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Meprobamate

Class
Hypnotics and sedatives
Subclass
Carbamates
Substance name
Meprobamate
Common formulations
Tablet
Indications for use
Labeled indications
Adults
Treatment of anxiety disorders
Children
Treatment of anxiety disorders
Safety risks
Contraindications
A known hypersensitivity to Meprobamate
Pre-existing porphyria
Warnings and precautions
Drug abuse
Use caution with a personal or family history of drug or substance abuse.
Respiratory depression
Use caution with respiratory disease.
Seizures
Use caution with a history of seizure disorder.
Suicidal ideation
Use caution with depression or suicidal tendencies.
Specific populations
Renal impairment
eGFR 10-50 mL/min/1.73 m²
Use with caution. Do not exceed frequency of q9-12h. Monitor ECG. Monitor for hypotension and gastrointestinal symptoms.
eGFR < 10 mL/min/1.73 m²
Use with caution. Do not exceed frequency of q12-18h. Monitor ECG. Monitor for hypotension and gastrointestinal symptoms.
Renal replacement therapy
Continuous renal replacement
Maximal frequency of q9-12h. Monitor electrocardiogram. Monitor for hypotension and gastrointestinal symptoms.
Intermittent hemodialysis
Maximal frequency of q12-18h. Monitor electrocardiogram. Monitor for hypotension and gastrointestinal symptoms.
Peritoneal dialysis
Maximal frequency of q12-18h. Monitor electrocardiogram. Monitor for hypotension and gastrointestinal symptoms.
Hepatic impairment
Any severity
Use with caution.
Pregnancy and breastfeeding
Pregnancy
All trimesters • Australia Category: C
Avoid use. Evidence of fetal harm in humans. An increased risk of congenital malformations has been associated with minor tranquilizers including this drug, especially during the first trimester of pregnancy.
Use should be avoided especially during the first trimester.
Women of childbearing potential should be advised of risks.
Breastfeeding
Acceptable for use during breastfeeding.
Consider alternative agents that may be safer.
Low excretion in breastmilk (5-25%).
Unknown drug levels in breastfed infants.
No overt adverse effects reported in breastfed infants.
Some adverse effects on lactation reported.
Acceptable for use during breastfeeding.
Low excretion in breastmilk (5-25%).
Unknown drug levels in breastfed infants.
Unlikely to cause adverse effects in breastfed infants.
Some adverse effects on lactation reported.
Adverse reactions
Unknown frequency
Acute intermittent porphyria, agranulocytosis, anaphylaxis, anuria, aplastic anemia, ataxia, bronchospasm, cardiac arrhythmias, ↓ platelet count, EEG abnormalities, erythema multiforme, erythroderma, hypotension, proctitis, asthenia, chills, diarrhea, dizziness, euphoria, itching, nausea, palpitations, paresthesia, seizure, skin rash, somnolence, syncope, vertigo, vomiting, speech disturbance, Stevens-Johnson syndrome, stomatitis, tachycardia
Interactions
Drug(s)
Check Interactions
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