For your patients with treatment-resistant schizophrenia…
After schizophrenia treatment failures,
change course—consider Versacloz1
Versacloz is indicated for:
- Treatment-resistant schizophrenia in severely ill patients. Because of the significant risk of agranulocytosis and seizure associated with its use, VERSACLOZ should be used only in patients who have failed to respond adequately to standard antipsychotic treatment. The effectiveness of clozapine was established in a 6-week, randomized, double-blind, active-controlled study comparing clozapine and chlorpromazine in patients who had failed other antipsychotics.
- Reduction in the risk of recurrent suicidal behavior in patients with schizophrenia or schizoaffective disorder who are at chronic risk for re-experiencing suicidal behavior, based on history and recent clinical state. The effectiveness of clozapine was demonstrated over a 2-year treatment period in the InterSePTTM trial.
- Highly concentrated oral, low-volume suspension: 1 mL = 50 mg1
- Offers a tasteless choice of clozapine therapy2
- Measured and administered using an oral syringe—no need to mix or match clozapine tablets
Dedicated Clinical Compliance Liaisons (CCLs):
- 24/7 support services to support healthcare practitioners and pharmacies
Important Safety Information
- VERSACLOZ is contraindicated in patients with a history of serious hypersensitivity to clozapine (e.g., photosensitivity, vasculitis, erythema multiforme, or Stevens-Johnson Syndrome) or any other component of VERSACLOZ [see Adverse Reactions (6.2) of the Prescribing Information].
Warnings and Precautions
- Eosinophilia has occurred, usually during the first month of treatment with clozapine. In clinical trials, approximately 1% of patients developed eosinophilia. Discontinue VERSACLOZ if organ involvement (e.g., myocarditis, pancreatitis, hepatitis, colitis, nephritis) occurs.
- QT interval prolongation, sometimes life-threatening, has occurred with clozapine. Consider additional risk factors for prolonged QT interval (disorders and drugs) including patient or family history, treatment with other medications that cause QT prolongation or inhibit the metabolism of VERSACLOZ, and electrolyte abnormalities. Discontinue use if the QTc interval exceeds 500 msec or if the patient experiences symptoms consistent with Torsades de Pointes or other arrhythmias (e.g., syncope, presyncope, dizziness, or palpitations).
- Atypical antipsychotics including clozapine have been associated with metabolic
- Hyperglycemia and Diabetes Mellitus: Hyperglycemia, in some cases extreme and associated with ketoacidosis and hyperosmolar coma or death, has been reported in patients treated with atypical antipsychotics including clozapine. Monitor for symptoms of hyperglycemia including polydipsia, polyuria, polyphagia, and weakness. Monitor glucose regularly in patients with or at risk for diabetes.
- Dyslipidemia: Undesirable alterations in lipids have occurred in patients treated with atypical antipsychotics. Baseline and periodic follow-up lipid evaluations are recommended.
- Weight Gain: Weight gain has occurred in clinical trials with clozapine. Monitor weight during treatment.
- Neuroleptic Malignant Syndrome (NMS), a potentially fatal symptom complex, has been reported with administration of antipsychotics, including clozapine. Clinical manifestations include hyperpyrexia, muscle rigidity, altered mental status, and autonomic instability. Additional signs may include elevated creatine phosphokinase, myoglobinuria, rhabdomyolysis, and acute renal failure. If NMS occurs, immediately discontinue VERSACLOZ, manage with intensive symptomatic treatment, monitor closely, and assess for comorbidities.
- Patients have experienced transient, clozapine-related fever during therapy, often within the first 3 weeks of treatment. Evaluate patients with fever for agranulocytosis, infection, or NMS.
- Consider pulmonary embolism (PE) if respiratory distress, chest pain, or deep vein thrombosis occur.
- CNS and peripheral anticholinergic toxicity can occur with VERSACLOZ. Use cautiously in the presence of narrow-angle glaucoma, concomitant anticholinergic drugs, prostatic hypertrophy, or other conditions in which anticholinergic effects can lead to significant adverse reactions. Treatment with VERSACLOZ can result in gastrointestinal adverse reactions, sometimes fatal, including constipation, intestinal obstruction, fecal impaction, and paralytic ileus.
- VERSACLOZ can cause sedation and impairment of cognitive and motor performance. Advise caution when operating machinery, including automobiles. Consider reducing the dose if cognitive or motor interference occurs.
- Tardive dyskinesia (TD) has occurred in patients treated with antipsychotic drugs including clozapine. The risk and likelihood that it will become irreversible are believed to increase with greater durations of treatment and higher total cumulative doses, although it can occur after short periods and at low doses. Use the lowest effective dose and the shortest duration necessary to control symptoms. Periodically assess the need for continued treatment. Consider discontinuing VERSACLOZ if TD occurs.
- Cerebrovascular adverse reactions (e.g., stroke, transient ischemic attack), including fatalities, have occurred in elderly patients with dementia-related psychosis who were treated with some atypical antipsychotics. Use VERSACLOZ with caution in patients with risk factors for cerebrovascular adverse reactions.
- If abrupt discontinuation is necessary, monitor carefully for the recurrence of psychotic symptoms and adverse reactions related to cholinergic rebound.
- Most common adverse reactions (≥5%) were: CNS reactions (sedation, dizziness/vertigo, headache, and tremor); cardiovascular reactions (tachycardia, hypotension, and syncope); autonomic nervous system reactions (hypersalivation, sweating, dry mouth, and visual disturbances); gastrointestinal reactions (constipation and nausea); and fever.
You may contact the Clozapine REMS Program
at 844-267-8678 or at
References: 1. Versacloz® Prescribing Information. Palo Alto, CA: Jazz Pharmaceuticals, Inc.; 2017. 2. Data on file. Warminster, PA: Tasman Pharma, INC.; 2017.