Tranxene

Generalized Anxiety Disorder, Seizures, Acute Alcohol Withdrawal + 1 more

Treatment

6 FDA approvals

11 Active Studies for Tranxene

What is Tranxene

Clorazepic acid

The Generic name of this drug

Treatment Summary

Clorazepate is a medication used to treat anxiety and related symptoms. It has the added benefit of being able to relax muscles and prevent seizures.

Tranxene T-Tab

is the brand name

image of different drug pills on a surface

Tranxene Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Tranxene T-Tab

Clorazepic acid

1972

55

Approved as Treatment by the FDA

Clorazepic acid, otherwise called Tranxene T-Tab, is approved by the FDA for 6 uses which include Generalized Anxiety Disorder and Partial-Onset Seizures .

Generalized Anxiety Disorder

Helps manage Generalized Anxiety Disorder

Partial-Onset Seizures

Seizures

Generalized Anxiety Disorder

Helps manage Generalized Anxiety Disorder

Acute Alcohol Withdrawal

Anxiety

Effectiveness

How Tranxene Affects Patients

Clorazepate is a type of medication in the benzodiazepine group. It has calming effects on the central nervous system and its main metabolite, nordiazepam, enters the bloodstream quickly. Research on healthy men shows that clorazepate has a calming effect on the central nervous system. When taken orally, clorazepate is changed into nordiazepam, meaning there is very little of the original drug left in the body.

How Tranxene works in the body

Benzodiazepines work by binding to two receptors, BNZ1 and BNZ2. BNZ1 helps you sleep and BNZ2 helps to relax your muscles, prevent seizures, and improve coordination and memory. Benzodiazepines increase the effects of the neurotransmitter GABA, which stops cells from becoming overly excited. This stops cells from firing too much and helps you relax.

When to interrupt dosage

The proposed dose of Tranxene is contingent upon the determined condition, such as Seizures, Anxiety and Generalized Anxiety Disorder. The quantity of dosage varies, depending on the technique of delivery (e.g. Tablet - Oral or Capsule - Oral) detailed in the table below.

Condition

Dosage

Administration

Seizures

, 3.75 mg, 7.5 mg, 15.0 mg, 11.3 mg, 5.0 mg, 22.5 mg

, Oral, Tablet - Oral, Tablet, Capsule, Capsule - Oral, Tablet, extended release - Oral, Tablet, extended release

Anxiety

, 3.75 mg, 7.5 mg, 15.0 mg, 11.3 mg, 5.0 mg, 22.5 mg

, Oral, Tablet - Oral, Tablet, Capsule, Capsule - Oral, Tablet, extended release - Oral, Tablet, extended release

Generalized Anxiety Disorder

, 3.75 mg, 7.5 mg, 15.0 mg, 11.3 mg, 5.0 mg, 22.5 mg

, Oral, Tablet - Oral, Tablet, Capsule, Capsule - Oral, Tablet, extended release - Oral, Tablet, extended release

Acute Alcohol Withdrawal

, 3.75 mg, 7.5 mg, 15.0 mg, 11.3 mg, 5.0 mg, 22.5 mg

, Oral, Tablet - Oral, Tablet, Capsule, Capsule - Oral, Tablet, extended release - Oral, Tablet, extended release

Warnings

Tranxene has one contraindication and should not be taken while encountering any of the conditions displayed in the table below.

Tranxene Contraindications

Condition

Risk Level

Notes

Glaucoma

Do Not Combine

There are 20 known major drug interactions with Tranxene.

Common Tranxene Drug Interactions

Drug Name

Risk Level

Description

Azelastine

Major

Clorazepic acid may increase the central nervous system depressant (CNS depressant) activities of Azelastine.

Ethanol

Major

Clorazepic acid may increase the central nervous system depressant (CNS depressant) activities of Ethanol.

Methadone

Major

Clorazepic acid may increase the central nervous system depressant (CNS depressant) activities of Methadone.

Oliceridine

Major

The risk or severity of hypotension, sedation, death, somnolence, and respiratory depression can be increased when Clorazepic acid is combined with Oliceridine.

Sodium oxybate

Major

Clorazepic acid may increase the central nervous system depressant (CNS depressant) activities of Sodium oxybate.

Tranxene Toxicity & Overdose Risk

The lowest toxic dose of the drug in rats has been found to be 1320mg/kg. Monkeys have also been found to tolerate a dose greater than 1600mg/kg. Overdosing on the drug can lead to confusion, coma, poor coordination, drowsiness, and a slower reaction time.

image of a doctor in a lab doing drug, clinical research

Tranxene Novel Uses: Which Conditions Have a Clinical Trial Featuring Tranxene?

32 active clinical trials are presently examining the potential of Tranxene to ameliorate Acute Alcohol Withdrawal, Anxiety and Seizure symptoms.

Condition

Clinical Trials

Trial Phases

Generalized Anxiety Disorder

7 Actively Recruiting

Not Applicable, Phase 2, Phase 3

Seizures

5 Actively Recruiting

Phase 3, Phase 2, Phase 1

Acute Alcohol Withdrawal

0 Actively Recruiting

Anxiety

0 Actively Recruiting

Tranxene Reviews: What are patients saying about Tranxene?

5

Patient Review

5/15/2014

Tranxene for Anxious

I've tried a lot of different medications for my anxiety and OCD, but none of them have worked as well as this one. Just 7.5 mg and I feel so much better with no side effects. I'm really grateful to have found something that finally works for me.

5

Patient Review

2/18/2015

Tranxene for Anxious

Though this medication is older, it's still just as effective. I think the price could be lower, though I understand the need for profit.

5

Patient Review

8/11/2021

Tranxene for Anxious

I've been taking anti-anxiety medications for 30 years now, and by far the most effective one I've found is Tranxene. It doesn't have any nasty side effects like some of the other ones I've tried, but it's hard to get because not many doctors prescribe it anymore.

5

Patient Review

8/15/2014

Tranxene for Anxious

This drug has been hugely helpful for my PTSD-anxiety. I've been on it for 20 years and have never needed to increase the dosage, which is amazing.

5

Patient Review

12/2/2013

Tranxene for Anxious

This treatment has been working well for me for over 30 years. I take it 2-3 times a day as needed.

5

Patient Review

9/4/2012

Tranxene for Anxious

I've been on tranxene for 35 years and it's the only medication I need. It really works well for me.

4.3

Patient Review

9/7/2011

Tranxene for Anxious

I was prescribed this for mild anxiety and to help lower blood pressure. However, after just a few days I began feeling very depressed. This was followed by days of crying for no reason. It took my son noticing the change before I realized it might be the medication. After discussing with my doctor, he said that while rare, some people do experience this side effect. So, I stopped taking the medication and have slowly returned to my "normal" anxious state.

3

Patient Review

11/26/2019

Tranxene for Anxious

My mother took this medication for almost a decade before she started showing signs of tardive dyskinesia and memory loss. It's been quite a nightmare since then.

2.3

Patient Review

8/28/2011

Tranxene for Anxious

1

Patient Review

5/11/2017

Tranxene for Anxious

I was disappointed with this medication. It didn't do much for my anxiety and it took too long to work. Xanax worked much better for me, and I took it for 18 years.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about tranxene

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Tranxene used to treat?

"This medication is used to treat anxiety, acute alcohol withdrawal, and seizures. It belongs to a class of drugs called benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect."

Answered by AI

Is Tranxene a narcotic?

"TRANXENE is a federally controlled substance (C-IV) because it has the potential to be abused or lead to dependence. Keep TRANXENE in a safe place to prevent misuse and abuse. Distributing TRANXENE, whether through selling or giving it away, can harm others and is against the law."

Answered by AI

Is Tranxene better than Xanax?

"Tranxene is considered to take effect more quickly, typically within 30-60 minutes, while Xanax is considered to have an intermediate onset range, which means it will typically take longer for the drug to take effect."

Answered by AI

How does Tranxene make you feel?

"Tranxene is a medication that affects the brain and central nervous system, creating a calming effect. The most common side effects are drowsiness, fatigue, dizziness, dry mouth, confusion, loss of coordination, and changes in mood."

Answered by AI

Clinical Trials for Tranxene

Image of Baylor College of Medicine in Houston, United States.

Stepped Care Treatment for Anxiety

7 - 17
All Sexes
Houston, TX

Childhood anxiety disorders (CAD) are common and impairing. Family based cognitive behavioral therapy (CBT) is efficacious in treating CAD. Yet, many children do not receive care due to barriers such as limited provider availably, high treatment costs, and constrained family resources (e.g., time). To combat these barriers, other treatment methods have been developed. The stepped care treatment models maximize resources by providing low-intensity, low-cost interventions as a first time treatment, while stepping up care for those needing more intensive treatment. Specifically, a stepped care model for CAD that begins with a parent-focus intervention has great promise to deliver efficacious and cost-effective treatment without having to engage the child. While stepped care approaches show promise in treating CAD with comparable efficacy to standard CBT, there remains a large research-to-practice gap. The stepped care model for CAD that begins with a parent-focused intervention has yet been explored, and very little is known about intervention mediators that explain mechanisms of change. This research is being done to improve the reach and quality of services using a stepped care model, offering an affordable and practical solution to the widespread gap in youth mental health care.

Waitlist Available
Has No Placebo

Baylor College of Medicine

Have you considered Tranxene clinical trials?

We made a collection of clinical trials featuring Tranxene, we think they might fit your search criteria.
Go to Trials
Image of Kingston General Health Research Institute in Kingston, Canada.

Psilocybin for Generalized Anxiety Disorder

18 - 60
All Sexes
Kingston, Canada

This Phase 2a clinical trial is designed to evaluate the safety, tolerability, and preliminary efficacy of a 3 mg dose of psilocybin oral solution for the treatment of Generalized Anxiety Disorder (GAD). The study consists of three sequential phases: Screening Phase (up to 4 weeks), Open-label Run-in Phase (4 weeks), Double-blind Treatment Phase (4 weeks) Screening Phase During the Screening Visit, participants will provide informed consent and undergo a comprehensive medical evaluation, including an abbreviated psychiatric assessment, to determine eligibility. To qualify, patients must have a clinician-rated Hamilton Anxiety Rating Scale (HAM-A) score ≥14. Additionally, participants must not be on regular anxiolytic treatment or must have discontinued such treatment at least 4 weeks prior to the start of the Open-label Run-in Phase. Open-label Run-in Phase Eligible patients will proceed to the 4-week Open-label Run-in Phase. During this phase, patients will attend four weekly clinic visits, supplemented by weekly remote contacts (via phone or email). At different timepoints during the OL Run-in Phase, participants will complete safety assessments, undergo cognitive testing and EEG and other patient reported outcomes (PROs). Double-blind Treatment Phase Participants who demonstrate a treatment response during the Open-label Phase-defined as a ≥50% reduction in GAD-7 score from baseline-will be randomized 1:1 to receive either psilocybin oral solution or placebo at the Double-blind Baseline Visit. Patients not meeting the response criteria will undergo End-of-Treatment (ET) procedures at this visit. At different timepoints during the DB Treatment Phase, participants will complete safety assessments, undergo cognitive testing and EEG and other patient reported outcomes (PROs). Completion of the End of Treatment (ET) phase will be 2 weeks to further assess safety and PROs.

Phase 2
Recruiting

Kingston General Health Research Institute

Diamond Therapeutics Inc.

Image of UT Southwestern Multispecialty Psychiatry Clinic in Dallas, United States.

Social Therapy for Eating Disorders

18 - 30
All Sexes
Dallas, TX

Social processing and cognition are often altered in patients with eating disorders. The goal of this clinical trial is to assess two different social therapeutic interventions -- one educational, one interactive -- for their effectiveness in improving clinical outcomes in patients with eating disorders. Patients in both interventions will receive education about social function in eating disorders, but those in the interactive treatment group will complete an additional collaborative art task. Participants will: * attend a baseline study visit to complete clinical interviews, cognitive testing, and behavioral tasks * complete a pre-intervention assessment with questionnaires * attend eight sessions of their assigned treatment group over the course of 12 weeks * complete three virtual follow-up assessments 4, 8, and 12 months from their baseline * attend a final study visit to repeat some clinical interviews, cognitive testing, and behavioral tasks Researchers will compare changes in eating disorder, mood, and anxiety symptoms as well as test results from baseline and final study visits for each group to see if * patients can be treated effectively with education alone or if an interactive group component produces additional benefits * cognitive and behavioral task performance are associated with recovery or illness state.

Recruiting
Has No Placebo

UT Southwestern Multispecialty Psychiatry Clinic

Carrie J McAdams, MD PhD

Have you considered Tranxene clinical trials?

We made a collection of clinical trials featuring Tranxene, we think they might fit your search criteria.
Go to Trials