Product image of Noiafren (Clobazam) supplied by GNH India

Noiafren

Active Ingredient:
Clobazam
Origin:
EU

Noiafren (Clobazam)

Clobazam, the active ingredient in Noiafren, is a benzodiazepine presented as an oral tablet for oral use. It is employed as an adjunctive therapy to reduce seizure frequency in patients with epilepsy who have not achieved control with other medications. The medication is indicated for use in combination with other antiepileptic drugs and is regulated as a Schedule IV controlled substance in the European Union.

GNH India supplies Noiafren as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Atnahs Pharma Netherlands B.V.

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Indications & Clinical Uses

Clobazam is used as an adjunctive anticonvulsant in several seizure‑related conditions.

  • Adjunctive therapy for seizures: reduces frequency of refractory seizures when added to existing antiepileptic regimens.
  • Lennox‑Gastaut syndrome: helps control multiple seizure types in this severe childhood epilepsy.
  • Partial‑onset seizures: improves seizure control in patients with focal epilepsy not fully managed by other drugs.

How It Works

  • Clobazam acts as a positive allosteric modulator at the γ‑aminobutyric acid type A (GABA‑A) receptor complex. By binding to a distinct site on the receptor, it enhances the affinity of GABA for its chloride channel, increasing chloride influx and hyperpolarizing neuronal membranes. This potentiation of inhibitory neurotransmission diminishes neuronal excitability, contributing to its anticonvulsant effect in epilepsy.

Side Effects

Clobazam may cause a range of adverse reactions, varying from mild to serious.

Common Side Effects

  • Drowsiness: feeling unusually sleepy or fatigued.
  • Dizziness: light‑headed sensation, especially when standing quickly.
  • Ataxia: impaired coordination and unsteady gait.
  • Cognitive slowing: reduced concentration and slowed thinking.

Serious or Rare Side Effects

  • Respiratory depression: slowed or shallow breathing, particularly with other depressants.
  • Severe skin reactions: such as Stevens‑Johnson syndrome or toxic epidermal necrolysis.
  • Suicidal thoughts: emergence of depressive symptoms or suicidal ideation.

Precautions & Warnings

When prescribing or dispensing Clobazam, several safety considerations are essential.

  • Pregnancy: Category D – potential risk to the fetus; use only if benefits outweigh risks.
  • Concomitant CNS depressants: avoid additive sedation and respiratory depression.
  • Abrupt discontinuation: may precipitate withdrawal seizures; taper gradually under medical supervision.
  • Elderly patients: increased susceptibility to falls and cognitive impairment.
  • Hepatic impairment: monitor for enhanced drug exposure and adjust therapy as needed.
  • Store at room temperature: keep in the original container, protect from moisture and direct sunlight.

Avoid Interactions

Clobazam interacts with several drug classes; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Other benzodiazepines: additive sedation and respiratory depression.
  • Opioids: heightened risk of profound CNS depression.
  • Alcohol: synergistic sedative effects may impair respiration.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole): may increase clobazam plasma concentrations.
  • Antidepressants (SSRIs, SNRIs): potential for enhanced CNS effects.
  • Other antiepileptics (phenytoin, carbamazepine): may alter clobazam metabolism and efficacy.

Frequently Asked Questions

Noiafren contains clobazam, which is prescribed as an adjunctive treatment for epilepsy. It is added to existing antiepileptic regimens to help reduce the frequency of seizures in patients whose seizures are not fully controlled by other medications.

Clobazam enhances the activity of the neurotransmitter GABA by binding to a specific site on the GABA‑A receptor complex. This positive allosteric modulation increases chloride ion flow into neurons, hyperpolarising them and reducing neuronal excitability, which contributes to its anticonvulsant effect.

The dosage of Noiafren is individualized. A qualified prescriber determines the appropriate dose based on the patient’s age, weight, seizure type, response to other antiepileptic drugs, and overall clinical condition. Patients should follow the prescribing information provided by their healthcare professional.

Clobazam is classified as Pregnancy Category D, indicating evidence of risk to the fetus. It should be used during pregnancy only if the potential benefit justifies the risk. Limited data are available for breastfeeding; therefore, a healthcare provider should evaluate the risk‑benefit ratio before use.

To request Noiafren, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details and any required import documentation.

Clobazam belongs to the benzodiazepine class, offering rapid enhancement of GABA‑mediated inhibition. Compared with non‑benzodiazepine anticonvulsants, it may provide quicker seizure control but carries a higher potential for sedation, dependence and withdrawal. Selection depends on the patient’s seizure profile, comorbidities and tolerance for side‑effects.

Noiafren should be stored at room temperature, below 25 °C. Keep the tablets in the original packaging, protect them from moisture and direct sunlight, and ensure they are out of reach of children.

Noiafren is taken orally, usually as a tablet. It is swallowed whole with water and can be taken with or without food, as directed by the prescribing clinician. The exact timing and frequency are determined by the treating physician.

Serious risks include respiratory depression, especially when combined with other CNS depressants, severe skin reactions such as Stevens‑Johnson syndrome, and the potential for dependence or withdrawal seizures if the medication is stopped abruptly. Patients should be monitored closely for these events.

Noiafren is contraindicated in individuals with known hypersensitivity to clobazam or other benzodiazepines, patients with severe respiratory insufficiency, and those taking potent CYP3A4 inhibitors that could markedly increase drug levels. Pregnant women should only use it when clearly needed, and it should be avoided in patients with a history of severe drug dependence.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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