Stuttering priapism associated with topiramate.

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.