Topiramate-Induced Oral Lichenoid Lesions: A Case Report

Forouzan  Elyasi; Maedeh Rezaei

doi:10.18502/jimc.v5i3.10951

Forouzan Elyasi Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
Maedeh Rezaei Department of Midwifery, Gorgan Branch, Islamic Azad University, Gorgan, Iran

DOI: https://doi.org/10.18502/jimc.v5i3.10951

Keywords: Case report, Diagnosis, Lichenoid lesion, Oral, Side effects, Topiramate

Abstract

Topiramate is being widely used to prevent migraine headaches and treat epilepsy and mental disorders; however, Oral Lichenoid Lesion (OLL) is one of its rare side effects. The present report has been provided based on a patient case study who had developed OLLs following treatment with topiramate. The patient was a 50-year-old woman referred to a psychiatric clinic with complaints of severe headaches, anxiety, insomnia, and symptoms of Obsessive-Compulsive Disorder (OCD). For this purpose, fluoxetine, topiramate, and nortriptyline were prescribed. Two months after increasing the topiramate dosage to 400 mg per day, she developed OLLs. The Topiramate dose was reduced within two weeks and finally discontinued. The lesions were removed four weeks after the cessation. The patient had no lesions for 6 months. With restarting the drug, the lesion reappeared and finally, ceasing topiramate usage. To conclude, the mentioned lesions are one of the rare complications of this anticonvulsant drug.