
13-17
 
Dose For Normal Renal Function
3-9 mg/kg/day q8-12h
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 30-50
50%
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 10-29
50%
Adjustment For Renal Function Gfr, Ml/Min/1.73M2 <10
25%
Supplement For Dialysis [Recommendation Level]: Ihd
IHD: 25%, supplemental dose post hemo needed
Supplement For Dialysis [Recommendation Level]: Pd
PD: 25%
Supplement For Dialysis [Recommendation Level]: Crrt
CRRT: 50%, [D]