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Two medicines, side by side

Brivaracetam vs clonazepam

Brivaracetam and clonazepam are both labeled for seizures and epilepsy. Drugs@FDA records approvals of brivaracetam since 2016 and of clonazepam since 1975. Pharmacies paid $0.259 per brivaracetam 100 mg tablet and $0.0244 per clonazepam 1 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. Only the clonazepam label carries a boxed warning.

Check it at the source: the brivaracetam FDA label on DailyMed (effective August 20, 2026); the clonazepam FDA label on DailyMed (effective December 1, 2025).

Highlights of the brivaracetam record

Brivaracetam (Briviact) · label of August 20, 2026

Used for

From the label: indications

BRIVIACT is indicated for the treatment of partial-onset seizures in patients 1 month of age and older. BRIVIACT is indicated for the treatment of partial-onset seizures in patients 1 month of age and older.

On the market

Earliest approval on file
February 18, 2016
Generic labelers
16 labelers
Pharmacy cost
$0.259 per tablet

Supply and safety

Shortage
No current entry
Recalls
1

Highlights of the clonazepam record

Clonazepam (Klonopin) · label of December 1, 2025

Boxed warning

RISKS FROM CONCOMITANT USE WITH OPIOIDS; ABUSE, MISUSE, AND ADDICTION; and DEPENDENCE AND WITHDRAWAL REACTIONS Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of these drugs for patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required.

Used for

From the label: indications

Seizure Disorders Klonopin is useful alone or as an adjunct in the treatment of the Lennox-Gastaut syndrome (petit mal variant), akinetic, and myoclonic seizures. In patients with absence seizures (petit mal) who have failed to respond to succinimides, Klonopin may be useful. Some loss of effect may occur during the course of clonazepam treatment (see PRECAUTIONS: Loss of Effect ). […]

On the market

Earliest approval on file
June 4, 1975
Generic labelers
31 labelers
Pharmacy cost
$0.0244 per tablet

Supply and safety

Shortage
In shortage
Recalls
7

Source: FDA drug labels via openFDA (Brivaracetam label of August 20, 2026, Clonazepam label of December 1, 2025); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do brivaracetam and clonazepam differ on the record?

Only the clonazepam label carries a boxed warning.

Half-life, in each label's words: Brivaracetam, “The terminal plasma half-life (t 1/2 ) is approximately 9 hours.”; Clonazepam, “The elimination half-life of clonazepam is typically 30 to 40 hours.”

Generics: brivaracetam since 2022; clonazepam since 1996 (Drugs@FDA).

DEA schedule: brivaracetam CV; clonazepam CIV.

BrivaracetamClonazepam
Labeled forSeizures and epilepsySeizures and epilepsy, Anxiety
Pharmacologic classn/aBenzodiazepine
How it works (label)The precise mechanism by which BRIVIACT exerts its anticonvulsant activity is not known.n/a
Half-life (label)The terminal plasma half-life (t 1/2 ) is approximately 9 hours.The elimination half-life of clonazepam is typically 30 to 40 hours.
Earliest approval on file (Drugs@FDA)February 18, 2016June 4, 1975
First generic approvedJune 9, 2022September 10, 1996
Generic labelers (NDC)16 labelers31 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.259 per tablet (Brivaracetam 100 mg tablet)$0.0244 per tablet (Clonazepam 1 mg tablet)
12-month price changen/a-14%
Boxed warningNoYes
Shortage nowNo current entryIn shortage
Recalls recorded17
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)8,940159,283
DEA scheduleCVCIV

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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