FormWeb • topiramate

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topiramate

topiramate

Brand names: Qudexy XR Sprinkle, Topamax, Trokendi XR

Form	Strength
CAPSULE, EXTENDED RELEASE, ORAL
TABLET, ORAL	25 mg; 100 mg

Display Anticonvulsants, Miscellaneous Class: 281292

Medication comments:

Per policy, orders for these non-formulary agents will be changed to formulary equivalents.
Non-Formulary Agent	Formulary Equivalent
topiramate XR (Trokendi) 50 mg daily	topiramate (Topamax) 25 mg BID
topiramate XR (Trokendi) 100 mg daily	topiramate (Topamax) 50 mg BID
topiramate XR (Trokendi) 200 mg daily	topiramate (Topamax) 100 mg BID
topiramate XR (Trokendi) 400 mg daily	topiramate (Topamax) 200 mg BID

USP <800> Hazardous Drug Assessment of Risk (AOR)
Per policy, these drugs are exempt from USP <800> handling requirements under normal circumstances. The following outlines must be followed.
generic (Brand) Route [Packaging: Mfg ⇒ Dispense]		NIOSH Group
topiramate (Topamax) PO [UD ⇒ UD]		Reproductive Risk
Pharmacy: Receiving / Storage / Preparation Exposure Risk: minimal	• Handling/preparation PPE Requirements: n/a
	• Receiving from Distributor: Standard
	• Pharmacy Storage Area: Carousel
	• Packaging/Reconstitution Location: n/a
	• Compounding (Non-Sterile/Sterile) Location: n/a
	• Omnicell Load: Yes
Transport	• Transport (dose is placed inside a plastic sealable bag): Standard
Nursing: Storage / Admin. Exposure Risk: low	• Handling/administration PPE Requirements: PO- Single CX gloves , tube- double CX gloves and gown , wash hands after handling
	• Storage of Finished dose in Nursing Area/Procedural Area: Patient Med Drawer, Omnicell
	• Signage on Patient Door Required: No
	• Manipulation of Dosage Form: Standard
	• Special Manipulation for Administration: n/a
Disposal / Spills	• Disposal of Drug Waste: Full- blue bin , trace/packaging- trash
	• Disposol of Used PPE: trash bin (inside plastic bag)
	• Spill management: n/a
Reason for exemption of USP<800> Containment Requirements: Purchased in final dosage form; packaged as unit dose. Does not require additional manipulation for dispensing.

Last updated: Dec. 23, 2021

Therapeutic Interchange Policy toporamate XR -> topiramate
Hazard.Drug Handling(USP 800) USP<800> Hazardous Drug / Assessment of Risk

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556

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as to the use of this information outside of Iredell Memorial Hospital.
The content of this policy and procedure document serves as guidance to the delivery of quality patient care.
Care providers are expected to exercise critical thinking and situational awareness skills,
and in specific situations to take such action as is necessary for the delivery of quality patient care.