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Is Clorazepate a Controlled Substance? Comprehensive Guide


Clorazepate is also known by the brand name Tranx. It’s a commonly prescribed medication and is used specifically for anxiety disorders, seizures, & symptoms of acute alcohol withdrawal. Many people often ask, “Is clorazepate a controlled substance?” In this comprehensive overview, we will get into the details to help you understand this medication better.

Clorazepate belongs to the benzodiazepine family and is known for its calming and soothing effects. Its classification as a controlled substance means that it has a higher potential for misuse and dependence. As a controlled substance, clorazepate is subject to strict regulations and monitoring to stop its misuse and protect public health.

Comprehending its classification is vital for healthcare professionals, patients, and anyone who may come into contact with this medication. Come along as we explore the world of clorazepate, including its status as a controlled substance, how it works, possible side effects, therapeutic applications, and crucial safety considerations. Give yourself the information you need to ensure that clorazepate is used responsibly and to make well-informed decisions about it.

What is Clorazepate?

Clorazepate is a member of the benzodiazepine drug class. Benzodiazepines have a calming effect by acting on the Central nervous System (CNS). They improve the activity of gamma-aminobutyric acid (GABA), a neurotransmitter that hinders certain brain signals and decreases nervous system activity. This measure helps to reduce anxiety, prevent seizures, and induce sedation.

Anxiety Disorders: Clorazepate is prescribed to control anxiety disorders or deliver short-term relief from anxiety symptoms.

Seizure Disorders: For some kinds of seizures, it can be used as an adjunctive therapy.

Acute Alcohol Withdrawal: Clorazepate reduces agitation, tremors, and hallucinations that are brought on by alcohol withdrawal.

Pharmacology of Clorazepate

The prodrug form of clorazepate is free from activity until it is first metabolized by the body. That is where we become aware of the fact that it is being processed and changed into its main form known as nordiazepam-nordiazepam is processed in no less than 90 percent by the liver. One of the uses of this metabolite is its contribution to the therapeutic action of the drug. Clorazepate has a long half-life, so it is most frequently taken one or twice a day.

What is a controlled substance?

A controlled substance is the so-called neuroactive substance – it dominates in our body. Usually, neuroactive substances are a drug or other chemical that can easily be misused and probably is controlled and limited through prescribing or legal qualities. There are also illicit narcotics and regulated prescription drugs. Controlled substances are chemicals and drugs that are termed controlled substances according to the Controlled Substances Act (CSA) and are grouped into five schedules. Generally, medical doctors who will be allowed to prescribe the medicine will decide when scheduling occurs based on the drug’s medical use in the admissible treatment of disease as well as its physical and psychological impact on the user. The parent substances are the basic or parent chemicals in the CSA schedule list updated yearly. It must be borne in mind that this is not a complete list because salts, isomers, esters, ethers, and derivatives of such substances are not covered in it.

Is Clorazepate a Controlled Substance?

Downright, clorazepate is among the drugs that can only be got by prescription. Clorazepate is a Schedule IV controlled substance, which is a class of controlled substances controlled but regulated according to the Controlled Substances Act (CSA) of the USA. Remember that this drug is also grouped under Schedule IV but the abuse potential is said to be lesser compared to those drugs under Schedules I, II, and III. However, the medical use of these drugs is recognized in Schedule IV of the Act but still, it is regulated, like other abuse and misuse.

Mechanism of Action

Clorazepate, one of the benzodiazepines, is the one which is usually referred to as a calming, muscle relaxant, anticonvulsant, and, in the first place, for it is, an anxiolytic drug. GABA is a neurotransmitter which is one of the major inhibitory neurotransmitters. It is released in the brain and works mainly through the GABA system. This way, the brain’s activities are slowed down, which makes it suitable for treating anxiety disorders, seizures, and sudden alcohol withdrawal symptoms.

Risks and Benefits of Clorazepate


  • Efficacy: It is efficient in treating anxiety, seizures, and alcohol withdrawal symptoms.
  • Fast-Acting: Provides speedy relief from symptoms.
  • Versatile: It can be utilized for several different disease conditions.


  • Dependency: Over time, feeling like one needs to use it may become not only a psychological but also a physical issue.
  • Withdrawal Symptoms: This can lead to the patient [] 1one234 stopping the dosage overnight to feel withdrawal symptoms like sweating, nausea, anxiety, etc.
  • Side Effects: It can be in the category of such drugs that cause sleepiness, dizziness, and in some cases, confusion too

Withdrawal and Dependency

Like most other benzodiazepines, clorazepate has the potential to bring about addiction, most notably in the case of its long-term use. The withdrawal symptoms of the medication may just be mild ones, like anxiety, loss of sleep, and shaking; in contrast, they may be also severe ones, such as seizures; occasionally. The decreasing dosage of the medicine should be strictly supervised to avoid the side effects caused by discontinuing.

Legal Status in Different Countries

Here’s how clorazepate is classified globally:

  • US: Substance classified as Schedule IV.
  • Canada: The Controlled Drugs and Substances Act lists it in Schedule IV.
  • European Union: a broad classification with varying specifics that is generally the same across many EU member states.
  • In Australia, this medication is categorized as Schedule 4 (prescription only).

Reasons for Control:

Clorazepate is one of the benzodiazepines that can cause abuse and dependence. The risk increases considerably with prolonged use. Seizures and agitation are two severe withdrawal symptoms that can arise from an abrupt stop.

Safe Use of Clorazepate:

Adhere to these guidelines for safe use:

  • Pay close attention to what your healthcare provider tells you.
  • Avert prolonged use as there is a risk of dependency.
  • Consult your provider frequently to keep an eye on side effects and effectiveness.
  • Reduce withdrawal symptoms by tapering off gradually if stopping is necessary.

Potential Side Effects:

Droopiness, vertigo, dry mouth, blurred vision, and headaches are a few typical adverse effects. Adverse effects, such as mood swings or breathing problems, are uncommon but potentially lethal.

Clorazepate vs. Other Benzodiazepines

Understanding clorazepate’s distinct characteristics, effectiveness, and probability of its becoming a dependency is essential in comparing its effects on other members of the group of benzodiazepines. Albeit all benzodiazepines work based on the exact mechanism, they, however, differ in their pharmacokinetic profiles and clinical indications.

Onset and Duration of Action

  • Clorazepate: It has one of the longest half-lives and an extended onset of action. The benefit of this characteristic is that it can be used for problems that require continuous treating the patient.
  • Diazepam is sometimes called Valium. It rapidly reduces anxiousness and regulates seizures. It also has a long half-life feature.
  • Lorazepam (Ativan): This drug is often used as a preoperative sedative, in patients with anxiety disorders and it has a moderate start and duration.
  • Alprazolam, also known as Xanax: Its action is fast, but it is also short-term affecting which makes it suitable for panic attacks and also carries a high risk of addiction.

Medical Uses

  • Anxiety: Clorazepate is better suited for regular or long-term use for treating anxiety than alprazolam because it takes longer and is more of a regular course than an emergency treatment for anxiety.
  • Seizures: Both clorazepate and diazepam are effective in controlling seizures, however, the long-term effects of clorazepate may make long-term treatment more desirable.
  • Alcohol Withdrawal: Like diazepam, clorazepate relieves withdrawal symptoms over a longer period of time.

Dependency and Withdrawal

  • Clorazepate causes dependency and withdrawal like other benzodiazepines. Its long half-life enables an easier withdrawal process.
  • Short-Acting Benzodiazepines (e.g., Alprazolam): This is the one that has a higher chance of being abused and leads to a more intense withdrawal effect.
  • Those forms of Benzodiazepines that fall in between the two categories, intermediate-acting and long-acting ones (e.g., Lorazepam, Diazepam) are of less immediate abuse risk yet have the potential to cause disturbing withdrawal issues with extended use.

Side Effects

  • Common Side Effects: All benzodiazepines have a common side effect which is sedation, dizziness, and coordination problems. The severity and duration of these side effects vary.
  • Special Considerations: Clorazepate’s metabolites can lead to protracted sedation, particularly in old people or individuals who are malevolent. This kind of withdrawal is more severe for the short-acting drugs.

Selecting the Right Benzodiazepine

  • Due to its steady effect, clorazepate is the best medication for the long-term management of seizures and chronic anxiety.
  • Diazepam: Perfect for quick and immediate relief from severe anxiety and muscle spasms.
  • Lorazepam: Pre-surgery and acute stress are recommended for lorazepam as it is fast-acting and not too long-lasting.
  • Alprazolam: It works great for panic attacks, but as it is of short onset, the probability of abuse is also high.

In conclusion, although clorazepate has much in common with other benzodiazepines, this special profile of its effect is indeed most suitable for diseases that need constant care for a long time. Nevertheless, it should be used cautiously to avoid addiction and withdrawal symptoms.

Frequently Asked Questions

Que: What are the usual clorazepate side effects?

Ans: Most commonly, clorazepate causes the following: dizziness, fatigue, and coordination trouble. It’s important to let a healthcare provider know if there are any side effects that are bothersome or do not go away.

Que: Can clorazepate be used long-term?

Ans: Medical experts do base prescribing on the patient’s reaction including if the substances are causing dependence or tolerance. The most common indications are for short-term reasons and the requirement could be first time round or intermittent.

Que: How should clorazepate be taken?

Ans: Clorazepate should be taken precisely as a doctor tells you. Based on your health condition and how your body responds to treatment, doctors will instruct you on the dosage and duration of the therapy you need.

Que: Can I drink alcohol while taking clorazepate?

Ans: No, drinking alcohol when you are on clorazepate can be life-threatening, with the risk of severe side effects such as respiratory depression, profound sedation, and coma, is high.

Que: How long does clorazepate stay in your system?

Ans: Clorazepate possesses a long half-life, meaning it could still be detected in your body several days afterward, so it stays in your system for some time. An active metabolite, nordiazepam is an additional drug that could remain in the body for a longer period of time.


In conclusion, the answer to the question is clorazepate a controlled substance is yes. The safe use of drugs by following the right procedures recommended by healthcare providers and monitoring possible side effects should be the priority of consumer health institutions. The final word is, and always a medical doctor should be consulted prior to starting or stopping any medication, including clorazepate!

If you need help with addiction or if you want more information about how to take medication safely, come to us at the AVISA Recovery Center. Our elite team of specialists is here to walk along with you through your recovery and good health. Connect with us now to have our amazing services for care and counseling.

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