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Norclobazam

N-desmethyl- clobazam

What it isN-desmethylclobazam, the major active metabolite of clobazam.

Why it mattersIt carries most of clobazam’s anticonvulsant effect and has a much longer half-life than the parent.

What it changesCYP2C19 poor metabolizers accumulate it severalfold, and cannabidiol raises it sharply — a common cause of sedation in Dravet syndrome.

FDA-approved for

NO BOXED WARNINGS

Principal riskCYP2C19 poor metabolizers accumulate it severalfold, and cannabidiol raises it — a common cause

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Norclobazam ballicule

Norclobazam ballicule: receptor binding, kinetics and half-life diagram

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