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It also comes in multiple-dose insulin vials used with separate insulin syringes

[1] Because its multiple ion-channel and neurotransmitter actions dampen pathologic cortical excitability, topiramate received United States marketing clearance in 1996 for monotherapy or adjunctive control of partial-onset and primary generalized tonic-clonic seizures

The graphic below is a simplified example showing how labeled C rating and actual voltage sag do not always line up perfectly in real use

However, there is research being carried out to determine if the drug could have applications for this form of diabetes, too, and early results so far have been promising