国家: 美国
语言: 英文
来源: NLM (National Library of Medicine)
CLONAZEPAM (UNII: 5PE9FDE8GB) (CLONAZEPAM - UNII:5PE9FDE8GB)
Aphena Pharma Solutions - Tennessee, LLC
ORAL
PRESCRIPTION DRUG
Seizure Disorders: Clonazepam tablets, USP are useful alone or as an adjunct in the treatment of the Lennox-Gastaut syndrome (petit mal variant), akinetic and myoclonic seizures. In patients with absence seizures (petit mal) who have failed to respond to succinimides, clonazepam may be useful. In some studies, up to 30% of patients have shown a loss of anticonvulsant activity, often within 3 months of administration. In some cases, dosage adjustment may reestablish efficacy. Panic Disorder: Clonazepam tablets, USP are indicated for the treatment of panic disorder, with or without agoraphobia, as defined in DSM-V. Panic disorder is characterized by the occurrence of unexpected panic attacks and associated concern about having additional attacks, worry about the implications or consequences of the attacks, and/or a significant change in behavior related to the attacks. The efficacy of clonazepam was established in two 6- to 9-week trials in panic disorder patients whose diagnoses corresponded to the DSM-IIIR
Clonazepam Tablets, USP are available as follows: 0.5 mg — Each pink, round tablet imprinted cdfd5711-figure-02 and 33 on one side and scored on the other side contains 0.5 mg of clonazepam USP. Tablets are supplied in: Bottles of 15 (NDC 60429-524-15) Bottles of 30 (NDC 60429-524-30) Bottles of 45 (NDC 60429-524-45) Bottles of 60 (NDC 60429-524-60) Bottles of 90 (NDC 60429-524-90) Bottles of 120 (NDC 60429-524-12) Bottles of 150 (NDC 60429-524-51) 1 mg — Each yellow, round tablet imprinted cdfd5711-figure-03 and 34 on one side and scored on the other side contains 1 mg of clonazepam USP. Tablets are supplied in: Bottles of 15 (NDC 60429-525-15) Bottles of 30 (NDC 60429-525-30) Bottles of 45 (NDC 60429-525-45) Bottles of 60 (NDC 60429-525-60) Bottles of 90 (NDC 60429-525-90) Bottles of 120 (NDC 60429-525-12) 2 mg — Each white, round tablet imprinted cdfd5711-figure-04 and 35 on one side and scored on the other side contains 2 mg of clonazepam USP. Tablets are supplied in: Bottles of 30 (NDC 60429-526-30) Bottles of 60 (NDC 60429-526-60) Bottles of 90 (NDC 60429-526-90) Store at 25°C (77°F); excursions permitted to 15° to 30C° (59° to 86°F). Dispense in tight, light-resistant containers as defined in the USP. Manufactured by: Actavis Elizabeth LLC Elizabeth, NJ 07207 USA Distributed by: Actavis Pharma, Inc. Parsippany, NJ 07054 USA Marketed/Packaged by: GSMS, Inc. Camarillo, CA 93012 USA 40-9148 Revised — April 2017
Abbreviated New Drug Application
CLONAZEPAM- CLONAZEPAM TABLET Aphena Pharma Solutions - Tennessee, LLC ---------- MEDICATION GUIDE Clonazepam (kloe naz' e pam) Tablets, USP CIV What is the most important information I should know about clonazepam tablets? • Do not stop taking clonazepam tablets without first talking to your healthcare provider. Stopping clonazepam tablets suddenly can cause serious side effects. • Clonazepam is a benzodiazepine medicine. Benzodiazepines can cause severe drowsiness, breathing problems (respiratory depression), coma, and death when taken with opioid medicines. • Clonazepam tablets can make you sleepy or dizzy and can slow your thinking and motor skills. This may get better over time. • Do not drive, operate heavy machinery, or do other dangerous activities until you know how clonazepam tablets affect you. • Clonazepam tablets may cause problems with your coordination, especially when you are walking or picking things up. • Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking clonazepam tablets until you talk to your healthcare provider. When taken with alcohol or drugs that cause sleepiness or dizziness, clonazepam tablets may make your sleepiness or dizziness worse. • Like other antiepileptic drugs, clonazepam tablets may cause suicidal thoughts or actions in a very small number of people, about 1 in 500. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: ● thoughts about suicide or dying ● attempts to commit suicide ● new or worse depression ● new or worse anxiety ● feeling agitated or restless ● panic attacks ● trouble sleeping (insomnia) ● new or worse irritability ● acting aggressive, being angry, or violent ● acting on dangerous impulses ● an extreme increase in activity and talking (mania) ● other unusual changes in behavior or mood How can I watch for early symptoms of suicidal thoughts and actions? • Pay attention to any changes, especially sudden changes, i 阅读完整的文件
CLONAZEPAM- CLONAZEPAM TABLET APHENA PHARMA SOLUTIONS - TENNESSEE, LLC ---------- CLONAZEPAM TABLETS, USP CIV WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS CONCOMITANT USE OF BENZODIAZEPINES AND OPIOIDS MAY RESULT IN PROFOUND SEDATION, RESPIRATORY DEPRESSION, COMA, AND DEATH (SEE WARNINGS AND PRECAUTIONS). • • • DESCRIPTION Clonazepam USP, a benzodiazepine, is available for oral administration as scored tablets containing 0.5 mg, 1 mg or 2 mg of clonazepam. In addition, each tablet also contains the following inactive ingredients: corn starch, lactose monohydrate, magnesium stearate, and microcrystalline cellulose. The 0.5 mg tablet also contains D&C Red #30 aluminum lake. The 1 mg tablet also contains D&C Yellow #10HT aluminum lake. Chemically, clonazepam, USP is 5-(2-chlorophenyl)-1,3-dihydro-7-nitro-2_H_-1,4-benzodiazepin-2-one. It is a light yellow crystalline powder. It has a molecular weight of 315.72 and the following structural formula: CLINICAL PHARMACOLOGY _PHARMACODYNAMICS:_ The precise mechanism by which clonazepam exerts its antiseizure and antipanic effects is unknown, although it is believed to be related to its ability to enhance the activity of gamma aminobutyric acid (GABA), the major inhibitory neurotransmitter in the central nervous system. Convulsions produced in rodents by pentylenetetrazol or, to a lesser extent, electrical stimulation are antagonized, as are convulsions produced by photic stimulation in susceptible baboons. A taming effect in aggressive primates, muscle weakness and hypnosis are also produced. In humans, clonazepam is capable of suppressing the spike and wave discharge in absence seizures (petit mal) and decreasing the frequency, amplitude, duration and spread of discharge in minor motor seizures. RESERVE CONCOMITANT PRESCRIBING OF THESE DRUGS FOR USE IN 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. _PHARMACOKINETICS 阅读完整的文件