Cenobamate

سنوبامات

⚠ Unverified

🧠 Nervous SystemAntiepileptic

Market / country: 🇺🇸 USA

Xcopri (US)

🧮 Dose calculator

Epilepsy (complex partial / absence seizures) · Regimen source: FDA Xcopri · 2.2, Table 1FDA Xcopri · 2.3

⛔ Weeks 1–2: 12.5 mg; 3–4: 25; 5–6: 50; 7–8: 100; 9–10: 150; from week 11: 200 mg once daily. If needed +50 mg every 2 weeks to 400 mg. Do not titrate faster (DRESS). Mild/moderate hepatic impairment: max 200 mg. FDA Xcopri · 2.2, Table 1FDA Xcopri · 2.3

🛡️ Safety & information

Contraindications

  • ⛔ Hypersensitivity to cenobamate; familial short QT syndrome. FDA Xcopri · 4

Warnings

  • • DRESS with rapid titration; QT shortening; suicidal ideation; somnolence. FDA Xcopri · 5

Formulations

👥 Special populations

  • 🤰 PregnancyUse with caution

    Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Xcopri · 8.1

    “Risk Summary There are no adequate data on the developmental risk associated with the use of XCOPRI in pregnant women.”
  • 🤱 BreastfeedingUse with caution

    Label: use with caution while breastfeeding; see the label text. FDA Xcopri · 8.2

    “Risk Summary There are no data available on the presence of cenobamate in human milk, the effects on the breastfed infant, or the effects of the drug on milk production.”
  • 👶 ChildrenSafety not established

    Label: safety and effectiveness in children have not been established. FDA Xcopri · 8.4

    “Safety and effectiveness in pediatric patients have not been established.”
  • 👴 Older adultsUse with caution

    Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Xcopri · 8.5

    “In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy [see Clinical Pharmacology ( 12.3 )] .”
  • ⚥ Females & males of reproductive potentialUse with caution

    Label has advice on pregnancy testing, contraception or fertility for females and males. FDA Xcopri · 8.3

    “Contraception Women of reproductive potential concomitantly using oral contraceptives should use additional or alternative non-hormonal birth control [see Drug Interactions ( 7.1 ) and Clinical Pharmacology ( 12.3 )] .”

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