Find out what types of contraception may work well for you if you take topiramate.
Types of planned contraception that may work well for you to stop you getting pregnant:
Types of planned contraception that may not work well for you, which means you could get pregnant:
- Combined oral contraceptive pill
- Contraceptive implant
- Contraceptive patch
- Progestogen-only pill
- Vaginal ring
- Natural birth control
Note: the makers of topiramate say that if you take 200mg or less daily, some hormonal contraception may be effective in preventing pregnancy. If you take topiramate and want to consider hormonal contraception, to avoid an unplanned pregnancy, please check with your GP, epilepsy specialist or epilepsy specialist nurse.
Types of emergency contraception that may work well for you to stop you getting pregnant:
- The 'morning-after' pill called Levonelle (containing levonorgestrel) - you will need a pill that contains 3 mg levonorgestrel, to take as soon as possible after sex. This is twice the amount of levonorgestrel that women who don't take epilepsy medicines usually take
- Intrauterine device (IUD, also known as a coil) - guidelines suggest that this could be better than Levonelle at stopping you getting pregnant
Types of emergency contraception that may not work well for you, which means you could get pregnant:
- The 'morning-after' pill called ellaOne (containing ulipristal acetate)
Where does this information come from?
The information on this page is based on:
- BNF - NICE (National Institute for Health and Care Excellence) (last updated 30 September 2019)
- The Faculty of Sexual & Reproductive Healthcare: Clinical Guidance: Drug Interactions with Hormonal Contraception (last reviewed January 2019)
- Topiramate summary of product characteristics
Epilepsy Action would like to thank Beth Irwin, epilepsy nurse/midwife, The Royal Hospital, Belfast, for her help in planning this document and to Kim Morley, epilepsy specialist midwife for her contribution to this information.
Beth Irwin and Kim Morley have declared no conflict of interest.
This information has been produced under the terms of Epilepsy Action's information quality standards.
- Updated November 2019To be reviewed May 2022