Metaclazepam

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Metaclazepam, marketed under the brand name Talis, belongs to the class of drugs known as benzodiazepine derivatives. Specifically, it is identified as a relatively selective anxiolytic, which implies it primarily counteracts anxiety without producing significant sedative or muscle-relaxant effects commonly associated with other benzodiazepines.

Pharmacology[edit | edit source]

Metaclazepam undergoes metabolic processes in the body to produce its primary active metabolite, N-desmethylmetaclazepam. There has been no observed significant difference in the metabolism of metaclazepam between younger and older individuals, suggesting age doesn't considerably alter its pharmacokinetic profile.

Therapeutic Efficacy[edit | edit source]

Compared to other benzodiazepines such as bromazepam and diazepam, metaclazepam displays slightly enhanced efficacy as an anxiolytic. In terms of dose equivalency, a 15 mg dose of metaclazepam is analogous to a 4 mg dose of bromazepam.

Drug Interactions[edit | edit source]

When combined with alcohol, metaclazepam may exhibit additive sedative-hypnotic effects. This interaction is a crucial consideration for patients and clinicians, as the co-ingestion could elevate the risk of overdose or lead to impaired cognition and motor functions.

Side Effects[edit | edit source]

Fatigue is a frequently reported side effect when consuming high doses of metaclazepam. Other potential side effects might include drowsiness, dizziness, and impaired coordination.

Special Considerations[edit | edit source]

Breastfeeding mothers should exercise caution as metaclazepam and its metabolites have been detected in human breast milk, potentially posing a risk to nursing infants.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD