Product image of Ontozry (Cenobamate) supplied by GNH India

Ontozry

Active Ingredient:
Cenobamate
Origin:
EU

Ontozry (Cenobamate)

Cenobamate, the active ingredient in Ontozry, is an antiepileptic presented as an oral tablet for oral use. It is employed as adjunctive therapy for partial‑onset seizures in adults with epilepsy, helping to reduce seizure frequency when added to existing antiepileptic regimens.

GNH India supplies Ontozry as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, providing reliable sourcing and regulatory support for global healthcare providers. The company ensures product quality through stringent quality‑control processes and compliance with EU standards.

Manufacturer / TM Owner

Angelini Pharma S.P.A.

1
Pack/s
This product is added to your enquiry list

Request a Quote

Please fill out the form below and our team will get back to you shortly with pricing and further information.

A minimum order value applies. Our team will confirm the exact amount or quantity after reviewing your requirements.

Indications & Clinical Uses

  • Ontozry (cenobamate) is indicated for the adjunctive treatment of partial‑onset seizures, a type of focal epilepsy.
  • Partial‑onset seizures (adult epilepsy): reduces seizure frequency as add‑on therapy.
  • Focal seizures (adults): improves overall seizure control when combined with other antiepileptics.
  • Epilepsy (adult patients): enhances therapeutic response as adjunctive medication.

How It Works

  • Cenobamate acts by selectively modulating voltage‑gated sodium channels, stabilizing neuronal membranes and limiting repetitive firing. In addition, it positively allosterically modulates GABA‑A receptors, enhancing inhibitory neurotransmission. By decreasing sodium influx during depolarization and amplifying GABA‑mediated chloride currents, cenobamate provides a synergistic anticonvulsant effect that complements other antiepileptic agents.

Side Effects

Cenobamate may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dizziness
  • Somnolence
  • Fatigue
  • Nausea
  • Headache

Serious or Rare Side Effects

  • Drug reaction with eosinophilia and systemic symptoms (DRESS)
  • Severe skin reactions such as Stevens‑Johnson syndrome
  • Hyponatremia or significant hepatic enzyme elevations

Precautions & Warnings

  • When prescribing cenobamate, several safety considerations should be observed.
  • Dose titration: initiate at low dose and increase gradually under medical supervision.
  • Cardiac monitoring: monitor for QT interval changes in patients with cardiac risk.
  • Hepatic function: assess liver enzymes before and during therapy.
  • Concomitant CNS depressants: use caution as additive sedation may occur.
  • Pregnancy and lactation: safety not established; avoid unless benefits outweigh risks.
  • Store at ambient temperature: keep below 25 °C, retain in original packaging, protect from moisture.

Avoid Interactions

Cenobamate can interact with other medicines, requiring careful management.

Major Interactions (Avoid)

  • Strong CYP3A4 inducers (e.g., carbamazepine, phenytoin): may markedly reduce cenobamate plasma levels.
  • Concomitant use with other sodium channel blockers at high doses (e.g., lamotrigine): increased risk of CNS depression.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., erythromycin): may increase cenobamate exposure.
  • Other GABA‑A modulators (e.g., benzodiazepines): may enhance sedation.
  • Alcohol: may potentiate CNS depressive effects.

Frequently Asked Questions

Ontozry contains cenobamate and is used as an adjunctive medication for adults with epilepsy who experience partial‑onset (focal) seizures. It is added to existing antiepileptic regimens to help lower the frequency of breakthrough seizures.

Cenobamate works by two complementary mechanisms: it selectively modulates voltage‑gated sodium channels, reducing neuronal hyper‑excitability, and it positively allosterically enhances GABA‑A receptor activity, increasing inhibitory signaling in the brain. This dual action contributes to seizure control.

The specific dose of Ontozry is individualized. A qualified prescriber determines the starting dose and titration schedule based on the patient’s clinical condition, response, and tolerability, following approved prescribing guidelines.

Safety data for cenobamate in pregnancy and lactation are limited. The drug should be avoided unless the potential benefit justifies the possible risk to the fetus or infant, and the decision should be made by a healthcare professional.

To request Ontozry, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Compared with traditional sodium‑channel blockers such as carbamazepine, cenobamate offers additional GABA‑A receptor modulation, which may provide broader seizure control. Its efficacy as an add‑on therapy has been demonstrated in clinical trials, though individual response varies and safety profiles differ among agents.

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

Ontozry is taken orally as a tablet. Patients should swallow the tablet whole with water, with or without food, as directed by their prescriber. Consistent daily dosing helps maintain stable drug levels.

Serious adverse events include drug reaction with eosinophilia and systemic symptoms (DRESS), severe skin reactions such as Stevens‑Johnson syndrome, significant hyponatremia, and marked elevations in liver enzymes. Prompt medical attention is required if any of these occur.

Patients with known hypersensitivity to cenobamate or any tablet excipients should avoid Ontozry. It is also contraindicated in individuals with severe hepatic impairment or those who have experienced serious skin reactions to related medications.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

Disclaimer

At GNH India, we aim to provide information that is expert-reviewed, accurate, and reliable. However, all content on this platform is intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. While efforts are made to maintain accuracy and currency, the information may contain errors, omissions, or may not reflect the latest developments. Always consult a qualified healthcare professional regarding any medical concerns.

All product names, brand names, trademarks and registered trademarks displayed on this website are the property of their respective owners. This website and its operator are not affiliated with, endorsed by, or authorized by any such trade mark owners unless expressly stated. Any reference to product names or trademarks is made solely for descriptive and informational purposes. No commercial relationship, sponsorship, approval, or association with any trademark owner should be inferred. Information provided herein does not constitute promotion, advertising, or an offer for sale of any medicinal product and is intended solely for general informational purposes.

All trademarks and brand names displayed on this website are used strictly in accordance with the provisions of the Trade Marks Act, 1999, specifically Sections 30 and 30(1) governing fair use. Trademark ownership has been accurately attributed under the "Manufacturer/ TM Owner" section in compliance with statutory requirements.

Ordering Process

Simple, Secure, and Seamless

Learn how our streamlined ordering process guarantees fast, compliant, and reliable access to essential medicines worldwide.

Quote request form

01

Submit Quote Request Form

Tell us what medications you need by filling out our simple form and uploading a valid document.

Price estimate review

02

We Review & Send Estimate

Our licensed pharmacists will verify your details and provide you with a detailed cost estimate.

Secure payment

03

Confirm & Make Payment

Discuss any queries, approve the estimate, and complete your payment.

Worldwide delivery

04

Get Delivered

Your medicines, safely packed and delivered to your door or nearest airport — hassle-free.

Quality You Can Trust

Our internationally recognized certifications underscore our commitment to safety, quality, and excellence.