Mr. Ibrahem/Cenobamate
Clinical data
Trade namesXcopri, Ontozry
Other namesYKP3089
AHFS/Drugs.comMonograph
MedlinePlusa620021
License data
Routes of
administration
By mouth
Legal status
Legal status
Pharmacokinetic data
Bioavailability≥88%
Protein binding60%
MetabolismMainly glucuronidation via UGT2B7
Elimination half-life50–60 hours
ExcretionMainly via urine
Identifiers
  • [(1R)-1-(2-chlorophenyl)-2-(tetrazol-2-yl)ethyl] carbamate
Chemical and physical data
FormulaC10H10ClN5O2
Molar mass267.67 g·mol−1
3D model (JSmol)
  • C1=CC=C(C(=C1)C(CN2N=CN=N2)OC(=O)N)Cl
  • InChI=1S/C10H10ClN5O2/c11-8-4-2-1-3-7(8)9(18-10(12)17)5-16-14-6-13-15-16/h1-4,6,9H,5H2,(H2,12,17)/t9-/m0/s1
  • Key:GFHAXPJGXSQLPT-VIFPVBQESA-N

Cenobamate, sold under the brand name Xcopri and Ontozry, is a medication used to treat epilepsy, specifically focal-onset seizures.[1] It may be used together with other medication.[3] It is taken by mouth.[1]

Common side effects include sleepiness, dizziness, tiredness, double vision, and headache.[1] Other side effects may include short QT, DRESS, and suicide.[1] Use in pregnancy may harm the baby.[1] How it works is not entirely clear; however, it alters ion channels.[1]

Cenobamate was approved for medical use in the United States in 2019 and Europe in 2021.[4][3] It is on Schedule V of the Controlled Substances Act.[5] In the United States 30 pills of 100 mg costs about 1,000 USD as of 2022.[6]

References edit

  1. ^ a b c d e f g h i "Xcopri Titration Pack- cenobamate kit Xcopri- cenobamate tablet, film coated Xcopri Maintenance Pack- cenobamate kit". DailyMed. Archived from the original on 11 August 2020. Retrieved 1 February 2021.
  2. ^ "Schedules of Controlled Substances: Placement of Cenobamate in Schedule V". Federal Register. 10 March 2020. Archived from the original on 3 April 2021. Retrieved 4 August 2021.
  3. ^ a b c "Ontozry EPAR". European Medicines Agency (EMA). 25 January 2021. Archived from the original on 4 June 2021. Retrieved 4 June 2021. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  4. ^ "Cenobamate Monograph for Professionals". Drugs.com. Retrieved 3 January 2022.
  5. ^ "2020 - Placement of Cenobamate in Schedule V". DEA Diversion Control Division. 10 March 2020. Archived from the original on 19 April 2020. Retrieved 11 March 2020.
  6. ^ "Xcopri Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 19 October 2021. Retrieved 3 January 2022.