Accord topiramate stock
Published: September 09 2024
Last updated: September 11 2024
9 September 2024
Accord have told us that topiramate 25mg, 50mg, 100mg and 200mg tablets made by Accord are now long term out of stock with no current return date for 2024.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Accord carbamazepine liquid stock
Published: August 22 2024
Last updated: August 22 2024
22 August 2024
Accord have updated us on the supply of carbamazepine 100mg/5ml oral suspension.
Accord have advised that it is now out of stock until the end of September 2024.
If you usually take Accord carbamazepine 100mg/5ml oral suspension, please speak to your doctor for advice.
You can also read our information about switching between different versions of your epilepsy medicine.
Accord Phenobarbital stock
Published: April 26 2024
Last updated: August 19 2024
16 August 2024
Accord have informed us that their phenobarbital 15mg tablets are back in stock and available for wholesalers.
26 April 2024
We are aware that phenobarbital 15mg tablets made by Accord are currently out of stock with no confirmed return date.
We understand that supply from other manufacturers remain available and can support increased demand.
Accord lamotrigine stock
Published: August 06 2024
Last updated: August 06 2024
Update on 05 August 2024
Accord have told us that Accord lamotrigine 25mg and 50mg tablets are now in stock.
The 100mg and 200mg strength tablets continue to be out of stock. Accord were not able to tell us when they expect them to be back in stock.
If you have any concerns about switching to a different version of your medicine, please speak to your pharmacist, GP or specialist for advice.
Update on 03 May 2024
Accord have provided a further update on the supply of Accord lamotrigine tablets.
They have told us that they are out of stock of 25mg, 50mg,100mg and 200mg with an estimated return date of all strengths of August 2024
Topiramate use in pregnancy: MHRA safety guidelines tightened
Published: June 24 2024
Last updated: July 25 2024
Kami Kountcheva | The MHRA has updated its safety guidelines for the use of the medicine topiramate to help prevent harm to unborn babies
Topiramate should not be prescribed to women of childbearing potential without a pregnancy prevention plan, the Medicines and Healthcare products Regulatory Agency (MHRA) has announced.
The MHRA updated its safety guidelines for the use of the medicine topiramate (brand names Topamax and Topiragen) on 20 June 2024. Topiramate is used to treat epilepsy and migraines.
Previous MHRA guidelines from May 2022 said that before being prescribed topiramate, women should be fully informed of the risks during pregnancy, and in epilepsy, alternative options should be considered first.
The new guidelines state that topiramate should not be given to “women of childbearing potential unless the conditions of a Pregnancy Prevention Programme are fulfilled”.
They continue to stress that women must be made aware of the risks of topiramate and now need to sign the Risk Awareness Form.
The update follows a review conducted by the MHRA, which found that “the use of topiramate during pregnancy is associated with significant harm to the unborn child”.
The MHRA said the medicine could lead to birth defects and low birth weight. It said that it could also increase the risk of intellectual disability, autistic spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) in children.
Advice from the MHRA says that women should always use effective birth control while taking topiramate and four weeks after stopping the medicine. Topiramate can change how effective some hormonal types of birth control are, so the MHRA advises women to speak to their GPs or specialists about effective contraception.
The MHRA said women with epilepsy taking topiramate, who are thinking about having a baby or think they might be pregnant should continue to take their epilepsy medicine and make an urgent appointment with their GP or epilepsy team.
Stopping an epilepsy medicine could lead to seizures restarting or becoming more frequent or more severe.
Reduced medication options for women
The latest NHS England statistics show that in September 2023, the number of females aged under 55 years old who were prescribed topiramate was just over 30,000.
Alison Fuller, director of health improvement and influencing at Epilepsy Action, said: “Information is always key.
“From some of our previous research, we know not enough women were being fully informed about the risks some anti-seizure medications pose to pregnancy. The inclusion of topiramate in the Pregnancy Prevention Programme should at least ensure that these conversations are happening.
“Clinicians need the right support to make sure that the change in rules is effectively communicated to affected patients, and that they can make informed decisions about their care.
“While these new rules coming into effect may be concerning for some people, it’s important no one stops taking medication without speaking to their specialist.
“We understand that these new measures could potentially reduce medication options for women of child-bearing age. Also, we know that neurology staffing levels are extremely low in the UK, and new referrals could increase the already critical waiting times.
“We will monitor the roll-out closely and keep sharing any new information with our supporters as any developments occur.”
“No information and no idea”
Epilepsy Action, Young Epilepsy and Epilepsy Society surveyed more than 1,200 women and girls with epilepsy in 2022 about epilepsy medicines in pregnancy. The survey showed that more than a quarter of respondents taking topiramate (28%) didn’t know about the risks of the medicine in pregnancy.
One responder taking topiramate said: “I had no idea any of these medications could be harmful.”
Another commented: “When I was first diagnosed, I was 20. I had no information and no idea about epilepsy and pregnancy. I think part of the reason I haven’t had children is because I was afraid of the effects of my tablets on a baby.”
Some responders had already been through pregnancy. One said: “It was mentioned when I was first diagnosed that some medications wouldn’t be suitable if I wanted a child, but my neurologist didn’t tell me which ones would put my baby at risk. I was on topiramate and carbamazepine when my child was born seven years ago (I didn’t know I was pregnant until I was in labour) and I had to be checked over. Luckily my child is okay, however, he’s on the waiting list to be screened for autism and ADHD.”
Another responder shared her experience, saying: “I’ve successfully had two safe pregnancies and healthy children with advice from my neurologist and epilepsy nurse.
19 July 2024
Epilepsy Action have been told that carbamazepine 100mg/5ml oral suspension made by Accord is out of stock until mid-August 2024.
The Department of Health and Social Care (DHSC) have told us they will be communicating with the NHS around options for patients affected. You may be offered a different version of carbamazepine.
If you usually take Accord carbamazepine 100mg/5ml oral suspension, please speak to your doctor for advice.
Our helpline team are available to talk this through. You can call them for free on 0808 800 5050. The helpline is open Monday to Friday, 8:30am to 5pm and on Saturdays, 10am to 4pm.
You can livechat to us from this page Monday to Saturday, 10am to 4pm. If an advisor is available, you will see a chat bubble at the bottom of your screen.
Accord levetiracetam stock
Published: July 12 2024
Last updated: July 15 2024
12 July 2024
Accord have told us that levetiracetam 250mg, 500mg and 750mg tablets made by Accord are now long term out of stock with no current return date.
They have stock of levetiracetam 1000mg tablets.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Sabril (Vigabatrin) recall
Published: July 14 2023
Last updated: July 21 2023
14 July 2023
The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a medicines recall affecting some Sabril tablets and granules. Sabril is the brand name for the epilepsy medicine, vigabatrin.
This measure is being taken is as a precaution due to traces of another medicine called tiapride being detected in some batches of the ingredients used to make Sabril. The MHRA highlight that Tiapride is currently not licensed for use in the UK, and it’s use in children has not been thoroughly investigated.
It’s important not to stop taking Sabril tablets or granules without speaking to a doctor. The MHRA say that the risks of suddenly stopping epilepsy medicine are higher than the potential risk from tiapride.
Advice for adults
The MHRA say that people over 18 with batches of the affected medicine do not need to return them for a replacement and can continue to take their medicine as normal. The trace amounts of tiapride are significantly lower than the safe limits for adults.
Advice for children and parents
People aged 17 or below with batches of the affected medicine, or their parents, should return them to their pharmacy for replacement. If medicine from an affected batch has been used, the MHRA advises that you should contact your doctor but keep taking your medication until you have an alternative batch, where possible.
Batches affected:
Sabril 500mg film coated tablets (product code: PL 04425/0171)
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Batch number 2989A with expiry date of April 2025
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Batch number 2988D with expiry date of April 2025
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Batch number 2006B with expiry date of November 2025
Sabril 500mg granules for oral solution (product code: PL 04425/0170)
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Batch number 1994A with expiry date of May 2024
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Batch number 2028B with expiry date of March 2025
Where to get further advice
If you’re unsure if your medicine is affected, experience side-effects or have any other concerns, please speak to your GP or pharmacist for further advice.
Desitin Pharma lamotrigine recall
Published: June 10 2024
Last updated: June 10 2024
10 June 2024
The MHRA have made us aware of a recall issued for lamotrigine 10mg/ml oral suspension made by Desitin Pharma.
This recall is a precautionary measure affecting all batches of Desitin Pharma lamotrigine 10mg/ml oral suspension only.
It’s possible that some doses may have too little lamotrigine in them and some doses may have too much.
If you have been given this version of lamotrigine, your doctor or pharmacist should contact you. You can contact them if this hasn’t happened yet.
In the meantime, the MHRA say that you should keep taking your medicine as prescribed.
This recall is only for lamotrigine 10mg/ml oral suspension made by Desitin Pharma. No other versions of lamotrigine are affected by this recall.
Tegretol supply update
Published: June 06 2024
Last updated: June 06 2024
05 June 2024
Novartis have updated us on the supply of Tegretol (carbamazepine) 100mg/5ml liquid. Novartis have told us that some stock is now available.
They advised that it may take some time for supply to return to normal levels.
If this supply problem affects you or someone you care for, do speak to your doctor as soon as possible for further advice. You can call 111 if you need immediate advice.
Mylan lamotrigine stock
Published: May 08 2024
Last updated: May 10 2024
08 May 2024
Mylan Lamotrigine 100mg tablets made by Viatris are temporarily out of stock. Viatris have told us that they expect to be back in stock by the end of May.
Viatris have confirmed that their Mylan lamotrigine 200mg tablets are in stock with further stock due early July.
They have good stock levels of 25mg and 100mg dispersible tablets.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice
Carbamazepine stock
Published: April 26 2024
Last updated: April 26 2024
26 April 2024
Carbamazepine 100mg and 200mg tablets made by Crescent are currently out of stock with an estimated return date of mid-June 2024.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice
Accord Phenobarbital stock
Published: April 26 2024
Last updated: April 26 2024
Accord Phenobarbital
26 April 2024
15mg tablets made by Accord are currently out of stock with no confirmed return date.
We understand that supply from other manufacturers remain available and can support increased demand.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice
Lamictal dispersible tablet 5mg stock
Published: March 19 2024
Last updated: March 20 2024
Lamictal dispersible 5mg tablets made by GSK are out of stock.
19 March 2024
Lamictal dispersible 5mg tablets made by GSK are out of stock.
GSK have told us that they are expected to be back in stock early April 2024.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice
Epistatus supply update
Published: March 04 2024
Last updated: March 04 2024
Epistatus (Midazolam) 2.5mg/0.25ml oromucosal solution pre-filled oral syringes are out of stock until early 2024.
04 March 2024
Epistatus (Midazolam) 2.5mg/0.25ml and 5mg/0.5ml oromucosal solution pre-filled oral syringes made by Veriton Pharma are currently out of stock with no confirmed return date.
If you usually take this medicine, your pharmacist may offer you a different manufacturer’s version until the Epistatus version is back in stock.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
The manufacturers of lamotrigine
Accord, have said there is very limited stock and it is currently only available to hospitals and hospital outpatient pharmacies. The company estimated a return date of April 2024 for 50mg, 100mg and 200mg. 25mg tablets made by Accord are currently unavailable long term. Accord
cannot confirm when they will be back in stock.
Epilim sodium valproate syrup stock
Published: March 01 2024
Last updated: March 01 2024
1 March 2024
The Department of Health and Social Care (DHSC) have advised that Epilim 200mg/5ml syrup is out of stock from mid-March until w/c 22nd April 2024.
Epilim 200mg/5ml sugar free remains available and can support increased demand.
If you have any concerns about your medicine, please speak to your pharmacist or GP for advice
Accord phenytoin sodium stock
Published: February 02 2024
Last updated: February 02 2024
Update on 02 February 2024
Accord have informed us that phenytoin sodium 100mg capsules made by Accord are now long term out of stock with no visibility of a return to stock date.
Flynn Pharma have told us that phenytoin sodium 100mg capsules made by Flynn Pharma can support higher demand. Your pharmacist may offer you this version while the Accord version remains out of stock.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Tegretol supply
Published: December 14 2023
Last updated: December 14 2023
Novartis have told us that Tegretol 200mg tablets are due to go out of stock shortly.
14 December 2023
Novartis have told us that Tegretol 200mg tablets are due to go out of stock shortly.
They expect stock to available around the end of January/beginning of February 2024.
They encouraged pharmacies that are unable to get supply to contact Novartis Customer Services directly:
Email: novartis.customercare@novartis.com
Phone: 08457419442
Accord lamotrigine stock
Published: December 12 2023
Last updated: December 12 2023
Update on 12 December 2023
Accord have provided a further update on the supply of Accord lamotrigine tablets. The position is unchanged from our update on 25th September 2023.
If you have any concerns about switching to a different version of your medicine, please speak to your pharmacist, GP or specialist for advice
Tegretol stock
Published: November 08 2023
Last updated: November 08 2023
Update on 8 November 2023
Novartis have told us that Tegretol 100mg tablets are now in stock and are being distributed to wholesalers. They should be available for pharmacies to order shortly.
Novartis also confirmed that Tegretol 200mg and 400mg remain available, but that demand had increased due to the shortage of 100mg tablets.
They encouraged pharmacies that are unable to get supply to contact Novartis Customer Services directly:
Zonegran supply in Northern Ireland
Published: October 23 2023
Last updated: October 24 2023
23 October 2023
Advanz Pharma, the manufacturers of Zonegran, have told us about supply problems affecting all forms of Zonegran in Northern Ireland.
They expect these problems to be resolved within the next two weeks.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice
Tapclob rebranding
Published: October 19 2023
Last updated: October 19 2023
10 October 2023
Tapclob is now known as Clobazam Martindale Pharma Oral Suspension. We have been assured by the manufacturer that it is the same product, just with a new name.
Pack sizes remain the same, with 150ml and 250ml available in both strengths (5mg/5ml and 10mg/5ml)
Valproate boxes must now contain safety warnings
Published: October 18 2023
Last updated: October 18 2023
The MHRA has updated its guidance on dispensing valproate-containing medicines.
The medication will now be dispensed in the manufacturer’s original full packaging.
The change was made to ensure that patients receive safety warnings, including a patient card and information leaflet.
Sodium valproate is commonly prescribed to treat epilepsy and also sold under the names: Epilim, Epilim Chrono, Epilim Chronosphere MR, Episenta, Episenta MR, Epival CR, Dyzantil MR and Depakin.
The move follows concerns that some people taking the medicine were unaware of the risks to an unborn baby if valproate-containing medicines are used in pregnancy.
While many people were already receiving the medication in its original packaging, some were receiving it without the warnings because the prescribed amount of medicine was different to the amount in the full pack.
In rare cases, pharmacists will be able to make an exception to the requirement, but only where a risk assessment is in place that refers to the need for different packaging.
The change came into force in England, Scotland and Wales on 11 October.
In 2018, a review by the MHRA led to the introduction of the Valproate Pregnancy Prevention Programme, which is now a condition of prescribing and dispensing valproate-containing medicines to women of childbearing potential.
MHRA chief executive Dr June Raine said: “It is essential that all patients on valproate-containing medicines receive the latest safety information every time their prescription is dispensed. The changes in the law announced today ensure this happens. People’s situation may change, especially with regard to the possibility of pregnancy, so it is vital that the warnings about the harms of valproate are always brought to mind
Tegretol stock
Published: October 06 2023
Last updated: October 06 2023
Update on 06 October 2023
Due to reports of problems also getting Tegretol 400mg prolonged release tablets, we asked Novartis for an update.
Novartis told us that Tegretol 400mg prolonged release tablets are still at normal UK stock levels. However, they said that demand may be higher due to less Tegretol 400mg prolonged release tablets being imported from outside of the UK (parallel imports) over recent months.
They confirmed that Tegretol 100mg tablets are still out of stock.
Novartis have encouraged people struggling to get stock of Tegretol 400mg prolonged release tablets to ask their pharmacy to contact their wholesaler for stock. If this doesn’t work, pharmacies can contact Novartis directly
Glenmark zonisamide stock
Published: September 29 2023
Last updated: September 29 2023
28 September 2023
Zonisamide capsules made by Glenmark are currently out of stock.
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25mg capsules are out of stock until end of October 2023
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50mg capsules are out of stock until end of September 2023
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100mg capsules are out of stock – no re-stock date available yet
Your pharmacist may offer you a different version of zonisamide.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Accord lamotrigine stock
Published: September 26 2023
Last updated: September 26 2023
Update on 25 September 2023
Accord have provided an update on supply of Accord lamotrigine tablets. They have told us that supplies of all strengths of Accord lamotrigine are very limited and stock is currently only available to hospitals and hospital outpatient pharmacies.
Accord said that supply of Accord lamotrigine tablets will not be available to community pharmacies and they haven’t been able to tell us when they expect stock to return to normal.
Your pharmacist may offer you a different version of lamotrigine. For most people it’s safer to take a different version of their medicine than to run out and stop taking medicine suddenly.
If you have any concerns about switching to a different version of your medicine, please speak to your pharmacist, GP or specialist for advice.
Update on 18 September 2023
Lamotrigine 25mg tablets made by Accord are now back in stock, but are currently only available with one wholesaler, Mawdsleys.
Your pharmacy should be able to confirm if they are able to order stock from Mawdsleys.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Sabril (vigabatrin) stock
Published: September 18 2023
Last updated: September 18 2023
Update on 15 September 2023
Sanofi, the manufacturers of Sabril (vigabatrin) have told us that Sabril 500mg tablets are now in stock.
They have also confirmed that Sabril 500mg sachets are still in stock.
Pharmacies can contact Sanofi Customer Services directly on 0800 854 430 if they have any enquiries relating to stock of Sabril.
21 June 2023
Sanofi, the manufacturers of Sabril (vigabatrin) have told us that Sabril 500mg tablets will be out of stock from the end of June 2023 with stock expected to return to normal from mid-July 2023.
They have told us that Sabril 500mg sachets will still be available during this time
Tegretol stock
Published: August 23 2023
Last updated: August 23 2023
23 August 2023
Novartis, the manufacturers of Tegretol, have told us that Tegretol 100mg tablets are out of stock until mid-October 2023.
Tegretol 200mg tablets and Tegretol 100mg/5ml liquid remain available and will be able to support increased demand.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Topiramate stock
Published: August 14 2023
Last updated: August 14 2023
Update on 11 August 2023
Janssen, the manufacturers of Topamax (Topiramate), have told us that all strengths of Topamax are now available.
They did say that demand is still high. If pharmacies are having problems getting supplies of Topamax, they can contact Janssen directly on 0800 731 5550 for advice.
Update on 15 February 2023
Janssen, the manufacturers of Topamax (Brand version of topiramate), have confirmed to us that Topamax 25mg medicines are currently out of stock. They expect these to be restocked in March 2023.
Janssen said that all other strengths of Topamax are in stock and are being supplied to their wholesalers.
Jannsen have provided the following statement:
“From December 2022 to Q1 2023, Janssen is seeing the potential for supply shortages or stockouts of various strengths of TOPAMAX® (topiramate) in the UK.
As you may be aware, this is due to a product discontinuation by the market-leading generic company, which is no longer able to supply topiramate in the short term.
Janssen is working with UK health authorities to help cover the unexpectedly high demand for TOPAMAX caused by this unforeseen product discontinuation.
We understand the supply shortage can be concerning for patients; therefore, we advise that they consult with their healthcare provider if they have questions about their ongoing therapy needs.”
Janssen have advised that pharmacies can contact them directly on 0800 731 5550 if they need urgent supply.
06 December 2022
We have been advised by Janssen, the manufacturers of Topamax, of widespread supply issues affecting all versions of Topiramate. Janssen have told us that they expect supply to start returning to normal within the next 2 weeks.
For people who usually take Topamax, Janssen have advised that pharmacies can contact them directly on 0800 731 5550 if they need urgent supply.
If you usually take a different version of topiramate that is out of stock, speak to your doctor or pharmacist for further advice.
Trileptal (oxcarbazepine) stock
Published: August 11 2023
Last updated: August 11 2023
Update on 11 August 2023
Novartis, the manufacturers of Trileptal (oxcarbazepine), have told us that Trileptal 600mg tablets are now available.
Trileptal 300mg tablets are still out of stock and are expected back in stock later this month.
Update on 16 June 2023
Novartis, the manufacturers of Trileptal (oxcarbazepine), have told us that Trileptal oral suspension is now available.
Trileptal 600mg tablets are still out of stock and are expected back in stock mid-July 2023. Trileptal 150mg tablets are in stock.
The Department of Health and Social Care have also confirmed that Trileptal 300mg tablets will be out of stock from late June until mid-July 2023. They say that generic oxcarbazepine 300mg and 600mg tablets remain available and can support increased demand.
If you have any concerns about your medicine supply or taking a different version of your medicine, speak to your doctor or pharmacist.
Update on 09 June 2023
Novartis, the manufacturers of Trileptal (oxcarbazepine), have provided an update on the stock of Trileptal.
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Trileptal 150mg tablets are now back in stock.
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Trileptal 600mg tablets are currently out of stock and are expected back in stock in July 2023.
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Trileptal Oral Suspension is currently out of stock and is expected back in stock by the end of June 2023.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice. You can also read our information about switching between different versions of your epilepsy medicine.
25 April 2023
Novartis, the manufacturers of Trileptal (oxcarbazepine), have informed us that Trileptal 150mg tablets are currently out of stock. They were not able to confirm when they will be back in stock.
Novartis have confirmed that other strengths and formulations of Trileptal remain in stock. Other manufacturer versions of oxcarbazepine are also available.
Accord levetiracetam stock
Published: August 08 2023
Last updated: August 07 2023
Update on 04 August 2023
Accord have told us that both 500mg and 1000mg Accord levetiracetam tablets are now available following previous supply shortages.
16 December 2022
Levetiracetam 1000mg tablets made by Accord are long term out of stock. Accord were not able to give us a date for when they will be back in stock.
We will update this page when we know more.
Your pharmacist may offer you other strengths or versions of levetiracetam if you usually take Accord levetiracetam 1000mg tablets.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Sabril (Vigabatrin) recall
Published: July 14 2023
Last updated: July 21 2023
14 July 2023
The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a medicines recall affecting some Sabril tablets and granules. Sabril is the brand name for the epilepsy medicine, vigabatrin.
This measure is being taken is as a precaution due to traces of another medicine called tiapride being detected in some batches of the ingredients used to make Sabril. The MHRA highlight that Tiapride is currently not licensed for use in the UK, and it’s use in children has not been thoroughly investigated.
It’s important not to stop taking Sabril tablets or granules without speaking to a doctor. The MHRA say that the risks of suddenly stopping epilepsy medicine are higher than the potential risk from tiapride.
Advice for adults
The MHRA say that people over 18 with batches of the affected medicine do not need to return them for a replacement and can continue to take their medicine as normal. The trace amounts of tiapride are significantly lower than the safe limits for adults.
Advice for children and parents
People aged 17 or below with batches of the affected medicine, or their parents, should return them to their pharmacy for replacement. If medicine from an affected batch has been used, the MHRA advises that you should contact your doctor but keep taking your medication until you have an alternative batch, where possible.
Batches affected:
Sabril 500mg film coated tablets (product code: PL 04425/0171)
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Batch number 2989A with expiry date of April 2025
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Batch number 2988D with expiry date of April 2025
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Batch number 2006B with expiry date of November 2025
Sabril 500mg granules for oral solution (product code: PL 04425/0170)
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Batch number 1994A with expiry date of May 2024
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Batch number 2028B with expiry date of March 2025
Where to get further advice
If you’re unsure if your medicine is affected, experience side-effects or have any other concerns, please speak to your GP or pharmacist for further advice.
Teva zonisamide stock
Published: July 07 2023
Last updated: July 07 2023
Update on 07 July 2023
Teva, the manufacturers of Teva zonisamide, have provided an update.
They have told us that all strengths of Teva zonisamide capsules are now out of stock until September 2023.
Your pharmacist may offer you a different version of zonisamide if you usually take Teva zonisamide.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice. You can also read our information about switching between different versions of your epilepsy medicine.
Update on 14 April 2023
Teva, the manufacturers of Teva zonisamide, have provided an update.
They have told us that all strengths of Teva zonisamide capsules are now out of stock until the beginning of July 2023.
Your pharmacist may offer you a different version of zonisamide if you usually take Teva zonisamide.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice. You can also read our information about switching between different versions of your epilepsy medicine.
16 November 2022
Zonisamide 25mg, 50mg and 100mg capsules made by Teva are temporarily out of stock.
Teva have told us when each strength is expected to be back in stock:
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25mg – April 2023
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50mg – end of November 2022
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100mg – February 2023
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Sabril (vigabatrin) stock
Published: June 21 2023
Last updated: June 21 2023
21 June 2023
Sanofi, the manufacturers of Sabril (vigabatrin) have told us that Sabril 500mg tablets will be out of stock from the end of June 2023 with stock expected to return to normal from mid-July 2023.
They have told us that Sabril 500mg sachets will still be available during this time.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or doctor for advice.
Torrent lamotrigine stock
Published: May 26 2023
Last updated: May 26 2023
Update on 24 May 2023
Torrent have told us that Torrent lamotrigine 25mg tablets are back in stock.
They have also confirmed that all other strengths of Torrent lamotrigine tablets remain in stock.
5 January 2023
Lamotrigine 25mg tablets made by Torrent are temporarily out of stock. Torrent have told us that they expect to be back in stock in April 2023.
Torrent have confirmed that their lamotrigine 50mg tablets are in stock. Other manufacturers version of lamotrigine are also available.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
You can also read our information about switching between different versions of your epilepsy medicine.
Frisium Supply
Published: May 16 2023
Last updated: May 17 2023
16 May 2023
Sanofi, the manufacturers of Frisium (clobazam), have told us that Frisium 10mg tablets are now available for pharmacies to order.
If you still have problems getting Frisium from your pharmacy, Sanofi have said that the pharmacist can contact Sanofi Customer Services on 0800 854 430 for support.
It’s possible that it may take time for stock to reach pharmacies. If you have any concerns about running out of medicine, please speak to your pharmacist or GP for advice.
18 April 2023
Sanofi, the manufacturers of Frisium (clobazam), have told us that they are currently unable to supply Frisium 10mg tablets in the UK. This is due to a delay in the renewal of their controlled drug license for the medicine.
Sanofi have informed us that they regret this situation and are working to resolve the issue as soon as possible. Sanofi are currently unable to confirm when supply of Frisium will return to normal.
Your pharmacy may offer you a different version of clobazam if they are not holding any stock of Frisium. For most people, it is safer to take a different version of their medicine than to run out and stop taking it suddenly.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
You can also read our information about switching between different versions of your epilepsy medicine.
Trileptal (oxcarbazepine) stock
Published: April 25 2023
Last updated: April 25 2023
25 April 2023
Novartis, the manufacturers of Trileptal (oxcarbazepine), have informed us that Trileptal 150mg tablets are currently out of stock. They were not able to confirm when they will be back in stock.
Novartis have confirmed that other strengths and formulations of Trileptal remain in stock. Other manufacturer versions of oxcarbazepine are also available.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice. You can also read our information about switching between different versions of your epilepsy medicine
Update on 25 April 2023
Sanofi, the manufacturers of vigabatrin (Sabril), have provided an update on the supply of both vigabatrin (Sabril) tablets and granules.
Sanofi have confirmed that both vigabatrin (Sabril) tablets and granules are back in stock as expected.
Vigabatrin (Sabril) stock
Published: March 03 2023
Last updated: March 03 2023
Update on 03 March 2023
Sanofi, the manufacturers of vigabatrin (Sabril), have provided an update on the supply of both vigabatrin (Sabril) tablets and granules.
They have updated us that vigabatrin (Sabril) tablets are expected to be back in stock mid-March 2023.
Sanofi have confirmed a long term supply chain problem with vigabatrin (Sabril) granules. However they have told us that there’s currently enough supply of granules to cover the temporary shortage of tablets.
If you have any concerns about the supply of your medicine, speak to your pharmacist or GP.
Update on 19 January 2023
The Department of Health and Social Care (DHSC) has issued a statement regarding the availability of vigabatrin (Sabril) 500mg tablets.
They have confirmed that vigabatrin (Sabril) 500mg tablets are out of stock until week ending 3 March 2023.
Sanofi, the manufacturer of Sabril, have confirmed that Sabril 500mg granules remain available for anyone needing to switch from Sabril tablets.
If you have any concerns about the supply of your medicine, speak to your pharmacist or GP.
06 December 2022
Sanofi, the manufacturers of Sabril (brand name for vigabatrin) have released the following statement regarding the supply of Sabril 500mg film-coated tablets.
“Sanofi would like to confirm that Sabril 500 mg film-coated tablets (vigabatrin) are currently available in the UK.
We expect a temporary shortage of Sabril 500 mg film-coated tablets (vigabatrin) in the UK from mid-December until mid-January. We apologise for the inconvenience and difficulty for patients that this supply shortage may cause.
We are using our best efforts to minimise the duration of this shortage which is due to a delay in supply of the active substance used to manufacture vigabatrin. Sanofi has supply of other preparations of this medicine in the UK.
Should patients have issues obtaining supply from their pharmacist, the pharmacist can contact Sanofi Customer Services (+44 (0)800 854 430) for support.
Should patients have any concerns about their treatment, they should speak to their clinician about treatment options.
16 November 2022
Zonisamide 25mg, 50mg and 100mg capsules made by Teva are temporarily out of stock.
Teva have told us when each strength is expected to be back in stock:
-
25mg – April 2023
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50mg – end of November 2022
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100mg – February 2023
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Topiramate stock
Published: February 17 2023
Last updated: February 17 2023
Update on 15 February 2023
Janssen, the manufacturers of Topamax (Brand version of topiramate), have confirmed to us that Topamax 25mg medicines are currently out of stock. They expect these to be restocked in March 2023.
Janssen said that all other strengths of Topamax are in stock and are being supplied to their wholesalers.
Jannsen have provided the following statement:
“From December 2022 to Q1 2023, Janssen is seeing the potential for supply shortages or stockouts of various strengths of TOPAMAX® (topiramate) in the UK.
As you may be aware, this is due to a product discontinuation by the market-leading generic company, which is no longer able to supply topiramate in the short term.
Janssen is working with UK health authorities to help cover the unexpectedly high demand for TOPAMAX caused by this unforeseen product discontinuation.
We understand the supply shortage can be concerning for patients; therefore, we advise that they consult with their healthcare provider if they have questions about their ongoing therapy needs.”
Janssen have advised that pharmacies can contact them directly on 0800 731 5550 if they need urgent supply.
06 December 2022
We have been advised by Janssen, the manufacturers of Topamax, of widespread supply issues affecting all versions of Topiramate. Janssen have told us that they expect supply to start returning to normal within the next 2 weeks.
For people who usually take Topamax, Janssen have advised that pharmacies can contact them directly on 0800 731 5550 if they need urgent supply.
If you usually take a different version of topiramate that is out of stock, speak to your doctor or pharmacist for further advice.
Trileptal stock
Published: February 17 2023
Last updated: February 17 2023
Update on 15 February 2023
Novartis, the manufacturers of Trileptal (Brand version of oxcarbazepine), have provided an update on Trileptal supply.
They have told us that both Trileptal 300mg film coated tablets and Trileptal 60mg/ml oral suspension are both in stock and available for wholesalers to order.
Novartis advised that if pharmacies are unable to obtain from their wholesalers, they can provide emergency supply. Pharmacies can contact Novartis directly on 08457 419 442 or email novartis.customercare@novartis.com.
06 December 2022
Trileptal (Brand version of oxcarbazepine) 300mg film-coated tablets made by Novartis are temporarily out of stock.
Novartis have told us that other doses and Trileptal oral suspension are currently in stock.
Lamotrigine Supply Notification
Published: February 16 2023
Last updated: February 16 2023
16 February 2023
The Department of Health and Social Care (DHSC) has issued a medicine supply alert for lamotrigine 5mg dispersible tablets.
The DHSC said they expect lamotrigine 5mg dispersible tablets to be out of stock until late March 2023.
Branded lamotrigine (Lamictal) 2mg and 5mg dispersible tablets remain available but are unable to support the increase in demand. Pharmacies may be able to get supply of unlicensed lamotrigine 5mg dispersible/chewable tablets.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Accord clobazam stock
Published: January 30 2023
Last updated: February 10 2023
Update on 10 February 2023
Clobazam 10mg tablets made by Accord are now back in stock. Accord have told us that stock is now going out daily to wholesalers.
Update on 30 January 2023
Clobazam 10mg tablets made by Accord are still out of stock. Accord have told us that they now expect to be back in stock on 03 February 2023.
Update on 19 January 2023
Clobazam 10mg tablets made by Accord are still out of stock. Accord have told us that they now expect to be back in stock on 27 January 2023.
You may still be offered a different version of clobazam while Accord clobazam 10mg tablets remain out of stock.
If you have any concerns about switching between different versions of your epilepsy medicine, please speak to your pharmacist or GP for advice.
Update on 24 August 2022
Clobazam 10mg tablets made by Accord are now long term out of stock. Accord have told us that they won’t be back in stock until 31 December 2022.
Update on 9 August 2022
This medicine is back in stock and available for pharmacists to order.
21 July 2022
Clobazam 10mg tablets made by Accord are temporarily out of stock .Accord were not able to give us a date for when they will be back in stock. We will update this page when we know more.
If you usually take this medicine, your pharmacist may offer you a different manufacturer’s version until the Accord version is back in stock.
Torrent lamotrigine stock
Published: January 05 2023
Last updated: January 17 2023
Lamotrigine 25mg tablets made by Torrent are temporarily out of stock. Torrent have told us that they expect to be back in stock in April 2023.
Torrent have confirmed that their lamotrigine 50mg tablets are in stock. Other manufacturers version of lamotrigine are also available.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Accord levetiracetam stock
Published: December 16 2022
Accord levetiracetam stock
Published: December 16 2022
Last updated: December 19 2022
Levetiracetam 1000mg tablets made by Accord are long term out of stock. Accord were not able to give us a date for when they will be back in stock.
We will update this page when we know more.
Your pharmacist may offer you other strengths or versions of levetiracetam if you usually take Accord levetiracetam 1000mg tablets.
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice
Vigabatrin (Sabril) stock
Published: December 07 2022
Last updated: December 07 2022
06 December 2022
Sanofi, the manufacturers of Sabril (brand name for vigabatrin) have released the following statement regarding the supply of Sabril 500mg film-coated tablets.
“Sanofi would like to confirm that Sabril 500 mg film-coated tablets (vigabatrin) are currently available in the UK.
We expect a temporary shortage of Sabril 500 mg film-coated tablets (vigabatrin) in the UK from mid-December until mid-January. We apologise for the inconvenience and difficulty for patients that this supply shortage may cause.
We are using our best efforts to minimise the duration of this shortage which is due to a delay in supply of the active substance used to manufacture vigabatrin. Sanofi has supply of other preparations of this medicine in the UK.
Should patients have issues obtaining supply from their pharmacist, the pharmacist can contact Sanofi Customer Services (+44 (0)800 854 430) for support.
Should patients have any concerns about their treatment, they should speak to their clinician about treatment options.“
Topiramate stock
Published: December 07 2022
Last updated: December 07 2022
06 December 2022
We have been advised by Janssen, the manufacturers of Topamax, of widespread supply issues affecting all versions of Topiramate. Janssen have told us that they expect supply to start returning to normal within the next 2 weeks.
For people who usually take Topamax, Janssen have advised that pharmacies can contact them directly on 0800 731 5550 if they need urgent supply.
If you usually take a different version of topiramate that is out of stock, speak to your doctor or pharmacist for further advice.
Trileptal stock
Published: December 07 2022
Last updated: December 07 2022
06 December 2022
Trileptal (Brand version of oxcarbazepine) 300mg film-coated tablets made by Novartis are temporarily out of stock.
Novartis have told us that other doses and Trileptal oral suspension are currently in stock.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Teva zonisamide stock
Published: November 16 2022
Last updated: November 16 2022
Zonisamide 25mg, 50mg and 100mg capsules made by Teva are temporarily out of stock.
Teva have told us when each strength is expected to be back in stock:
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25mg – April 2023
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50mg – end of November 2022
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100mg – February 2023
If you have any concerns about taking a different version of your medicine, please speak to your pharmacist or GP for advice.
Milpharm levetiracetam stock
Published: October 06 2022
Last updated: October 10 2022
Levetiracetam 1000mg tablets made by Milpharm are temporarily out of stock. Milpharm were not able to give us a date for when they will be back in stock.
We will update this page when we know more.
Milpharm levetiracetam 250mg and 500mg tablets are still in stock. Other manufacturers versions of levetiracetam are also available.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Accord clobazam stock
Update on 24 August 2022
Clobazam 10mg tablets made by Accord are now long term out of stock. Accord have told us that they won’t be back in stock until 31 December 2022.
.
Accord clobazam stock
9 Aug 2022
Update on 9 August 2022
This medicine is back in stock and available for pharmacists to order.
Clobazam 10mg tablets made by Accord are temporarily out of stock. Accord were not able to give us a date for when they will be back in stock. We will update this page when we know more.
If you usually take this medicine, your pharmacist may offer you a different manufacturer’s version until the Accord version is back in stock.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Oxcarbazepine – some versions out of stock
15 Jul 2022
Update on 15 July 2022
We’ve had an update from Novartis that Trileptal and oxcarbazepine Sandoz are in stock in all strengths, but there’s limited stock of oxcarbazepine Sandoz 150mg tablets.
If pharmacists are having difficulty getting this medicine from their usual supplier, they can contact the Sandoz Customer Care Team at sales.sandoz-gb@sandoz.com or 01276 698607.
25 March 2022
There is a temporary shortage of the following oxcarbazepine tablets:
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-
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Trileptal 150mg
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Sandoz oxcarbazepine 150mg
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-
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Novartis, who make both of these medicines, have told us they expect them to be back in stock from mid-April 2022.
Other strengths of Trileptal and Sandoz oxcarbazepine are in stock. Other manufacturers’ versions of oxcarbazepine are also available.
If you have any concerns about getting your usual medicine, please speak to your pharmacist or GP for advice.
Episenta in stock – change to pack size
8 Jul 2022
Desitin Pharma, who make Episenta (sodium valproate) prolonged release capsules and sachets, have contacted us to confirm these are in stock.
This is following concerns from pharmacists having trouble getting hold of Episenta.
There has been a change to the pack size of these medicines. Episenta prolonged release capsules,150mg and 300mg and Episenta prolonged release sachets, 500mg and 1,000mg, are now available in 30 unit pack sizes. The 100 unit pack sizes are being phased out. There are no supply issues with the new packs and they are available through AAH and Alliance Healthcare
Change to Lamictal (lamotrigine) tablets packaging
28 Jun 2022
We’ve received some calls on our helpline from people who have noticed a change to the packaging of their Lamictal tablets.
We know changes to epilepsy medicine can cause concern, so we contacted GlaxoSmithKline, who make Lamictal, about this. They confirmed that the packaging has recently changed from transparent plastic blister packs to white plastic blister packs.
They confirmed there have been no changes to the medicine itself. The tablets inside are still the same as usual
Tegretol Prolonged Release stock in the UK
17 May 2022
We have heard that some pharmacies are having trouble getting stock of Tegretol (carbamazepine) Prolonged Release tablets.
Epilim Chrono stock
14 Jan 2022
We’ve heard that some pharmacies have been having trouble getting supplies of Epilim Chrono (sodium valproate) tablets.
Sanofi have said there was a manufacturing delay which has led to some wholesalers running out of stock.
Sanofi say that any pharmacists having trouble getting supplies of Epilim Chrono should contact Sanofi customer services. They will be able to let pharmacists know which wholesalers have this medicine in stock
NEW DRUG
Cenobamate (Xcopri)
Cenobamate (Xcopri) is used to treat focal seizures in adults.
It’s one of the newer FDA treatments for seizures, having been approved in November 2019 in the USA. It’s also one of the most effective, at least in clinical trials, according to articles published in the journal Epilepsy Current,
Looks like this will be approved to treat focal onset seizures by NICE in the UK on Dec 15th 2021
Prolonged Release stock in the UK
18 Oct 2021
We have heard that some pharmacies are having trouble getting stock of Tegretol (carbamazepine) Prolonged Release tablets.
Prolonged Release stock in the UK
12 Aug 2021
We have heard that some pharmacies are having trouble getting stock of Tegretol (carbamazepine) Prolonged Release tablets.
Accord lamotrigine stock
8 Apr 2021
Accord have discontinued their 25mg lamotrigine tablets.
Teva zonisamide stock issues
21Jan2021
Update on 21 January 2021
We have received another update on Teva zonisamide stock.
Teva topiramate stock issues in the UK
25Nov2020
Update on 25 November 2020
Teva topiramate tablets are still out of stock. They are now due back in stock between January and March 2022
Phenytoin sodium NRIM 100mg capsules stock
13Nov2020
Update on 13 November 2020
This medicine is still unavailable. We will update this page again as soon as we know when they will be back in stock.
Actavis/Accord zonisamide capsules out of stock
5 Nov 2020
Update on 5 November 2020
This medicine is still long-term out of stock with no resupply date
Accord lamotrigine stock
5 Nov 2020
Update on 5 November 2020
Accord lamotrigine tablets are back in stock in all strengths
Frisium (clobazam) shortage in UK
22 Oct 2020
Frisium (clobazam) 10mg tablets expected to be out of stock until early November.
Epilim 500mg Gastro-Resistant tablets – recall of some batches
15 Oct 2020
The Medicines and Healthcare products Regulatory Agency (MHRA) is recalling three batches of Epilim 500mg Gastro-Resistant tablets from pharmacies.
Carbagen (carbamazepine) discontinued in the UK
28 Sep 2020
Mylan have discontinued their version of carbamazepine, called Carbagen.
Carbagen has been out of stock since January 2019, so most people will have already switched to a different manufacturer’s version of carbamazepine. If you are still taking Carbagen we recommend speaking to your GP or epilepsy specialist as soon as possible, as it is unlikely there will be much stock left
Accord lamotrigine stock
18 Sep 2020
Accord lamotrigine 50mg and 100mg tablets are out of stock in the UK. Accord expects them to be back in stock at the end of October 2020
Teva zonisamide stock issues
14 Sep 2020
Update on 14 September 2020
We have received the following stock update from Teva:
25mg capsules: in stock
50mg capsules: out of stock. Expected back at the end of December 2020
100mg capsules: out of stock. Expected back at the end of November 2020
Dr Reddy’s zonisamide capsules discontinued in the UK
13Aug2020
Dr Reddy's Laboratories (UK) Ltd have stopped making their version of zonisamide capsules. This applies to all strength
Actavis/Accord zonisamide capsules out of stock
11Aug2020
Zonisamide capsules made by Actavis/Accord are out of stock in all strengths. Actavis/Accord do not know when they will be back in stock, although they have told us it is likely to be at least 2 to 3 months.
Teva Zonisamide 25mg and 100mg out of stock
5Aug2020
Teva Zonisamide 25mg and 100mg capsules are temporarily out of stock. Teva expects them to be back in stock mid-September 2020.
Teva have informed us that the 50mg capsules are still available at this time.
Vimpat 50mg tablets out of stock
17 July 2020
Update 17 July:
Vimpat 50mg tablets are back in stock. It may take a few days for stock to reach wholesalers, but they should be readily available by 22 July.
Original story 26 June: UCB, the makers of Vimpat, have told us they expect to run out of stock of Vimpat (lacosamide) 50mg tablets in the next 3 weeks. The tablets are likely to be out of stock for a period of 2-3 weeks. This is due to a manufacturing delay.
UCB tells us they will try to minimise any disruption by redistributing stock around the country. They have supplies of Vimpat 10mg/ml 200ml syrup as an alternative option. Any switch to a different formulation of Vimpat should be made under guidance from your doctor.
Other strengths of Vimpat tablets are not affected by this manufacturing delay and are expected to remain in stock.
We will update this page when Vimpat 50mg tablets are back in stock. If you have any concerns about this shortage, please speak to your pharmacist or doctor.
Teva topiramate stock issues in the UK
6 July 2020
Update on 6 July 2020
Teva topiramate tablets are still out of stock. They are due back in stock between October and December 2020.
Update - 16 October 2019
Teva topiramate tablets are out of stock in all strengths. Teva expects to have them back in stock in early 2020.
Teva has stopped making topiramate capsules.
Accord topiramate stock in the UK
6 July 2020
Update on 6 July 2020
Accord topiramate tablets are back in stock in all strengths. They are now supplied in pots instead of blister packs.
Convulex (valproic acid) capsules shortage in the UK
25Jun2020
Update on 25 June 2020
We have received confirmation that Convulex (valproic acid) capsules are back in stock.
Phenytoin sodium NRIM 100mg capsules stock
25Jun2020
Update on 25 June 2020
Phenytoin sodium NRIM 100mg capsules are still out of stock. We will update this page when we know more about when they
may be back in stock
Epanutin 50mg Infatabs shortage in the UK
19Jun2020
Update on 19 June 2020
Pfizer expects to have Epanutin Infatabs back in stock from the end of July 2020. They are continuing to supply Dilantin Infatabs from Canada to cover this shortage.
Epanutin oral suspension shortage in the UK
10Jun2020
Update on 10 June 2020
Epanutin oral suspension is back in stock
Update on 15 May 2020
We’ve received a stock update for Accord topiramate tablets:
25mg tablets: in stock but some wholesalers are out of stock
50mg tablets: in stock
100mg tablets: out of stock. May be back in stock from September 2020
200mg tablets: out of stock. Accord does not know when they will be back in stock.
15 May 2020
Update on 15 May 2020
We’ve received a stock update for Accord topiramate tablets:
25mg tablets: in stock but some wholesalers are out of stock
50mg tablets: in stock
100mg tablets: out of stock. May be back in stock from September 2020
200mg tablets: out of stock. Accord does not know when they will be back in stock.
Strike action in France could cause shortages of Sanofi valproate medicines
1 May 2020
Update on 1 May 2020
We have heard from some people who are having trouble getting 200mg Epilim gastro-resistant
tablets from their pharmacist
(valproic acid) capsules shortage in the UK
6 Jan 2020
The Department of Health and Social Care has told us there is a supply issue affecting all strengths of Convulex (valproic acid) capsules.
Update on 6 January 2020:
Convulex (valproic acid) capsules are likely to be out of stock until April 2020. This shortage is due to a change in pack size leading to a supply delay.
If you take Convulex, please contact your doctor to discuss your treatment options. Your doctor may need to prescribe you a different manufacturer’s version of valproic acid or a different type of epilepsy medicine. The Department of Health and Social Care has written to healthcare professionals with advice about alternatives to Convulex.
Original story 20 December 2019: The 500mg capsules are out of stock, and there is limited supply of the 150mg and 300mg capsules
Convulex (valproic acid) capsules shortage in the UK
20 Dec2019
The Department of Health and Social Care has told us there is a supply issue affecting all strengths of Convulex (valproic acid) capsules.
The 500mg capsules are out of stock, and there is limited supply of the 150mg and 300mg capsules.
Martindale oral suspension 5mg/5ml out of stock
5 Dec2019
Martindale Pharma have told us that Tapclob clobazam 5 mgs oral suspension is out of stock due to a manufacturing problem.
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250ml bottles due back in stock 13 December
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150ml bottles due back in stock 20 December
All other preparations are in stock.
If you usually take Martindale Pharma Tapclob clobazam, your pharmacist may need to supply you with a different manufacturer’s version. If you have any concerns about this, speak to your GP, epilepsy specialist or epilepsy specialist nurse
Gabitril (tiagabine) out of stock in the UK
18 Nov2019
Update: 18 November 2019
All strengths of Gabitril tablets are back in stock
Epanutin 50mg Infatabs shortage in the UK
5 Nov2019
Update 5 November 2019: Pfizer has been in touch to say Epanutin Infatabs are still out of stock and they are expecting a further manufacturing delay. Pfizer has ordered extra supplies of Dilantin Infatabs from Canada to cover the shortfall until mid-2020.
Update 3 May 2019: Pfizer now expects Epanutin Infatabs will be back in stock in November 2019.
Original story 26 March 2019: Pfizer, the makers of Epanutin (phenytoin), have told us there will be a temporary shortage of Epanutin 50mg Infatabs. They expect it will be out of stock from 1 May for a few weeks. They do not know the exact date when it will be back in stock.
While Epanutin Infatabs are out of stock, Pfizer will be importing a Canadian version of chewable phenytoin tablets called Dilantin Infatabs. The active ingredient is the same, but there may be differences between Epanutin and Dilantin that for some people could affect seizure control and/or side-effects. If you need to change from one version of phenytoin to another this should be closely monitored by your doctor. This monitoring may involve doing blood tests to check that you have the right levels of phenytoin in your blood.
If you take Epanutin Infatabs we would advise you to talk to your GP or epilepsy specialist as soon as possible. This is in case any changes need to be made to your treatment while the medicine is out of stock
Gabitril (tiagabine) out of stock in the UK
24 Oct 2019
Update: 24 October 2019
Teva has told us they expect to have Gabitril (tiagabine) 10mg tablets back in stock this week. Supplies should arrive at pharmacies in the week beginning 28 October 2019.
Teva hopes to have the 5mg and 15mg strength tablets back in stock in the next few weeks.
If pharmacists are having trouble getting hold of Gabitril they can contact Teva customer services on 0800 590 502 for help.
Update: 16 September 2019
Teva topiramate stock issues in the UK
16 Oct 2019
Update - 16 October 2019
Teva topiramate tablets are out of stock in all strengths. Teva expects to have them back in stock in early 2020.
Teva has stopped making topiramate capsules.
If you usually take Teva topiramate, your pharmacist may need to supply you with a different manufacturer’s version. If you have any concerns about this, speak to your GP, epilepsy specialist or epilepsy specialist nurse.
Original story - 23 January 2019
Accord topiramate stock in the UK
10 Oct 2019
Update on 10 October 2019
Accord topiramate tablets are now out of stock in the 25mg, 50mg and 100mg strengths. Accord does not know when they will be back in stock.
The 200mg tablets are in stock.
Original story - 3 April 2019
Accord topiramate tablets are out of stock in the 50mg and 100mg strengths. Accord does not know when they will be back in stock.
The 25mg and 200mg tablets are in stock.
Gabitril (tiagabine) out of stock in the UK
16 Sep 2019
Update: 16 September 2019
The Department of Health and Social Care (DHSC) has written to GPs and pharmacies to say that supplies of tiagabine are currently available via specialist importers
Keppra 500mg tablets supply problem in the UK
29 Aug 2019
We have checked with UCB, the makers of Keppra, and there is a supply problem with Keppra 500mg. They are not available at the wholesalers, but pharmacists can order them directly from UCB
Gabitril (tiagabine) out of stock in the UK
20 Aug 2019
Update: 19 August 2019
We have heard from Teva, the makers of Gabitril, that Gabitril will not be back in stock before the end of October. This further delay is caused by a problem with part of the manufacturing process. This is a Europe-wide issue.
Teva have also advised us that the same manufacturing problem may mean that Gabitril 10mg could experience a disruption in supply in early 2020.
If you are due to run out of Gabitril before the end of October we would advise contacting your epilepsy specialist as soon as possibleurgently. This is so you can discuss as soon as possible, what to do as soon as possible before you run out.
Update: 1 August 2019
The Department of Health and Social Care (DHSC) has confirmed that Gabitril is out of stock due to a manufacturing issue that is affecting the whole of Europe.
There is limited stock of the 10mg Gabitril tablets at some AAH and Alliance wholesale depots, but it is the DHSC’s understanding this stock will not be enough to last until the end of September. If your pharmacist is trying to track down stock, they can contact Teva customer services for help.
The DHSC has reached out to medicine importers to see if supplies of tiagabine can be sourced from overseas. However, as the manufacturing issue affects the rest of Europe, supplies may not be readily available.
If you are due to run out of Gabitril before the end of September we would advise contacting your epilepsy specialist as soon as possible. This is so you can discuss what to do in plenty of time before you run out.
Update: 25 July 2019
Gabitril tablets are now out of stock in all strengths. Teva expects to have this medicine back in stock at the end of September 2019.
We are not aware of any other companies in the UK that make tiagabine. We have contacted the Department of Health and Social Care to raise our concerns about this situation and will update this page as soon as we know more.
If you are due to run out of Gabitril tablets before the end of September speak to the healthcare professional who prescribes your medicine for advice.
Update: May 22 2019:
15mg Gabitril tablets are still out of stock, and the 5mg tablets are now out of stock as well. Teva says they expect to have both strengths back in stock sometime between July and September 2019.
The 10mg tablets are in stock.
Original story: April 2 2019:
Gabitril (tiagabine) 15mg tablets are temporarily out of stock. Teva, the company that makes Gabitril, expects to have them back in stock towards the end of May 2019.
The 5mg and 10mg tablets are in stock, but they may not be available at all wholesalers. If your pharmacist is having trouble getting hold of Gabitril tablets they can contact Teva for help.
Epanutin oral suspension shortage in the UK
13 Aug 2019
Updated story 13 August 2019:
Epanutin oral suspension is still out of stock. It was hoped that it would be back in stock by now. Pfizer, the makers of Epanutin, are not yet able to provide a date when it is expected to be back in stock. If you have any concerns about this continuing shortage of Epanutin oral suspension, speak to your GP, epilepsy nurse or epilepsy specialist.
Original story 7 June 2019
Diazepam RecTubes (rectal diazepam) stock in UK
8 Aug 2019
Diazepam RecTubes (rectal diazepam) are out of stock in the UK in the 5mg and 10mg doses. The maker of Diazepam RecTubes, Wockhardt, does not know when it will have them back in stock.
The 2.5mg Diazepam RecTubes are in stock.
5mg and 10mg rectal diazepam tubes are available from other manufacturers.
Milpharm topiramate stock in the UK
7 Aug 2019
Update: 7 August 2019
Milpharm topiramate 25mg tablets have been out of stock. Milpharm now has them back in stock but needs to put the tablets through technical checks. The tablets should be available from pharmacists around the week beginning 26 August 2019.
All other strengths of Milpharm topiramate tablets are in stock.
Original story: 3 April 2019
Milpharm topiramate tablets are temporarily out of stock in the 50mg and 100mg strengths. Milpharm expects to have both strengths back in stock in the first week of May.
The 25mg and 200mg tablets are in stock.
Other manufacturer’s versions of topiramate are available. If you have any concerns about taking a different manufacturer’s version, speak to your GP, epilepsy nurse or epilepsy specialis
Frisium and Epilim supply affected by delivery delay in the UK
1 Aug 2019
There has been a temporary disruption to the supply of some medicines made by Sanofi, including Epilim and Frisium. Sanofi has sent us the following statement:
“Following the implementation of a new IT system by our third-party logistics provider, Kuehne & Nagel, at their warehouse in Chapeltown, pharmacies in the UK will have experienced delays in the delivery of some Sanofi medicines.
Deliveries of Sanofi medicines have now been increased significantly and we expect stock levels at our wholesale suppliers to be back to normal by 2 August 2019
Mylan oxcarbazepine stock in the UK
1 Aug 2019
Mylan is out of stock of its version of oxcarbazepine 300mg and 600mg tablets.
The 300mg tablets are due back in stock in the week beginning 12 August 2019.
The 600mg tablets are due back in stock in the week beginning 13 September 2019.
The 150mg tablets are currently in stock.
Other manufacturers’ versions of oxcarbazepine are available. If you have any concerns about taking a different version of your medicine, speak to your GP, epilepsy nurse or epilepsy specialist
Recall of some batches of Vimpat tablets in the UK
26 July 2019
Update - 26 July 2019:
The MHRA is recalling more batches of Vimpat 100mg tablets which were taken out of the supply chain and later re-introduced. The affected tablets are in packs labelled with one of the following company names:
Kosei Pharma UK Ltd
MPT Pharma Ltd
Drugsrus Ltd / P.I.E. Pharma Ltd
Doncaster Pharmaceuticals Ltd
The following batches are affected:
Product and pack size
Italian batch number
Kosei batch number
Expiry date
Date of first distribution
VIMPAT 100 MG TABLETS 1 X 56 248884 248884/11 Dec-22 05/02/2019
VIMPAT 100 MG TABLETS 1 X 56 252026 252026/5 Jan-23 05/02/2019
VIMPAT 100 MG TABLETS 1 X 56 254265 254265/4 Apr-23 20/02/2019
VIMPAT 100 MG TABLETS 1 X 56 255279 255279/1 Apr-23 20/02/2019
The MHRA says if you have any of the affected tablets, you should continue taking them as normal but contact your GP practice to arrange a new prescription. Once you have a new prescription, you should return the affected batches to your pharmacist.
Original story - 28 June 2019:
The Medicines and Healthcare products Regulatory Agency (MHRA) has announced a recall of some batches of 100mg Vimpat (lacosamide) tablets.
The medicines are believed to be legitimate but were taken out of the regulated medicines’ supply chain during distribution and later re-introduced. This means that the correct transport and storage conditions cannot be guaranteed during this period and, while unlikely, could impact their effectiveness.
The affected tablets are in Italian packaging with B & S Healthcare labels. The following batches are affected:
Product and pack size
Italian batch number
B&S batch number
Expiry date
Date of first distribution
VIMPAT 100MG TABS 1 X 56
254265
01P0324 30-APR-23 11-JAN-19
VIMPAT 100MG TABS 1 X 56
255279
02P1067 30-APR-23 19-MAR-19
VIMPAT 100MG TABS 1 X 56
258582
02P0892 30-JUN-23 25-MAR-19
VIMPAT 100MG TABS 1 X 56
254265
02P0893 30-APR-23 15-MAR-19
The MH
Gabitril (tiagabine) out of stock in the UK
25 July 2019
Update: 25 July 2019 Gabitril tablets are now out of stock in all strengths. Teva expects to have this medicine back in stock at the end of September 2019.
We are not aware of any other companies in the UK that make tiagabine. We have contacted the Department of Health and Social Care to raise our concerns about this situation and will update this page as soon as we know more.
If you are due to run out of Gabitril tablets before the end of September speak to the healthcare professional who prescribes your medicine for advice
Epilim Chronosphere modified release granules
12 July 2019
Epilim Chronosphere modified release 1,000mg granules are temporarily out of stock in the UK. This is due to an increase in demand. Sanofi expects to have them back in stock by mid-August 2019.
All other strengths of Epilim Chronosphere modified release granules are available. Other formulations of Epilim (sodium valproate) are also in stock.
Sanofi has advised that anyone with concerns about Epilim stock levels should speak to their pharmacist, who will be able to check stock levels in their area
Accord levetiracetam stock in the UK
5 July 2019
Accord is out of stock of its version of levetiracetam 500mg tablets. Accord expects to have them back in stock by the end of August.
All other strengths of Accord levetiracetam tablets are in stock.
Frisium temporary shortage in the UK
1 July 2019
Sanofi have told us that their supply of Frisium (clobazam) 10mg tablets has been significantly reduced over the past 2 weeks. This is due to a temporary manufacturing disruption, coupled with changes to packaging.
Sanofi say they are taking steps to speed up the delivery of Frisium to their suppliers, and expect to have stock back to normal levels by 5 July 2019.
Recall of some batches of Vimpat tablets in the UK
28 June 2019
The Medicines and Healthcare products Regulatory Agency (MHRA) has announced a recall of some batches of 100mg Vimpat (lacosamide) tablets.
The medicines are believed to be legitimate but were taken out of the regulated medicines’ supply chain during distribution and later re-introduced. This means that the correct transport and storage conditions cannot be guaranteed during this period and, while unlikely, could impact their effectiveness.
The affected tablets are in Italian packaging with B & S Healthcare labels. The following batches are affected
Epanutin oral suspension shortage in the UK
7 June 2019
Pfizer, the makers of Epanutin (phenytoin), have told us there will be a temporary shortage of Epanutin 30mg/5ml oral suspension from the week beginning 10 June 2019. This is due to a manufacturing delay. Pfizer expect it will be out of stock until the end of July 2019.
The Department of Health & Social Care (DHSC) has sent an alert to healthcare professionals about this supply issue. They have asked GPs to make early contact with all their patients who are prescribed this medicine, to check if they have enough to last them until the end of July. If you don’t have enough supplies, you may wish to contact your GP now, rather than wait to hear from them.
While Epanutin oral suspension is out of stock, Pfizer will be importing a Canadian version of phenytoin oral suspension called Dilantin-30. The DHSC has advised GPs to switch patients who don’t have enough Epanutin oral suspension to Dilantin-30, until Epanutin is back in stock. Dilantin-30 contains the same active ingredient, and the DHSC says it can be considered equivalent to Epanutin. If you or your GP do not feel Dilantin-30 is appropriate for you, your GP should refer you to a specialist for advice.
You should not need any changes to your dose or frequency of your medicine when taking Dilantin-30. However, the Canadian patient information leaflet that comes with Dilantin-30 has different dosing information compared to the Epanutin leaflet. It’s important to follow your doctor’s instructions for taking Dilantin-30, even if these are different from the dosing information on the leaflet.
Gabitril (tiagabine) – 15mg tablets out of stock in the UK
22 May 2019
15mg Gabitril tablets are still out of stock, and the 5mg tablets are now out of stock as well. Teva says they expect to have both strengths back in stock sometime between July and September 2019.
The 10mg tablets are in stock.
April 2 2019: Gabitril (tiagabine) 15mg tablets are temporarily out of stock. Teva, the company that makes Gabitril, expects to have them back in stock towards the end of May 2019.
The 5mg and 10mg tablets are in stock, but they may not be available at all wholesalers. If your pharmacist is having trouble getting hold of Gabitril tablets they can contact Teva for help.
Changes to Keppra (levetiracetam) dispensing in the UK
21 May 2019
UCB, the makers of Keppra, have announced changes to the way pharmacies dispense Keppra. The changes mean that some people who usually get Keppra from their pharmacist will be given generic levetiracetam instead.
Like many medicines, levetiracetam is available in a branded version (Keppra) and also in a number of generic versions made by different manufacturers. With most medicines, pharmacists are only able to give you the branded version of a medicine if your doctor writes the brand name on the prescription. This is because the branded version usually costs more to the NHS than the generic versions. However, since 2011 UCB has had schemes allowing pharmacies to dispense Keppra even if the brand name is not written on the prescription. This was at no extra cost to the NHS.
Due to recent changes to some of the schemes UCB operates with pharmacies, some pharmacies that have previously dispensed Keppra when given a generic prescription will no longer do so.
I have Keppra written on my prescription. Will this change affect me?
This change should not affect you. If the brand name Keppra is written on your prescription, your pharmacist must continue to give you Keppra.
My prescription just says levetiracetam, but my pharmacist usually gives me Keppra. Will this change affect me?
This will depend on whether or not your pharmacy is affected by the change. Some pharmacies will continue to dispense Keppra with a generic prescription, but UCB has not revealed which ones for commercial reasons. You may wish to speak to your pharmacist to see if they are affected by the change.
What can I do if I want to stay on Keppra, but my pharmacist says they need to start giving me generic levetiracetam?
Some pharmacies will still be able to dispense Keppra, so one option is to take your prescription to a different pharmacy. As UCB has not revealed which pharmacies are affected by the change, we’re not able to say which pharmacies to try
Sabril (vigabatrin) stock in the UK
7 May 2019
Sabril (vigabatrin) tablets have been out of stock in the UK. Sanofi, who make Sabril, have told us the tablets will be back in stock at pharmacists this week
Epilim Chrono stock in the UK
7 May 2019
Sanofi has told us there is a temporary shortage of Epilim Chrono (sodium valproate) tablets in the 500mg and 300mg strengths. This is likely to affect supply for the next 2 weeks. Sanofi was unable to give an exact date of when these tablets would be back to full stock.
If your pharmacist can’t get your usual dose of Epilim Chrono before you run out, your doctor might prescribe you a different formulation of Epilim. This may mean you need to take your medicine more or less frequently. Your pharmacist should make this clear if this is the case. Alternatively, your doctor might prescribe you a different manufacturer’s version of sodium valproate.
If you have any questions about taking a different formulation or version of your medicine, speak to your GP, epilepsy specialist or epilepsy specialist nurse.
Epanutin 50mg Infatabs shortage in the UK
3 May 2019
Update May 3 2019: Pfizer now expects Epanutin Infatabs will be back in stock in November 2019.
Original story March 26 2019: Pfizer, the makers of Epanutin (phenytoin), have told us there will be a temporary shortage of Epanutin 50mg Infatabs. They expect it will be out of stock from 1 May for a few weeks. They do not know the exact date when it will be back in stock.
Zonisamide 25mg And 100mg Out Of Stock
We have been informed by pharmaceutical company Actavis (which was recently acquired by Teva UK), that due to wholesaler issues, Zonisamide tablets in 25mg and 100mg are out of stock until early May 2019.
The 50mg version of the tablets are currently in stock.
According to the Medicines and Healthcare products Regulatory Agency (MHRA), zonisamide is a category 2 medication and this means that a doctor should decide, with yourself, whether it is important to always stay on the same version or whether it is ok to switch between different versions
Zonisamide 25mg And 100mg Out Of Stock
9th April 2019
We have been informed by pharmaceutical company Actavis (which was recently acquired by Teva UK), that due to wholesaler issues, Zonisamide tablets in 25mg and 100mg are out of stock until early May 2019.
The 50mg version of the tablets are currently in stock.
According to the Medicines and Healthcare products Regulatory Agency (MHRA), zonisamide is a category 2 medication and this means that a doctor should decide, with yourself, whether it is important to always stay on the same version or whether it is ok to switch between different versions.
Epilim gastro-resistant tablets stock in the UK
19 Mar 2019
There has been a temporary shortage of Epilim (sodium valproate) gastro-resistant tablets in the UK. Sanofi has told us the 200mg tablets should be back with wholesalers this week. The 500mg tablets are expected to be with wholesalers in the week beginning 25 March 2019. The exact date may vary according to where you live and which wholesalers your pharmacy uses.
If your pharmacist can’t get your usual formulation and dose of Epilim before you run out, your doctor might prescribe you a different formulation (for example Epilim liquid or syrup). This may mean you need to take your medicine more or less frequently. Your pharmacist should make this clear if this is the case. Alternatively, your doctor might prescribe you a different manufacturer’s version of sodium valproate.
If you have any questions about taking a different formulation or version of your medicine, speak to your GP, epilepsy specialist or epilepsy specialist nurse.
Sanofi is still experiencing low stock with some of its valproate medicines but has assured us that they are working to manage the situation. Read Sanofi’s statement on Epilim stock levels
oxcarbazepine tablets
discontinued in the UK
Teva is discontinuing its version of oxcarbazepine tablets.
15 Mar 2019
It has already discontinued the 600mg and 300mg tablets, and will discontinue the 150mg tablets later this year when current stock runs out.
Other manufacturers’ versions of oxcarbazepine tablets are still available. If you have any concerns about taking a different version of oxcarbazepine speak to your GP, epilepsy nurse or epilepsy specialist
Teva oxcarbazepine tablets discontinued in the UK
15 Mar 2019
Teva is discontinuing its version of oxcarbazepine tablets. It has already discontinued the 600mg and 300mg tablets, and will discontinue the 150mg tablets later this year when current stock runs out.
Other manufacturers’ versions of oxcarbazepine tablets are still available. If you have any concerns about taking a different version of oxcarbazepine speak to your GP, epilepsy nurse or epilepsy specialist.
Trileptal (oxcarbazepine) oral suspension stock in the UK
12 Mar 2019
Trileptal (oxcarbazepine) oral suspension is temporarily out of stock in the UK. Novartis, the company that makes Trileptal, is unable to confirm when it will be back in stock.
Some wholesalers may still have some supplies left. If your pharmacist is unable to get Trileptal oral suspension from their usual wholesaler they can ring Novartis customer services for advice.
If your pharmacist can’t get hold of Trileptal oral suspension speak to your GP, epilepsy nurse or epilepsy specialist for advice. They may need to prescribe you a different version of your medicine
Tegretol prolonged release stock in UK
7 Mar 2019
We have heard that some pharmacists are unable to get hold of Tegretol (carbamazepine) prolonged release 200mg tablets. We’ve checked with Novartis, and these tablets have been out of stock but will be back with wholesalers this week. The 400mg tablets are in stock as normal.
If your pharmacist is having difficulty getting Tegretol prolonged release, they can contact Novartis Customer Services for advice
Epilim Chrono stock
4 Mar 2019
We have heard that some people are having difficulty getting Epilim Chrono from their pharmacist. Sanofi has told us that 200mg and 300mg tablets are in stock. 500mg tablets have been out of stock but are expected to be available at the beginning of March. The exact date may vary according to where you live and which wholesalers your pharmacy uses.
If your pharmacist if having difficulty getting Epilim Chrono, they can contact Sanofi Customer Services for advice.
If your pharmacist can’t get your usual formulation and dose of Epilim before you run out, your doctor might prescribe you a different formulation (for example Epilim liquid or syrup). This may mean you need to take your medicine more or less frequently. Your pharmacist should make this clear if this is the case. Alternatively, your doctor might prescribe you a different manufacturer’s version of sodium valproate.
If you have any questions about taking a different formulation or version of your medicine, speak to your GP, epilepsy specialist or epilepsy specialist nurse.
Epilim UK stock update
14 Feb 2019
Sanofi says that all doses and formulations of Epilim are in stock this week, apart from Epilim Chronosphere MR 500mg Modified Release Granules.
These are expected to be back in stock with pharmacists around the 20-22 February 2019
Neurontin (gabapentin) 400mg capsules out of stock in the UK
8 Feb 2019
Neurontin (gabapentin) 400mg capsules are temporarily out of stock in the UK. This is due to a packaging problem affecting the quality of the blister packs. The company that makes Neurontin, Pfizer, expects to have it back in stock by the end of February.
Other doses of Neurontin are in stock.
Sanofi statement about Epilim and Depakote stock levels
7 Feb 2019
In response to concerns about stock levels of Sanofi valproate-based medicines (Epilim and Depakote), Sanofi has issued the following statement:
Sanofi valproate out of stock statement – February 2019
Sanofi can confirm that supply of valproate (Epilim and Depakote) is available in the UK. Any patients who have concerns should contact their pharmacist who can contact the Sanofi customer service team so that we can assist and help resolve the issue.
Due to temporary disruption in the production of valproate at a Sanofi manufacturing site outside of the UK, stock levels for some treatments of valproate may be lower than usual. Sanofi is managing the situation carefully and working to ensure continued supply of valproate across all markets, including the UK. There are 17 different valproate-based treatments, ranging from tablets of different strengths and coatings through to granules and liquid preparations. We have notified the Department of Health & Social Care about the disruption of supply of valproate.
This temporary disruption in supply of some valproate-based treatments is not related to Brexit.
Change from 100 tablet packs to 30 tablet packs: At the request of the Medicines and Healthcare products Regulatory Agency (MHRA) pack sizes of valproate have been changed from 100 to 30 tablets. Pharmacies may therefore see that the 100 tablet packs are “unavailable” and assume that valproate is out of stock. The codes for 30 tablet packs should be used. The Customer Services line is available for pharmacists to check on stock levels and ordering codes.
Carbagen out of stock in the UK
1 Feb 2019
The Department of Health and Social Care (DHSC) has told us that Carbagen (carbamazepine) tablets will be out of stock until mid to late 2019. This applies to both the immediate-release and prolonged-release tablets (previously called Carbagen SR)
The DHSC has written to doctors advising them to switch their patients from Carbagen to Tegretol. Tegretol is another brand of carbamazepine, and is available in both immediate-release and prolonged-release tablets. If you have any concerns about taking a different version of your medicine, speak to your GP, epilepsy nurse or epilepsy specialist.
Previous story:
Mylan has told us that both Carbagen (carbamazepine) and Carbagen SR (prolonged-release carbamazepine) are out of stock.
This is due to manufacturing issues. Mylan does not expect to return to normal stock levels until the middle of 2019. We will update this page as soon as we know more.