Initial treatment1

To start a new patient on Versacloz:

  1. Order Baseline Labs:
    • Prior to initiating treatment, obtain a baseline absolute neutrophil count (ANC)
    • For patients with documented Benign Ethnic Neutropenia (BEN), obtain at least two baseline ANC levels
  2. Verify Lab Results:
    • General Population: VERSACLOZ initiation is not recommended in patients with a baseline ANC less than 1500/µL
    • Patients with BEN: VERSACLOZ initiation is not recommended in patients with BEN with a baseline ANC less than 1000/µL
  3. Write prescription
Starting Dose

Starting Dose

  • The recommended starting oral dosage is 12.5 mg once or twice daily.
  • This low starting dose is necessary to reduce the risk of orthostatic hypotension, bradycardia, and syncope
Starting Dose

Initial Titration

  • If well-tolerated, increase the total daily dose in increments of 25 mg to 50 mg per day.
  • Achieve a target dosage of 150 mg to 225 mg twice per day (300-450 mg/day total) by the end of two weeks.
Starting Dose

Subsequent Titration

  • After the initial two weeks, the dosage may be increased in increments of up to 100 mg once weekly or twice weekly.
Starting Dose

Maximum Dose

  • The maximum recommended oral dosage is 450 mg twice daily (900 mg/day total).

Important Safety Information

DRUG INTERACTIONS

  • CYP1A2 Inhibitors: Reduce VERSACLOZ dose to one-third when coadministered with strong CYP1A2 inhibitors (e.g., fluvoxamine, ciprofloxacin, enoxacin). Dose reduction may be necessary with concomitant use of moderate or weak CYP1A2 inhibitors (e.g., oral contraceptives or caffeine).
  • CYP2D6 or CYP3A4 Inhibitors. Dose reduction may be necessary with concomitant use of CYP2D6 or CYP3A4 inhibitors (e.g., cimetidine, escitalopram, erythromycin, paroxetine, bupropion, fluoxetine, quinidine, duloxetine, terbinafine, or sertraline).
  • CYP1A2 or CYP3A4 Inducers. Concomitant use with strong CYP3A4 inducers (carbamazepine, phenytoin, St. John's wort, rifampin) is not recommended. Dose increase may be necessary with concomitant use of moderate CYP1A2 (e.g., tobacco smoke) or CYP3A4 inducers. Consider reducing VERSACLOZ dose when CYP1A2 (e.g., tobacco smoke) or CYP3A4 (e.g., carbamazepine) inducers are discontinued.

Please see the full Prescribing Information for Important Safety Information, including
BOXED Warning.

Click here for additional safety information.

Reference: 1. Versacloz® Prescribing Information, Douglas Pharmaceuticals America Ltd. 2025

The information on this website is intended for use only by residents of the
United States.
VERSACLOZ is a registered trademark of Douglas Pharmaceuticals America Ltd. or its subsidiaries. Clozaril is a registered trademark of Novartis Pharmaceuticals Corporation.
InterSePT is a trademark of Novartis Pharmaceuticals Corporation.
© Douglas Pharmaceuticals America Ltd. All rights reserved. VSCL-0024-01 Rev0115