FDA data Registry peer set 7 peers FDA shortage listed

Alternatives to topiramate

FDA shortage status is active for topiramate; 7 same-class SPL records are listed below for registry comparison only.

Brand: Topamax

Anticonvulsant Prescription 7 alternatives found

topiramate class peers while FDA lists an active shortage

topiramate (Topamax) is on an FDA shortage listing while 7 other Anticonvulsant SPL records remain in this registry peer set (class inventory 8). Labeled indication field for topiramate: Topiramate can be used alone or with other medicines to treat certain types of seizures in people 2 years and older.

Top FAERS reaction fields for topiramate total 44,888 reports across 10 reactions, set beside carbamazepine, cenobamate, felbamate. Counts are exposure-weighted submissions, not per-patient risk.

About topiramate

Topiramate is a medicine that can help prevent seizures and migraines. It works by calming the brain.

Used for: Topiramate can be used alone or with other medicines to treat certain types of seizures in people 2 years and older. These seizures include partial-onset seizures and primary generalized tonic-clonic seizures. It also treats seizures related to Lennox-Gastaut syndrome. Topiramate can also help prevent migraine headaches in people 12 years and older.

7 Anticonvulsant peers (wide set)

carbamazepine

Rx

Tegretol

Carbamazepine is used to treat certain types of seizures, including partial seizures and generalized tonic-clonic seizures. It can also treat mixed seizure patterns. Carbamazepine also treats the pain from trigeminal neuralgia, a nerve disorder that causes intense facial pain. It is also sometimes used for glossopharyngeal neuralgia.

cenobamate

Rx

Xcopri

Xcopri is used to treat partial-onset seizures in adults. Partial-onset seizures start in one area of the brain. This medicine can help reduce how often you have seizures.

felbamate

Rx

Felbatol

Felbamate treats partial seizures in adults, both with and without generalization. It is also used as an add-on treatment for seizures related to Lennox-Gastaut syndrome in children. Because of the risk of very serious side effects, you should only use this medicine if other treatments have not worked well enough.

lacosamide

Rx

Vimpat

Lacosamide is used to treat partial-onset seizures in patients 4 years of age and older. It is also used with other medicines to treat primary generalized tonic-clonic seizures in patients 4 years of age and older. Seizures are caused by unusual electrical activity in the brain.

lamotrigine

Rx

Lamictal

Lamotrigine can treat epilepsy in adults and children 2 years and older. It can help with partial-onset seizures, primary generalized tonic-clonic seizures, and generalized seizures of Lennox-Gastaut syndrome. It can also be used to delay mood episodes in adults with bipolar I disorder.

levetiracetam

Rx

Keppra

Levetiracetam is used to treat partial-onset seizures in patients 1 month and older. It is also used with other medicines to treat myoclonic seizures in patients 12 years and older with juvenile myoclonic epilepsy. Additionally, it treats primary generalized tonic-clonic seizures in patients 6 years and older with idiopathic generalized epilepsy.

oxcarbazepine

Rx

Trileptal

Oxcarbazepine is used to treat partial-onset seizures. These seizures start in one part of the brain. It can be used alone or with other seizure medicines.

Compare topiramate vs carbamazepine side-by-side →

topiramate vs carbamazepine & cenobamate · FAERS reaction fields

FAERS top-reaction field "Migraine" shows the widest count spread between topiramate and carbamazepine, cenobamate, felbamate in this extract (4,373-report gap on that field). Counts are exposure-weighted submissions, not prevalence rates.

Side Effect topiramate carbamazepinecenobamatefelbamate
Headache 6,464 2,241 317 -
Nausea 5,710 2,629 201 46
Fatigue 5,293 2,473 672 85
Pain 4,485 2,293 - -
Migraine 4,373 - - -
Dizziness 4,123 2,862 537 42
Seizure 3,757 3,609 1,815 345
Diarrhoea 3,600 - - 59

"-" means no reports for that reaction. Report counts reflect total FAERS submissions, not prevalence rates.

topiramate shortage vs Anticonvulsant peer index

Shortage status

FDA shortage listing is active for topiramate (status: To Be Discontinued). Peer rows remain a registry index, not a switch guide.

Frequently Asked Questions

Does FDA list a shortage for topiramate while peers remain indexed?
Yes - topiramate matched an active FDA shortage listing (To Be Discontinued) while 7 other Anticonvulsant SPL records remain in this peer index for field comparison only.

Registry note: Shortage listings and peer indexes are for registry orientation only. This information is for educational purposes only and is not a substitute for professional medical advice. Do not stop or change your medication without talking to your doctor or pharmacist.

Full topiramate profile →

Field note for topiramate: see also the generic vs brand label guide when reading Topamax SPL strings.