Dosing & Administration
Adult Dose
0.25-2 mg PO BID. Max 20 mg/day for seizures.
Pediatric Dose
0.01-0.03 mg/kg/day divided.
Renal Adjustment
No adjustment necessary.
Hepatic Adjustment
Avoid in severe liver disease.
Safety & Special Populations
Pregnancy Category
D
Lactation Safety
Not recommended.
Contraindications & Adverse Effects
Contraindications
- Severe liver disease
- Acute narrow-angle glaucoma
Common Adverse Effects
- Sedation
- Ataxia
- Cognitive impairment
- Dependence/Withdrawal