• Seizure disorders

Banzel Generic Name & Formulations

General Description

Rufinamide 200mg, 400mg; scored tabs.

Pharmacological Class


How Supplied

Tabs—120; Susp—460mL (w. adapter & dosing syringe)


Banzel Indications


Adjunctive treatment of seizures in Lennox-Gastaut syndrome.

Banzel Dosage and Administration


Take with food in 2 equally divided doses. ≥17yrs: initially 400–800mg per day; increase by 400–800mg/day every other day up to max 3200mg/day. Avoid abrupt cessation (reduce dose by 25% every 2 days).


<1yrs: not established. Take with food in 2 equally divided doses. 1–<17yrs: initially 10mg/kg per day; increase every other day by 10mg/kg up to max 45mg/kg per day or 3200mg/day (whichever is less). Avoid abrupt cessation (reduce dose by 25% every 2 days).

Banzel Contraindications


Familial short QT syndrome.

Banzel Boxed Warnings

Not Applicable

Banzel Warnings/Precautions


Increased risk of suicidal thoughts or behavior; monitor for new or worsening of depression, suicidal thoughts, or unusual changes. Severe hepatic impairment: not recommended. Mild to moderate hepatic impairment. Dialysis (may adjust dose). Monitor for multi-organ hypersensitivity reactions; discontinue if suspected. Pregnancy. Nursing mothers.

Banzel Pharmacokinetics

See Literature

Banzel Interactions


Caution with drugs that shorten QT interval. CNS depression with alcohol, other CNS depressants. Antagonizes carbamazepine, lamotrigine, triazolam. May potentiate phenobarbital, phenytoin. Potentiated by valproate (reduce doses). Antagonized by carbamazepine, phenobarbital, primidone, phenytoin. May affect substrates of CYP3A4, CYP2E1 (monitor). Antagonizes hormonal contraceptives (use additional non-hormonal forms). May be affected by inducers or inhibitors of carboxylesterases.

Banzel Adverse Reactions

Adverse Reactions

Headache, dizziness, fatigue, somnolence, nausea, incoordination, gait disturbances, ataxia, visual disturbances, leukopenia, fever/rash.

Banzel Clinical Trials

See Literature

Banzel Note

Not Applicable

Banzel Patient Counseling

See Literature