MEDICATION GUIDE
Chlordiazepoxide
Hydrochloride (
klorʺ dye azʺ e poxʹ ide hyeʺ droe klorʹ ide) Capsules, C-IV
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What is the most important information I should know about
Chlordiazepoxide HCl?
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Chlordiazepoxide HCl is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system depressants (CNS) (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma and death. Get emergency help right away if any of the following happens:
- shallow or slowed breathing
- breathing stops (which may lead to the heart stopping)
- excessive sleepiness (sedation)
Do not drive or operate heavy machinery until you know how taking Chlordiazepoxide HCl with opioids affects you.
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Risk of abuse, misuse, and addiction.There is a risk of abuse, misuse, and addiction with benzodiazepines, including Chlordiazepoxide HCl, which can lead to overdose and serious side effects including coma and death.
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Serious side effects including coma and death have happened in people who have abused or misused benzodiazepines, including Chlordiazepoxide HCl.These serious side effects may also include delirium, paranoia, suicidal thoughts or actions, seizures, and difficulty breathing.
Call your healthcare provider or go to the nearest hospital emergency room right away if you get any of these serious side effects.
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You can develop an addiction even if you take Chlordiazepoxide HCl exactly as prescribed by your healthcare provider.
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Take
Chlordiazepoxide HCl exactly as your healthcare provider prescribed.
- Do not share your Chlordiazepoxide HCl with other people.
- Keep Chlordiazepoxide HCl in a safe place and away from children.
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Physical dependence and withdrawal reactions. Chlordiazepoxide HCl can cause physical dependence and withdrawal reactions, especially if you continue to take Chlordiazepoxide HCl for several days to several weeks.
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Do
not suddenly stop taking Chlordiazepoxide HCl. Stopping Chlordiazepoxide HCl suddenly can cause serious and life-threatening side effects, including unusual movements, responses, or expressions, seizures, sudden and severe mental or nervous system changes, depression, seeing or hearing things that others do not see or hear, an extreme increase in activity or talking, losing touch with reality, and suicidal thoughts or actions.
Call your healthcare provider or go to the nearest hospital emergency room right awayif you get any of these symptoms.
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Some
people who suddenly stop benzodiazepines have symptoms that can last for several weeks tomore than 12 months
, including, anxiety, trouble remembering, learning, or concentrating, depression, problems sleeping feeling like insects are crawling under your skin, weakness, shaking, muscle twitching, burning or prickling feeling in your hands, arms, legs or feet, and ringing in your ears.
- Physical dependence is not the same as drug addiction. Your healthcare provider can tell you more about the differences between physical dependence and drug addiction.
- Do not take more Chlordiazepoxide HCl than prescribed or take Chlordiazepoxide HCl for longer than prescribed.
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What is
Chlordiazepoxide HCl?
- Chlordiazepoxide HCl is a prescription medicine used:
- to treat anxiety disorders
- for the short-term relief of the symptoms of anxiety
- to treat withdrawal symptoms of acute alcoholism
- preoperatively to treat apprehension and anxiety
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Chlordiazepoxide
HCl is a federal controlled substance (C-IV) because it contains chlordiazepoxide that can be abused or lead to dependence.Keep Chlordiazepoxide HCl in a safe place to prevent misuse and abuse. Selling or giving away Chlordiazepoxide HCl may harm others, and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.
- It is not known if Chlordiazepoxide HCl is safe and effective in children under 6 years of age.
- It is not known if Chlordiazepoxide HCl is safe and effective for use for longer than 4 months.
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Do not takeChlordiazepoxide HCl if you are allergic to chlordiazepoxide or to any of the ingredients in Chlordiazepoxide HCl capsules. See the end of this Medication Guide for a complete list of ingredients in Chlordiazepoxide HCl capsules.
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Before you takeChlordiazepoxide HCl, tell your healthcare provider about all of your medical conditions, including if you:
- have or have had depression, mood problems, or suicidal thoughts or behavior
- have a history of drug or alcohol abuse or addiction
- have liver or kidney problems
- are pregnant or plan to become pregnant.
- Taking Chlordiazepoxide HCl late in pregnancy may cause your baby to have symptoms of sedation (breathing problems, sluggishness, low muscle tone), and/or withdrawal symptoms (jitteriness, irritability, restlessness, shaking, excessive crying, feeding problems).
- Tell your healthcare provider right away if you become pregnant or think you are pregnant during treatment with Chlordiazepoxide HCl.
- There is a pregnancy registry for women who take Chlordiazepoxide HCl during pregnancy. The purpose of the registry is to collect information about the health of you and your baby. If you become pregnant during treatment with Chlordiazepoxide HCl, talk to your healthcare provider about registering with the National Pregnancy Registry for Psychiatric Medications. You can register by calling 1-866-961-2388 or visiting https://womansmentalhealth.org/pregnancyregistry/.
- are breastfeeding or plan to breastfeed. Chlordiazepoxide HCl may pass into your breast milk.
- Talk to your healthcare provider about the best way to feed your baby if you take Chlordiazepoxide HCl.
- Breastfeeding is not recommended during treatment with Chlordiazepoxide HCl.
Tell your healthcare provider about all the medicines you take,including prescription and over-the-counter medicines, vitamins, and herbal supplements.
Taking Chlordiazepoxide HCl with certain other medicines can cause side effects or affect how well Chlordiazepoxide HCl or the other medicines work.
Ask your healthcare provider if you are not sure if you are taking any of these medicines. Your healthcare provider can tell you if it is safe to take Chlordiazepoxide HCl with your other medicines.
Do not start or stop any other medicines during treatment with Chlordiazepoxide HCl without talking to your healthcare provider first. Stopping Chlordiazepoxide HCl suddenly may cause you to have serious side effects. See,
“What are the possible side effects of Chlordiazepoxide HCl?”
Know the medicines you take. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.
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How should I take
Chlordiazepoxide HCl?
- Take Chlordiazepoxide HCl exactly as your healthcare provider tells you to take it.
- If you take too much Chlordiazepoxide HCl, call your healthcare provider or go to the nearest hospital emergency room right away.
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What are the possible side effects of
Chlordiazepoxide HCl?
Chlordiazepoxide HCl may cause serious side effects, including:
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See “What is the most important information I should know about
Chlordiazepoxide HCl?”
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Chlordiazepoxide HCl can make you sleepy or dizzy and can slow your thinking and motor skills.
- Do not drive, operate heavy machinery, or do other dangerous activities until you know how Chlordiazepoxide HCl affects you.
- Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking Chlordiazepoxide HCl without first talking to your healthcare provider. When taken with alcohol or drugs that cause sleepiness or dizziness, Chlordiazepoxide HCl may make your sleepiness or dizziness much worse.
The most common side effects of
Chlordiazepoxide HCl include:
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- loss of control of body movements (ataxia)
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These are not all the possible side effects of chlordiazepoxide. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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How should I store
Chlordiazepoxide HCl?
- Store Chlordiazepoxide HCl at room temperature between 68°F to 77°F (20°C to 25°C).
- Keep Chlordiazepoxide HCl capsules in a tightly closed container and out of the light.
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Keep Chlordiazepoxide HCl and all medicines out of the reach of children.
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General information about the safe and effective use of Chlordiazepoxide HCl.
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Chlordiazepoxide HCl for a condition for which it was not prescribed. Do not give Chlordiazepoxide HCl to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about Chlordiazepoxide HCl that is written for health professionals.
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What are the ingredients in Chlordiazepoxide HCl?
Active ingredient:chlordiazepoxide hydrochloride
Inactive ingredients:anhydrous lactose, D&C yellow no. 10, FD&C blue no. 1, FD&C blue no. 1 aluminum lake, gelatin, hydrogenated vegetable oil, microcrystalline cellulose, pharmaceutical glaze, propylene glycol, and titanium dioxide. The 5 mg and 25 mg also contain D&C yellow no. 10 aluminum lake, FD&C blue no. 2 aluminum lake, FD&C red no. 40 aluminum lake, and synthetic black iron oxide. In addition, the 5 mg contains D&C red no. 33 and the 10 mg also contains FD&C red no. 40, povidone, and sodium hydroxide.
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