Important: Valproate and Topiramate updates

Valproate update

Men taking valproate and their partners are being advised by the Medicines and Healthcare products Regulatory Agency (MHRA) to use effective contraception because of new data suggesting a potential small increased risk of harm to children if valproate is used by a father at conception.

MHRA have published a Drug Safety Update, which includes information and advice for healthcare professionals and patients.

Read the MHRA news item on valproate use in men

What pharmacy teams need to do

  • remind patients on valproate that they must not stop taking their treatment without advice from their specialist
  • continue to dispense / prescribe valproate in line with guidelines
  • be prepared to discuss the new advice with their patients
  • make sure patients receive the patient card and patient guide
  • display the poster for pharmacy teams

Information and resources to help you

MHRA have collected together on their website information and guidance for healthcare professionals and patients on the reproductive risks of valproate and safety measures.

We have also gathered together all of our existing resources and information about valproate on one page on our website so it is easier for you to stay up-to-date.

Reminder – New safety measures for topiramate

In June 2024, MHRA issued a drug safety update on new measures for topiramate.

Topiramate must no longer be prescribed to women and girls unless they fulfil the requirements of a Pregnancy Prevention Programme.

The GPhC have sent an email to all pharmacy professionals to raise awareness of these important updates.