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
Avoid use; however, use may be appropriate in older adults when used for seizure disorders, rapid eye movement disorders, benzodiazepine or ethanol withdrawal, severe generalized anxiety disorder, or periprocedural anesthesia (Beers Criteria [AGS 2015])
CrCl ≤10 mL/min: No dosage adjustment necessary; CrCl <10 mL/minute: Administer 50% of dose;
There are no dosage adjustments provided in the manufacturer's labeling; however, chlordiazepoxide undergoes hepatic metabolism and should be used with caution.