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Also known as: Clorazepic acid, Chlorazepate, 23887-31-2, 7-chloro-2,3-dihydro-2,2-dihydroxy-5-phenyl-1h-1,4-benzodiazepine-3-carboxylic acid, 7-chloro-2-oxo-5-phenyl-1,3-dihydro-1,4-benzodiazepine-3-carboxylic acid, 149128-44-9
Molecular Formula
C16H11ClN2O3
Molecular Weight
314.72  g/mol
InChI Key
XDDJGVMJFWAHJX-UHFFFAOYSA-N
FDA UNII
D51WO0G0L4

Clorazepate Dipotassium
A water-soluble benzodiazepine derivative effective in the treatment of anxiety. It has also muscle relaxant and anticonvulsant actions.
Clorazepic acid is a Benzodiazepine.
1 2D Structure

Clorazepate Dipotassium

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
7-chloro-2-oxo-5-phenyl-1,3-dihydro-1,4-benzodiazepine-3-carboxylic acid
2.1.2 InChI
InChI=1S/C16H11ClN2O3/c17-10-6-7-12-11(8-10)13(9-4-2-1-3-5-9)19-14(16(21)22)15(20)18-12/h1-8,14H,(H,18,20)(H,21,22)
2.1.3 InChI Key
XDDJGVMJFWAHJX-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1=CC=C(C=C1)C2=NC(C(=O)NC3=C2C=C(C=C3)Cl)C(=O)O
2.2 Other Identifiers
2.2.1 UNII
D51WO0G0L4
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 4306-cb

2. Chlorazepate

3. Clorazepate Dipotassium

4. Clorazepate Monopotassium

5. Clorazepic Acid

6. Dipotassium Chlorazepate

7. Tranxene

8. Tranxilium

2.3.2 Depositor-Supplied Synonyms

1. Clorazepic Acid

2. Chlorazepate

3. 23887-31-2

4. 7-chloro-2,3-dihydro-2,2-dihydroxy-5-phenyl-1h-1,4-benzodiazepine-3-carboxylic Acid

5. 7-chloro-2-oxo-5-phenyl-1,3-dihydro-1,4-benzodiazepine-3-carboxylic Acid

6. 149128-44-9

7. 7-chloro-2-oxo-5-phenyl-2,3-dihydro-1h-1,4-benzodiazepine-3-carboxylic Acid

8. 1h-1,4-benzodiazepine-3-carboxylic Acid, 7-chloro-2,3-dihydro-2-oxo-5-phenyl-

9. 4306-cb Free Acid

10. Chebi:3761

11. D51wo0g0l4

12. Abbott-35616 Free Acid

13. Cchlorazepic Acid

14. Clorazepic Acid [ban]

15. Dea No. 2768

16. 7-chloro-2,3-dihydro-2-oxo-5-phenyl-1h-1,4-benzodiazepine-3-carboxylic Acid

17. Hsdb 3041

18. 4306 Cb

19. Einecs 245-926-8

20. Unii-d51wo0g0l4

21. Tranxene®

22. (chloromethyl)(dimethyl)(tridecyloxy)silane

23. Clorazepate [vandf]

24. Clorazepic Acid [mi]

25. Clorazepic Acid [hsdb]

26. Gtpl7548

27. Schembl1649064

28. Chembl1213252

29. Clorazepic Acid [mart.]

30. Schembl21244066

31. Clorazepic Acid [who-dd]

32. Dtxsid20863674

33. 23887-31-2 (free Acid)

34. Db00628

35. C06921

36. Q418850

37. 149128-42-7

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 314.72 g/mol
Molecular Formula C16H11ClN2O3
XLogP33.3
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count4
Rotatable Bond Count2
Exact Mass314.0458199 g/mol
Monoisotopic Mass314.0458199 g/mol
Topological Polar Surface Area78.8 Ų
Heavy Atom Count22
Formal Charge0
Complexity488
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count1
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Information
1 of 6  
Drug NameClorazepate dipotassium
PubMed HealthClorazepate (By mouth)
Drug ClassesAntianxiety, Anticonvulsant
Drug LabelThe compound occurs as a fine, light yellow, practically odorless powder. It is insoluble in the common organic solvents, but very soluble in water. Aqueous solutions are unstable, clear, light yellow, and alkaline.Clorazepate dipotassium tablets con...
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength3.75mg; 7.5mg; 15mg
Market StatusPrescription
CompanyRanbaxy; Taro; Mylan

2 of 6  
Drug NameGen-xene
PubMed HealthClorazepate (By mouth)
Drug ClassesAntianxiety, Anticonvulsant
Drug LabelChemically, TRANXENE is a benzodiazepine. The empirical formula is C16H11ClK2N2O4; the molecular weight is 408.92; 1H-1, 4-Benzodiazepine-3-carboxylic acid, 7-chloro-2,3-dihydro-2-oxo-5-phenyl-, potassium salt compound with potassium hydroxide (1:1)...
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength7.5mg; 15mg; 3.75mg
Market StatusPrescription
CompanyAlra

3 of 6  
Drug NameTranxene
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength7.5mg; 15mg; 3.75mg
Market StatusPrescription
CompanyRecordati Rare

4 of 6  
Drug NameClorazepate dipotassium
PubMed HealthClorazepate (By mouth)
Drug ClassesAntianxiety, Anticonvulsant
Drug LabelThe compound occurs as a fine, light yellow, practically odorless powder. It is insoluble in the common organic solvents, but very soluble in water. Aqueous solutions are unstable, clear, light yellow, and alkaline.Clorazepate dipotassium tablets con...
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength3.75mg; 7.5mg; 15mg
Market StatusPrescription
CompanyRanbaxy; Taro; Mylan

5 of 6  
Drug NameGen-xene
PubMed HealthClorazepate (By mouth)
Drug ClassesAntianxiety, Anticonvulsant
Drug LabelChemically, TRANXENE is a benzodiazepine. The empirical formula is C16H11ClK2N2O4; the molecular weight is 408.92; 1H-1, 4-Benzodiazepine-3-carboxylic acid, 7-chloro-2,3-dihydro-2-oxo-5-phenyl-, potassium salt compound with potassium hydroxide (1:1)...
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength7.5mg; 15mg; 3.75mg
Market StatusPrescription
CompanyAlra

6 of 6  
Drug NameTranxene
Active IngredientClorazepate dipotassium
Dosage FormTablet
RouteOral
Strength7.5mg; 15mg; 3.75mg
Market StatusPrescription
CompanyRecordati Rare

4.2 Therapeutic Uses

FOR SYMPTOMATIC RELIEF OF ANXIETY ASSOCIATED WITH NEUROSIS, PSYCHONEUROSES WITH SYMPTOMS OF ANXIETY, & AS ADJUNCT IN DISEASE STATES IN WHICH ANXIETY IS PROMINENT FEATURE. /DIPOTASSIUM SALT/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


RESULTS SUGGEST THAT CLORAZEPATE DIPOTASSIUM WHEN ADDED TO STD REGIMEN IN LOW DOSES, IS USEFUL IN TREATMENT OF INTRACTABLE MINOR SEIZURES. /CLORAZEPATE DIPOTASSIUM/

BOOKER HE; J AM MED ASSOC 229 (JUL): 552-5 (1974)


RESULTS SHOWED NO DIFFERENCE BETWEEN THE TWO & RESPONSE DID NOT DIFFER ACCORDING TO TYPE OF ANXIETY--PSYCHOLOGICAL OR SOMATIC. /FROM ABSTRACT/

PMID:23489 BURROW ET AL; MED J AUST 2 (OCT): 525-8 (1977)


Management of alcohol withdrawal /Clorazepate dipotassium from table/

Gilman, A.G., T.W. Rall, A.S. Nies and P. Taylor (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 8th ed. New York, NY. Pergamon Press, 1990., p. 357


For more Therapeutic Uses (Complete) data for CLORAZEPATE (8 total), please visit the HSDB record page.


4.3 Drug Warning

THIS DRUG SHOULD NOT BE DISCONTINUED ABRUPTLY, ALTHOUGH NO SERIOUS ADVERSE EFFECTS WERE OBSERVED UPON ABRUPT DISCONTINUATION OF 6 WK COURSE OF 120 MG DAILY. LONG-TERM THERAPY WITH LARGER THAN USUAL DOSES MAY RESULT IN PSYCHIC & PHYSICAL DEPENDENCE. /CLORAZEPATE DIPOTASSIUM SALT/

American Medical Association, AMA Department of Drugs, AMA Drug Evaluations. 3rd ed. Littleton, Massachusetts: PSG Publishing Co., Inc., 1977., p. 414


CLORAZEPATE POTASSIUM REQUIRES SAME WARNINGS & PRECAUTIONS REGARDING USE WITH OTHER DRUGS, USE IN HYPERSENSITIVE INDIVIDUALS, USE DURING PREGNANCY & IN YOUNG CHILDREN, USE IN ELDERLY & EXCESSIVELY DEPRESSED PATIENT ... AS WITH OTHER BENZODIAZEPINES ... . /CLORAZEPATE DIPOTASSIUM/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


CLORAZEPATE POTASSIUM REQUIRES ... PRECAUTIONS ... IN PATIENT WITH IMPAIRED RENAL OR HEPATIC FUNCTION, & USE IN PATIENT WITH HISTORY OF DRUG ADDICTION AS WITH OTHER BENZODIAZEPINES ... . /CLORAZEPATE DIPOTASSIUM/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


PATIENTS RECEIVING ANY BENZODIAZEPINE CMPD SHOULD BE WARNED TO AVOID ALCOHOL, SINCE CONCURRENT INGESTION COULD RESULT IN AN IMPAIRMENT OF THEIR ABILITY TO DRIVE AUTOMOBILE OR OPERATE HAZARDOUS MACHINERY. /BENZODIAZEPINE CMPD/

Evaluations of Drug Interactions. 2nd ed. and supplements. Washington, DC: American Pharmaceutical Assn., 1976, 1978., p. 47


For more Drug Warnings (Complete) data for CLORAZEPATE (10 total), please visit the HSDB record page.


4.4 Drug Indication

For the management of anxiety disorders or for the short-term relief of the symptoms of anxiety. Also used as adjunctive therapy in the management of partial seizures and for the symptomatic relief of acute alcohol withdrawal.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Clorazepate is a member of the group of drugs called benzodiazepines. Pharmacologically, clorazepate has the characteristics of the benzodiazepines. It has depressant effects on the central nervous system. The primary metabolite, nordiazepam, quickly appears in the blood stream. Studies in healthy men have shown that clorazenate has depressant effects on the central nervous system. Since orally administered clorazepate dipotassium is rapidly decarboxylated to form nordiazepam, there is essentially no circulating parent drug.


5.2 MeSH Pharmacological Classification

Anticonvulsants

Drugs used to prevent SEIZURES or reduce their severity. (See all compounds classified as Anticonvulsants.)


GABA Modulators

Substances that do not act as agonists or antagonists but do affect the GAMMA-AMINOBUTYRIC ACID receptor-ionophore complex. GABA-A receptors (RECEPTORS, GABA-A) appear to have at least three allosteric sites at which modulators act: a site at which BENZODIAZEPINES act by increasing the opening frequency of GAMMA-AMINOBUTYRIC ACID-activated chloride channels; a site at which BARBITURATES act to prolong the duration of channel opening; and a site at which some steroids may act. GENERAL ANESTHETICS probably act at least partly by potentiating GABAergic responses, but they are not included here. (See all compounds classified as GABA Modulators.)


Anti-Anxiety Agents

Agents that alleviate ANXIETY, tension, and ANXIETY DISORDERS, promote sedation, and have a calming effect without affecting clarity of consciousness or neurologic conditions. ADRENERGIC BETA-ANTAGONISTS are commonly used in the symptomatic treatment of anxiety but are not included here. (See all compounds classified as Anti-Anxiety Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
CLORAZEPIC ACID
5.3.2 FDA UNII
D51WO0G0L4
5.3.3 Pharmacological Classes
Chemical Structure [CS] - Benzodiazepines
5.4 Absorption, Distribution and Excretion

Absorption

Rapidly absorbed following oral administration (bioavailability is 91%).


Route of Elimination

The drug is metabolized in the liver and excreted primarily in the urine.


PRIMARY METABOLITE, NORDIAZEPAM, REACHES PEAK LEVELS IN PLASMA IN 1 HR; PLASMA HALF-LIFE IS ABOUT 24 HR.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


PLASMA HALF-LIFE ELIMINATION COEF, CONCN, & APPARENT VOL OF DISTRIBUTION CALCULATED & MEAN VALUES WERE 53 HR, 0.0147 HR-1, 884 NG/ML, & 1.13 L/KG.

POST ET AL; PSYCHOPHARMACOLOGY (BERLIN) 53 (2): 105-9 (1977)


TIME REQUIRED TO REACH PEAK SERUM CONCN OF N-DIMETHYLDIAZEPAM, METABOLITE OF CHLORAZEPATE, WAS 80 MIN. MEAN HALF-LIFE 62 HR. DATA FOR OTHERS GIVEN.

WRETLIND M ET AL; ACTA PHARMACOL TOXICOL, SUPPL 40 (1): 28-39 (1977)


WHEN ADMIN IM, CLORAZEPATE WAS RAPIDLY ABSORBED & PEAK CONCN REACHED IN 2 HR. ABSORPTION HALF-LIFE WAS 0.77 HR IN PREGNANT WOMEN & 0.56 HR IN NONPREGNANT WOMEN.

PMID:37089 REY ET AL; EUR J CLIN PHARMACOL 15 (3): 175-80 (1979)


For more Absorption, Distribution and Excretion (Complete) data for CLORAZEPATE (12 total), please visit the HSDB record page.


5.5 Metabolism/Metabolites

The drug is metabolized in the liver and excreted primarily in the urine. The primary metabolite, nordiazepam, is further metabolized by hydroxylation. The major urinary metabolite is conjugated oxazepam (3-hydroxynordiazepam), and smaller amounts of conjugated p-hydroxynordiazepam and nordiazepam are also found in the urine.


CHLORAZEPATE IS PROBABLY CONVERTED TO N-DIMETHYL DIAZEPAM, WHICH IS THEN OXIDIZED TO OXAZEPAM. /CHLORAZEPATE/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 189


PRIMARY METABOLITE /IS/ NORDIAZEPAM ... .

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


Following oral administration of clorazepate dipotassium, it appears that most of the drug is rapidly decarboxylated in the GI tract and is absorbed as desmethyldiazepam (nordiazepam). The rate of decarboxylation of clorazepate decreases as gastric pH increases. /Clorazepate dipotassium/

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 1331


Clorazepate active metabolites in liver are desmethyldiazepam, and oxazepam; active substances in blood include desmethyldiazepam. /From table/

Ellenhorn, M.J. and D.G. Barceloux. Medical Toxicology - Diagnosis and Treatment of Human Poisoning. New York, NY: Elsevier Science Publishing Co., Inc. 1988., p. 582


For more Metabolism/Metabolites (Complete) data for CLORAZEPATE (8 total), please visit the HSDB record page.


5.6 Biological Half-Life

The serum half-life is about 2 days. Nordiazepam, the primary metabolite, quickly appears in the blood and is eliminated from the plasma with an apparent half-life of about 40 to 50 hours.


PLASMA HALF-LIFE ... 53 HR ... .

POST ET AL; PSYCHOPHARMACOLOGY (BERLIN) 53 (2): 105-9 (1977)


PRIMARY METABOLITE, NORDIAZEPAM, ... PLASMA HALF-LIFE IS ABOUT 24 HR.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1010


N-DIMETHYLDIAZEPAM, METABOLITE OF CHLORAZEPATE: MEAN HALF-LIFE 62 HR.

WRETLIND M ET AL; ACTA PHARMACOL TOXICOL, SUPPL 40 (1): 28-39 (1977)


CLORAZEPATE ADMIN IM TO PREGNANT & NONPREGNANT WOMEN. ELIMINATION HALF-LIFE WERE 1.3 HR IN PREGNANT WOMEN & 2.0 HR IN NONPREGNANT WOMEN. ITS METABOLITE, NORDIAZEPAM, REACHED PEAK CONCN WITHIN 12 HR. HALF-LIFE OF ELIMINATION FOR METABOLITE WAS 180 IN PREGNANT & 60 HR IN NONPREGNANT WOMEN.

PMID:37089 REY ET AL; EUR J CLIN PHARMACOL 15 (3): 175-80 (1979)


Elimination half-lives for metabolites: desmethyldiazepam (30-200 hr) and oxazepam (3-21 hr)

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 92. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1992 (Plus Supplements 1992)., p. 1331


5.7 Mechanism of Action

Benzodiazepines bind nonspecifically to benzodiazepine receptors BNZ1, which mediates sleep, and BNZ2, which affects affects muscle relaxation, anticonvulsant activity, motor coordination, and memory. As benzodiazepine receptors are thought to be coupled to gamma-aminobutyric acid-A (GABAA) receptors, this enhances the effects of GABA by increasing GABA affinity for the GABA receptor. Binding of the inhibitory neurotransmitter GABA to the site opens the chloride channel, resulting in a hyperpolarized cell membrane that prevents further excitation of the cell.


The effects of benzodiazepines on the waking EEG resemble those of other sedative-hypnotic drugs. Alpha activity is decreased, and there is an increase in low-voltage fast activity, especially beta activity. /Benzodiazepines/

Gilman, A.G., T.W. Rall, A.S. Nies and P. Taylor (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 8th ed. New York, NY. Pergamon Press, 1990., p. 349


Acticonvulsant actions of the benzodiazepines, as well as other effects that occur at nonsedating doses, result in large part from their ability to enhance GABA-induced increases in the conductance of chloride. /Benzodiazepines/

Gilman, A.G., T.W. Rall, A.S. Nies and P. Taylor (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 8th ed. New York, NY. Pergamon Press, 1990., p. 454


Benzodiazepines appear to produce their sedative, hypnotic, anxiolytic, and anticonvulsant actions by binding to specific pharmacologic receptors in the central nervous system. Benzodiazepine receptors are most concentrated in the cerebral cortex but are also found in the cerebellum, amygdala, hippocampus, hypothalamus, and spinal cord. Receptors have also been identified outside CNS, although peripheral receptors do not appear to have significant physiologic effects. The molecular receptor for the benzodiazepine molecule is a glycoprotein located on the lipid membranes of both neural and glial cells. It is speculated that there are at least two classes of benzodiazepine receptor believed to mediate different specific effects. Type I receptors predominate in the cerebelar cortex, and both type I and type II receptors are found in the cerebral cortex and hippocampus. Type I rceptors are postulated to mediate anxiolytic effects, and type II receptors mediate the sedative and other actions of benzodiazepines. No endogenous ligand or neurotransmitter for these receptors has been identified. /Benzodiazepines/

Haddad, L.M., Clinical Management of Poisoning and Drug Overdose. 2nd ed. Philadelphia, PA: W.B. Saunders Co., 1990., p. 806


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DOSAGE - TABLET;ORAL - 11.25MG **Federal Regi...DOSAGE - TABLET;ORAL - 11.25MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

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DOSAGE - CAPSULE;ORAL - 15MG **Federal Regist...DOSAGE - CAPSULE;ORAL - 15MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

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DOSAGE - CAPSULE;ORAL - 3.75MG **Federal Regi...DOSAGE - CAPSULE;ORAL - 3.75MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**

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