Страна: САЩ
Език: английски
Източник: NLM (National Library of Medicine)
CLOBAZAM (UNII: 2MRO291B4U) (CLOBAZAM - UNII:2MRO291B4U)
Amneal Pharmaceuticals NY LLC
ORAL
PRESCRIPTION DRUG
Clobazam oral suspension is indicated for the adjunctive treatment of seizures associated with Lennox-Gastaut syndrome (LGS) in patients 2 years of age or older. Clobazam oral suspension 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. Healthcare providers are encouraged to recommend that pregnant women taking clobazam enroll in the North American Antiepileptic Drug (NAAED) Pregnancy Registry by calling 1-888-233-2334 or online at http://www.aedpregnancyregistry.org/. Risk Summary Neonates born to mothers using benzodiazepines late in pregnancy have been reported to experience symptoms of sedation and/or neonatal withdrawal [see Warnings and Precautions (5.8) and Clinical Considerations ] . Availab
Clobazam oral suspension, 2.5 mg/mL , is a berry flavored 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. 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. It is available as follows: Bottle containing 120 mL of suspension: NDC 69238-1535-2 Store oral suspension at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature].
Abbreviated New Drug Application
Amneal Pharmaceuticals NY LLC ---------- MEDICATION GUIDE Clobazam (kloe’ ba zam) Oral Suspension, CIV What is the most important information I should know about clobazam oral suspension? • Clobazam oral suspension 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 oral suspension with opioids affects you. • Risk of abuse, misuse, and addiction. There is a risk of abuse, misuse, and addiction with benzodiazepines, including clobazam oral suspension, 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 oral suspension. 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 oral suspension as prescribed by your healthcare provider. • Take clobazam oral suspension exactly as your healthcare provider prescribed. • Do not share your clobazam oral suspension with other people. • Keep clobazam oral suspension in a safe place and away from children. • Physical dependence and withdrawal reactions. Clobazam oral suspension can cause physical dependence and withdrawal reactions. • Do not suddenly stop taking clobazam oral suspension. Stopping clobazam oral suspension suddenly can cause serious and life-threatening side effects, incl Прочетете целия документ
CLOBAZAM- CLOBAZAM SUSPENSION AMNEAL PHARMACEUTICALS NY 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 ORAL SUSPENSION, EXPOSES USERS TO RISKS OF ABUSE, MISUSE AND ADDICTION, WHICH CAN LEAD TO OVERDOSE OR DEATH. BEFORE PRESCRIBING CLOBAZAM ORAL SUSPENSION AND THROUGHOUT TREATMENT, ASSESS EACH PATIENT’S RISK FOR ABUSE, MISUSE AND ADDICTION (5.2). ABRUPT DISCONTINUATION OR RAPID DOSAGE REDUCTION OF CLOBAZAM ORAL SUSPENSION 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 ORAL SUSPENSION OR REDUCE THE DOSAGE (2.2, 5.3). RECENT MAJOR CHANGES Warnings and Precautions (5.8) 1/2023 INDICATIONS AND USAGE Clobazam oral suspension 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 Прочетете целия документ