Страна: САЩ
Език: английски
Източник: NLM (National Library of Medicine)
clobazam (UNII: 2MRO291B4U) (clobazam - UNII:2MRO291B4U)
Upsher-Smith Laboratories, LLC
ORAL
PRESCRIPTION DRUG
Clobazam is indicated for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years of age or older. Clobazam is contraindicated in patients with a history of hypersensitivity to the drug or its ingredients. Hypersensitivity reactions have included serious dermatological reactions [see Warnings and Precautions (5.6) ]. Pregnancy Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to AEDs, such as clobazam, during pregnancy. Physicians are advised to recommend that pregnant patients taking clobazam enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry. This can be done by calling the toll-free number 1-888-233-2334, and must be done by patients themselves. Information on the registry can also be found at the website http://www.aedpregnancyregistry.org/. Risk Summary There are no adequate and well-controlled studies of clobazam in pregnant women. Available data suggest that the class of benzodiazepin
Clobazam oral suspension 2.5 mg/mL is a strawberry flavored white to off-white liquid supplied in a bottle with child-resistant closure. The oral suspension is packaged with a dispenser set which contains two calibrated oral dosing syringes and a bottle adapter, and is supplied as follows: Storage Store at 20° to 25°C (68° to 77°F) [See USP Controlled Room Temperature]. Store and dispense clobazam oral suspension in its original bottle in an upright position. Use within 90 days of first opening the bottle, then discard any remainder.
Abbreviated New Drug Application
AM- CLOBAZAM SUSPENSION Upsher-Smith Laboratories, LLC ---------- This Medication Guide has been approved by the U.S. Food and Drug Administration. MEDICATION GUIDE Clobazam (kloe-ba-zam) Oral Suspension, CIV What is the most important information I should know about clobazam? • Clobazam is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system (CNS) depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma, and death. Get emergency help right away if any of the following happens: • shallow or slowed breathing • breathing stops (which may lead to the heart stopping) • excessive sleepiness (sedation) Do not drive or operate heavy machinery until you know how taking clobazam with opioids affects you. • Risk of abuse, misuse, and addiction. There is a risk of abuse, misuse, and addiction with benzodiazepines, including clobazam, which can lead to overdose and serious side effects including coma and death. • Serious side effects including coma and death have happened in people who have abused or misused benzodiazepines, including clobazam. These serious side effects may also include delirium, paranoia, suicidal thoughts or actions, seizures, and difficulty breathing. Call your healthcare provider or go to the nearest hospital emergency room right away if you get any of these serious side effects. • You can develop an addiction even if you take clobazam as prescribed by your healthcare provider. • Take clobazam exactly as your healthcare provider prescribed. • Do not share your clobazam with other people. • Keep clobazam in a safe place and away from children. • Physical dependence and withdrawal reactions. Clobazam can cause physical dependence and withdrawal reactions. • Do not suddenly stop taking clobazam. Stopping clobazam suddenly can cause serious and life-threatening side effects, including, unusual movements, responses, or expressions, seizures, sudden and severe mental Прочетете целия документ
CLOBAZAM- CLOBAZAM SUSPENSION UPSHER-SMITH LABORATORIES, LLC ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE CLOBAZAM ORAL SUSPENSION SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR CLOBAZAM ORAL SUSPENSION. CLOBAZAM ORAL SUSPENSION, CIV INITIAL U.S. APPROVAL: 2011 WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; AND DEPENDENCE AND WITHDRAWAL REACTIONS _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ CONCOMITANT USE OF BENZODIAZEPINES AND OPIOIDS MAY RESULT IN PROFOUND SEDATION, RESPIRATORY DEPRESSION, COMA, AND DEATH. RESERVE CONCOMITANT PRESCRIBING OF THESE DRUGS FOR PATIENTS FOR WHOM ALTERNATIVE TREATMENT OPTIONS ARE INADEQUATE. LIMIT DOSAGES AND DURATIONS TO THE MINIMUM REQUIRED. FOLLOW PATIENTS FOR SIGNS AND SYMPTOMS OF RESPIRATORY DEPRESSION AND SEDATION (5.1, 7.1). THE USE OF BENZODIAZEPINES, INCLUDING CLOBAZAM, EXPOSES USERS TO RISKS OF ABUSE, MISUSE, AND ADDICTION, WHICH CAN LEAD TO OVERDOSE OR DEATH. BEFORE PRESCRIBING CLOBAZAM AND THROUGHOUT TREATMENT, ASSESS EACH PATIENT'S RISK FOR ABUSE, MISUSE, AND ADDICTION (5.2). ABRUPT DISCONTINUATION OR RAPID DOSAGE REDUCTION OF CLOBAZAM AFTER CONTINUED USE MAY PRECIPITATE ACUTE WITHDRAWAL REACTIONS, WHICH CAN BE LIFE-THREATENING. TO REDUCE THE RISK OF WITHDRAWAL REACTIONS, USE A GRADUAL TAPER TO DISCONTINUE CLOBAZAM OR REDUCE THE DOSAGE (2.2, 5.3). RECENT MAJOR CHANGES Boxed Warning Dosage and Administration (2.2) Warnings and Precautions (5.2, 5.3) INDICATIONS AND USAGE Clobazam is a benzodiazepine indicated for adjunctive treatment of seizures associated with Lennox- Gastaut syndrome (LGS) in patients 2 years of age or older (1) DOSAGE AND ADMINISTRATION For doses above 5 mg/day administer in two divided doses (2.1) Patients ≤30 kg body weight: Initiate at 5 mg daily and titrate as tolerated up to 20 mg daily (2.1) Patients >30 kg body weight: Initiate at 10 mg daily and titrate as tolerated up to 40 mg daily (2.1) Dosage adjustment n Прочетете целия документ