Topiramate Dispensing

New advice for dispensing Topiramate:

• a visual warning symbol will be added to the pack of topiramate. This symbol will show a pregnant woman in a red circle with a line through it, with warning text about the risks and information about the new measures
• until warning symbols are present on packs, stickers are available to print locally on eMC
• dispense in whole packs whenever possible. This will ensure that patients always see the warning symbol and receive the statutory information
• give the patient card to female patients when dispensing topiramate
• ask women or girls of childbearing potential if they are taking highly effective contraception, if they are not, advise them to contact their GP for a follow-up appointment

• Topiramate (Topamax): introduction of new safety measures, including a Pregnancy Prevention Programme - GOV.UK (www.gov.uk)