Clobazam

Generic Details

Generic Name

Clobazam

Other Names

  • Frisium
  • Onfi

Drug Class

  • Benzodiazepine

Chemical Formula

C16H13ClN2O2

Molecular Weight

300.74 g/mol

Mechanism of Action

  • Enhances the effect of gamma-aminobutyric acid (GABA)

Indications

  • Epilepsy
  • Anxiety disorders

Common Dosage Forms

  • Tablet

Typical Dosage

  • 10-20 mg once daily for adults

Pediatric Dosage

  • Dose based on weight and age; to be determined by a healthcare provider

Geriatric Dosage

  • Lower initial doses may be necessary due to decreased drug clearance in elderly patients

Side Effects

  • Drowsiness
  • Fatigue
  • Dizziness
  • Constipation
  • Weight gain

Contraindications

  • Hypersensitivity to clobazam or other benzodiazepines
  • Narrow-angle glaucoma

Pregnancy Category

  • C - Risk cannot be ruled out

Lactation Safety

  • Limited data, caution advised

Drug Interactions

  • Alcohol
  • Other CNS depressants
  • Fluvoxamine

Overdose Symptoms

  • Drowsiness
  • Confusion
  • Coma
  • Respiratory depression

Antidote for Overdose

  • Flumazenil

Storage Conditions

  • Store at room temperature away from light and moisture

Pharmacokinetics

  • Absorption: Well-absorbed orally
  • Distribution: Extensively distributed in the body
  • Metabolism: Hepatic metabolism via CYP enzymes
  • Excretion: Mainly in the urine

Precautions

  • Monitor for signs of respiratory depression
  • Avoid abrupt discontinuation

Warnings

  • Risk of dependence and withdrawal reactions
  • May cause drowsiness; caution while driving or operating machinery

Others