Category D—↑ risk of oral cleft by 0.01%, use just before delivery associated with floppy infant syndrome, 3rd trimester use can cause withdrawal in newborns
Excreted in breast milk. Drowsiness, lethargy, or weight loss in nursing infants have been observed in case reports following maternal use of some benzodiazepines
Start low, 10 mg tid, titrate cautiously
There are no dosage adjustments provided in the manufacturer's labeling
No dosage adjustments recommended in manufacturer's labeling, however, pharmacokinetic studies have been shown that hepatic dysfunction is not expected to significantly decrease clearance.