Topiramate vs placebo
It is very uncertain whether topiramate changes proportion of responders (at least 50% seizure frequency reduction… compared with placebo (very low certainty).
- RR 4 [1.08, 14.75]1 study · 22 participantsVery low
It is very uncertain whether topiramate changes proportion of responders (at least 50% seizure frequency reduction… compared with placebo (very low certainty).
The review found no eligible studies for this question.
It is very uncertain whether topiramate changes proportion of responders (at least 50% seizure frequency reduction… compared with valproate (very low certainty).
It is very uncertain whether topiramate changes proportion of responders (at least 50% seizure frequency reduction… compared with valproate (very low certainty).
It is very uncertain whether topiramate changes number of participants who were seizure‐free compared with valproate (very low certainty).
Topiramate leads to higher 50% or greater reduction in seizure frequency (ITT analysis) compared with placebo (high certainty).
Topiramate probably leads to higher seizure freedom compared with placebo (moderate certainty).
Topiramate leads to higher treatment withdrawal compared with placebo (high certainty).
Topiramate may leads to higher adverse effects ‐ weight loss/decrease compared with placebo (low certainty).
Topiramate probably leads to higher adverse effects ‐ paraesthesia compared with placebo (moderate certainty).
Topiramate leads to higher adverse effects ‐ 'thinking abnormally' compared with placebo (high certainty).
Topiramate probably leads to higher adverse effects ‐ difficulty with concentration/concentration… compared with placebo (moderate certainty).
Topiramate showed no clear difference in time to treatment failure (any reason related to treatment) All… compared with carbamazepine (moderate certainty).
Topiramate probably leads to higher time to treatment failure (any reason related to treatment)Subgroup:… compared with carbamazepine (moderate certainty).
Topiramate showed no clear difference in time to treatment failure (any reason related to treatment)… compared with carbamazepine (low certainty).
Topiramate showed no clear difference in time to first seizure after randomisation All participants Range of compared with carbamazepine (high certainty).
Topiramate showed no clear difference in time to first seizure after randomisation Subgroup: focal onset… compared with carbamazepine (high certainty).
Topiramate showed no clear difference in time to first seizure after randomisation Subgroup: generalised… compared with carbamazepine (moderate certainty).