Europe — EMA
Librax
GNH USA supplies Librax (Chlordiazepoxide/Clidinium bromide), a benzodiazepine/anticholinergic for irritable bowel syndrome, peptic ulcer disease
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What is Chlordiazepoxide, Clidinium Bromide?
Chlordiazepoxide, the active ingredient in Librax, is a benzodiazepine presented as a 5 mg/2.5 mg tablet for oral use. It treats gastrointestinal spasm and associated anxiety in adults with functional gastrointestinal disorders.
GNH USA supplies Librax as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.
What is Chlordiazepoxide, Clidinium Bromide used for?
Librax combines a benzodiazepine and an anticholinergic to manage functional gastrointestinal disorders and related conditions.
Irritable bowel syndrome: reduces abdominal pain and cramping. Peptic ulcer disease: decreases ulcer‑related pain and gastric hypersecretion. Functional gastrointestinal disorders: alleviates smooth‑muscle spasm and associated anxiety.
What are the side effects of Chlordiazepoxide, Clidinium Bromide?
Librax may cause a range of adverse reactions, varying from mild to severe.
Common Side Effects: - Drowsiness or fatigue - Dry mouth - Constipation - Dizziness or light‑headedness - Blurred vision
Serious or Rare Side Effects: - Severe respiratory depression, especially with other CNS depressants - Marked hypotension or cardiovascular collapse - Paradoxical agitation or severe confusion - Anaphylactic or severe allergic reactions
What precautions apply to Chlordiazepoxide, Clidinium Bromide?
Before prescribing Librax, clinicians should consider several safety factors.
Assess anxiety level: evaluate baseline anxiety and dependence risk. Monitor for dependence: benzodiazepine component may lead to tolerance with prolonged use. Avoid in narrow‑angle glaucoma: anticholinergic effect can worsen intra‑ocular pressure. Caution in elderly: increased susceptibility to sedation, falls and confusion. Store at ambient temperature: keep in the original container, protect from moisture and heat.
What does Chlordiazepoxide, Clidinium Bromide interact with?
Librax can interact with several drug classes, requiring careful management.
Major Interactions (Avoid): - Other CNS depressants (e.g., barbiturates, sedative antihistamines): may cause profound sedation. - Alcohol: potentiates sedative and respiratory‑depressant effects. - Opioids: increased risk of respiratory depression and profound CNS depression.
Moderate Interactions (Monitor Closely): - Anticholinergic drugs (e.g., antihistamines, tricyclic antidepressants): additive dry mouth, constipation, urinary retention. - CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may raise chlordiazepoxide plasma levels. - Antihistamines: enhanced anticholinergic burden leading to confusion in susceptible patients.
Frequently asked questions
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Product details
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