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Molecule

Stiripentol

Available on requestOrphanNeurology
Presentations
4
Brands
1
Manufacturers
1
Available from stock
0

Stiripentol is a prescription medicine indicated for the treatment of seizures associated with Dravet syndrome (DS) in patients taking clobazam who are 6 months of age and older and weighing 7 kg or more. MedsAcross supplies Stiripentol for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

ATC classification
N03AX17 Stiripentol · Anticonvulsant agent, subgroup N03AX
US FDA first approval
20 August 2018
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Capsule, Powder for oral suspension
Identifiers
UNII R02XOT8V8IRxCUI 2054968CAS 49763-96-4DrugBank DB09118Q412182

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

DIACOMIT is indicated for the treatment of seizures associated with Dravet syndrome (DS) in patients taking clobazam who are 6 months of age and older and weighing 7 kg or more. There are no clinical data to support the use of DIACOMIT as monotherapy in Dravet syndrome. DIACOMIT is indicated for the treatment of seizures associated with Dravet syndrome in patients taking clobazam who are 6 months of age and older and weighing 7 kg or more.

Source: US FDA prescribing information

How it works

The mechanism by which DIACOMIT exerts its anticonvulsant effect in humans is unknown. Possible mechanisms of action include direct effects mediated through the gamma-aminobutyric acid (GABA) A receptor and indirect effects involving inhibition of cytochrome P450 activity with resulting increase in blood levels of clobazam and its active metabolite.

Source: US FDA prescribing information

Dosing overview

The dosage of DIACOMIT is 50 mg/kg/day, administered by mouth in 2 or 3 divided doses, depending on age and weight. Capsules must be swallowed whole with a glass of water during a meal. Capsules should not be broken or opened. Powder for suspension should be mixed in a glass of water and should be taken immediately after mixing during a meal. Reduce dose or discontinue dose gradually.

Source: US FDA prescribing information

Warnings and precautions

Somnolence: Monitor for somnolence, particularly when DIACOMIT is used concomitantly with other CNS depressants, If somnolence occurs during co-administration with clobazam, consider an initial reduction of clobazam by 25%. Decreased Appetite and Decreased Weight: the weight of patients and the growth rate of pediatric patients should be carefully monitored. Neutropenia and Thrombocytopenia: Blood counts should be obtained prior to starting treatment with DIACOMIT and then every 6 months. Withdrawal: DIACOMIT should be gradually withdrawn to minimize the risk of increased seizure frequency and status epilepticus. Risks in Patients with Phenylketonuria (PKU): DIACOMIT for oral suspension contains phenylalanine, consider total daily intake before prescribing to patients with PKU. Suicidal Behavior and Ideation: Monitor for suicidal thoughts or behaviors.

Source: US FDA prescribing information

Side effects

The following serious or otherwise clinically significant adverse reactions are described elsewhere in the labeling: Somnolence Decreased Appetite and Decreased Weight Neutropenia and Thrombocytopenia Withdrawal Symptoms Risks in Patients with Phenylketonuria Suicidal Behavior and Ideation Adverse reactions that occurred in at least 10% of DIACOMIT-treated patients and more frequently than on placebo were somnolence, decreased appetite, agitation, ataxia, weight decreased, hypotonia, nausea, tremor, dysarthria, and insomnia.

Source: US FDA prescribing information

Interactions

DIACOMIT increases the plasma concentration of clobazam and its metabolite through metabolic inhibition of CYP3A4 and CYP2C19. Consider dose reduction of clobazam in case of adverse reactions. Substrates of CYP2C8, CYP2C19, P-gp and BCRP may require a dose reduction. Substrates of CYP1A2, CYP2B6 and CYP3A4 may require a dose adjustment. Strong inducers of CYP1A2, CYP3A4 or CYP2C19: Consider dose increase of DIACOMIT.

Source: US FDA prescribing information

Storage

Store in a dry place at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Store in original package to protect from light.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

4 presentations of Stiripentol, sorted by availability.

MedicineManufacturerRegisterAvailability
Diacomit 250 mg capsuleOralBiocodexUS FDAAvailable on request
Diacomit 250 mg powder for oral suspensionOralBiocodexUS FDAAvailable on request
Diacomit 500 mg capsuleOralBiocodexUS FDAAvailable on request
Diacomit 500 mg powder for oral suspensionOralBiocodexUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 20 August 2018Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Stiripentol available for export from India?

Yes, on request. MedsAcross lists 4 presentations of Stiripentol and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Stiripentol have?

The catalogue lists 1 brand names for Stiripentol, including Diacomit.

Is Stiripentol approved by the US FDA?

Yes. The US FDA first approved Stiripentol on 20 August 2018, according to Drugs@FDA.

Is Stiripentol authorised in the European Union?

Yes. Stiripentol has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Stiripentol need cold chain shipping?

No listed presentation of Stiripentol is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Stiripentol in?

Stiripentol is classified under ATC code N03AX17 (Stiripentol).

References

  1. Diacomit prescribing information (Biocodex). U.S. National Library of Medicine, DailyMed. Retrieved 27 April 2026
  2. Diacomit: European public assessment report (EPAR). European Medicines Agency. Retrieved 19 October 2026

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