Clozapine Tablets

Cirocloz Tablets
Clozapine Tablets USP 100 mg
Each Uncoated tablet contains :
Clozapine USP 100 mg

Usage: – Treat certain mental/mood disorders

Category: – Antipsychotic / CNS Drugs

Therapeutic category: –

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Description

Clozapine Tablets (25mg / 50mg / 100mg)

Manufactured by: Healthy Life Pharma Pvt. Ltd. (WHO-GMP Certified)

Exported by: Healthy Inc (Star Export House)

1. Product Introduction

Healthy Life Pharma Pvt. Ltd. is a specialized Manufacturer of Clozapine Tablets in India. Clozapine is the “Gold Standard” Atypical Antipsychotic reserved for Treatment-Resistant Schizophrenia—patients who have failed to respond to at least two other antipsychotic drugs. It is also the only antipsychotic FDA-approved to reduce the risk of suicidal behavior in patients with schizophrenia.

We offer Contract Manufacturing (Third Party) services for this critical psychiatric medication. Clozapine requires strict safety monitoring due to the risk of agranulocytosis. Our WHO-GMP certified facility in Mumbai adheres to rigorous manufacturing protocols to ensure absolute Bioequivalence to the innovator, which is vital for patients whose stability depends on precise blood levels. Healthy Inc manages the export logistics, supplying psychiatric hospitals and government mental health programs across Europe, Australia, and the Middle East where strict pharmacovigilance programs are in place.

2. Product Specifications

ParameterSpecification
Product NameClozapine Tablets
Generic NameClozapine Tablets USP / BP / IP
CAS Number5786-21-0
Strength25mg / 50mg / 100mg
Dosage FormUncoated Tablet (Yellow / Scored)
StandardUSP / BP / IP Compliant
Therapeutic ClassAtypical Antipsychotic (Second Generation)
Shelf Life36 Months
Packaging10×10 Blister / 50s, 100s, 500s Bottle

3. Manufacturing Technology

Precision for the most vulnerable patients.

  • The Manufacturer: Healthy Life Pharma Pvt. Ltd.

    • Dissolution Consistency: Clozapine has narrow therapeutic targets. Variations in how fast the tablet dissolves can cause blood level spikes (seizures) or drops (relapse). We use high-grade Super-Disintegrants (Sodium Starch Glycolate) and strictly controlled compression forces to ensure every batch releases >85% of the drug within 30 minutes, matching the innovator’s profile.

    • Scored Accuracy: Titration is slow and precise (starting at 12.5mg). Our tablets are deeply scored to allow for accurate splitting without crumbling, facilitating the “Start Low, Go Slow” dosing regimen.

    • ODT Capability: We also have the technology to manufacture Orally Disintegrating Tablets (ODT) for non-compliant patients or those who “cheek” medication.

  • The Exporter: Healthy Inc

    • Safety Packaging: We provide packaging that highlights the need for blood monitoring (ANC testing) warnings, complying with global REMS (Risk Evaluation and Mitigation Strategy) requirements.

4. Quality Assurance

We adhere to strict Pharmacopoeial standards:

  • Bioequivalence: Our formulation is designed to match the pharmacokinetic profile (Cmax, AUC) of the reference listed drug (Clozaril).

  • Assay: We confirm the potency is strictly within 90-110% of the label claim.

  • Impurity Profiling: We strictly monitor for N-oxide and Desmethyl-clozapine impurities to ensure stability.

5. Why Use Clozapine?

The last resort that works when nothing else does.

  • Mechanism: Clozapine is a “dirty drug” (multi-receptor antagonist). It blocks Dopamine (D2) receptors (weakly) and Serotonin (5-HT2A) receptors (strongly). Uniquely, its “loose binding” to D2 receptors allows it to control psychosis with a significantly lower risk of Extrapyramidal Symptoms (EPS) and Tardive Dyskinesia compared to other antipsychotics. It also affects cholinergic, adrenergic, and histaminic receptors.

  • Key Indications:

    • Refractory Schizophrenia: Patients who have not improved on other drugs.

    • Suicide Prevention: Reducing suicidal behavior in schizophrenia.

    • Psychosis in Parkinson’s: (Low dose) Treating hallucinations in Parkinson’s disease without worsening motor symptoms.

6. Export and Regulatory Support

We streamline the registration process for our B2B partners:

  • Dossier Support: We offer CTD and ACTD Dossiers (with Bioequivalence Studies) for quick registration.

  • Certificates: Free Sale Certificate (FSC), COPP (WHO-GMP), and COA.

  • Logistics: Efficient shipping via Air or Sea (FOB Mumbai / CIF).

7. Frequently Asked Questions

  • Q: Who manufactures Clozapine Tablets?

    A: Healthy Life Pharma Pvt. Ltd. manufactures them in India.

  • Q: Is it Clozaril?

    A: Clozaril is the brand name (Novartis). We manufacture the Generic Equivalent (Clozapine).

  • Q: Why do I need blood tests?

    A: Critical Safety: Clozapine can cause Agranulocytosis (a severe drop in white blood cells), leaving you defenseless against infection. Regular blood tests (CBC/ANC) are mandatory to catch this early.

  • Q: Does it cause drooling?

    A: Yes. Sialorrhea (excessive drooling), especially at night, is a very common side effect.


CLINICAL PHARMACOLOGY & SAFETY INFORMATION

(For Registered Medical Practitioners & Patient Reference)

8. Dosage and Administration

  • Initial: 12.5mg once or twice daily.

  • Titration: Increase by 25-50mg per day to a target of 300-450mg daily (divided doses).

  • Max Dose: 900mg/day.

  • Re-titration: If missed for >48 hours, must restart at 12.5mg to avoid seizure/cardiac risk.

9. Side Effects and Precautions

  • Hematologic: WARNING: Severe Neutropenia/Agranulocytosis (1.3% risk). Monitor ANC weekly/monthly.

  • Cardiac: Myocarditis and Cardiomyopathy (can be fatal). Report chest pain or shortness of breath immediately.

  • CNS: Seizures (dose-dependent risk), sedation, dizziness.

  • Metabolic: Significant weight gain, diabetes, and dyslipidemia.

  • Gastrointestinal: Severe constipation (can lead to bowel obstruction).

10. Storage Instructions

  • Store below 25°C in a dry place.

  • Keep container tightly closed.