Selma, Who Is Overweight, Recently Started Taking Topiramate for Seizures

Multiple Choice

Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

A) Tell her to increase her caloric intake to counter the effects of the topiramate.
B) Consult with a neurologist, as this is not a common adverse effect of topiramate.
C) Decrease her dose of topiramate.
D) Reassure her that this is a normal side effect of topiramate and continue to monitor her weight.