Available as tablets or capsules.
Available as soluble tablets?
Available as a liquid?
Available as something for placing under your tongue?
Available as something for placing on your gum?
Available as granules?
Available as a patch for putting on your skin?
Available as an injection?
Available as nasal/oral spray?
Safe or appropriate to crush
Licensed alternative formulations available and therefore crushing is not recommended.
Additional information for Healthcare Professionals+
Usual formulation brand names
Is tablet/capsule specially coated?
Soluble tablet strength
Sublingual/buccal formulation strength
Transdermal patch strength
Nasal/oral spray Strength
Available as a licensed liquid or special?
Licensed - oral suspension
Are specials or imports available?
Yes- oral suspension on Specials Tariff
10mg/ml, 20mg/ml - licensed; 25mg/5ml - Special
Is the liquid medicine sugar free?
Licensed for administration via enteral tube
Advice on administration via enteral tube
Current resources suggest that it is likely to be safe to administer via enteral feeding tubes, however this is an unlicensed use of the medication. Clinicians should refer to specialist resources for advice on how to administer this medication via enteral feeding tubes.
The clinical effectiveness of topiramate may be reduced if administered via tubes which terminate in the jejunum. There may be variability between brands of topiramate, so every effort should be made to maintain the patient on the same brand if the medication is being used for seizure control. Where changes in brand or formulation are unavoidable the patient must be closely monitored.