Clonazepam (rivotril, klonopin)
Clonazepam (rivotril, klonopin)
What is Clonazepam?
Clonazepam belongs to the class of medications called benzodiazepines. In general, benzodiazepines are used to induce sedation or reduce convulsions or anxiety. Clonazepam is used to treat convulsive disorders. It works by slowing the activity of the nerves in the brain (ie the central nervous system).
This medicine is available under various brand names or in different presentations. A specific brand of this medication may not be available in all forms or approved for all conditions mentioned here. In addition, some forms of this medicine may not be used against all conditions mentioned in this article.
Your doctor may have suggested this medicine for a condition not listed in this drug information article. If you have not discussed this with your doctor, or if you are not sure why you are taking this medicine, check it out. Do not stop taking this medicine without first consulting your doctor.
Do not give this medicine to anyone, even someone who has the same symptoms as yours. This medication may be harmful to people for whom it has not been prescribed.
In what forms does Clonazepam occur?
Rivotril 1mg, 2mg
Klonopin 1mg, 2mg
How should Clonazepam be used?
The dose of clonazepam depends on the amount required to control convulsions and varies from person to person. It is important that the dose is individualized to your personal needs to avoid excessive sedation or motor disturbance.
The initial daily dose of clonazepam recommended for an adult should not exceed 1.5 mg taken in 3 divided doses. This helps reduce drowsiness and other side effects. Your doctor will increase the dose gradually until your seizures are under control. The recommended daily maintenance dose of clonazepam for an adult is between 8 mg and 10 mg taken in 3 divided doses.
Until children are 10 years old, or until they weigh 30 kg, the daily dose given to them is based on their body weight. The starting dose should be calculated according to the formula (0.01 mg to 0.03 mg per kg of body weight) and divided between 2 or 3 times. The maximum starting dose should not exceed 0.05 mg per kilogram of body weight per day. The doctor will gradually increase the dose until the seizures of the child disappear. In general, the maintenance dose is between 0.1 mg and 0.2 mg per kilogram of body weight.
Clonazepam can be taken with food or not. You should avoid drinking grapefruit juice while you are using this medicine because it may increase the concentration of clonazepam in your blood.
There are several factors that can be considered in determining the dose a person needs: weight, health, and other medications. If your doctor has recommended a dose other than those listed here, do not change the way you take the medicine without first consulting it.
It is very important that this medicine be taken as directed by your doctor. If you miss a dose, take the medicine as soon as you notice the omission and resume the treatment as soon as possible. If it is almost time for your next dose, do not worry about the missed dose and go back to the usual dosing schedule. Do not use a double dose to compensate for a missed dose. If you are unsure of what to do after you miss a dose, ask your doctor or pharmacist for advice.
Store this medication at room temperature, away from light and moisture, and out of the reach of children.
Do not dispose of medicines in waste water (eg, in the sink or in the toilet bowl) or with household waste. Ask your pharmacist how to get rid of unused or expired medications.
In which cases is this medicine not recommended?
Clonazepam should not be used in the following circumstances:
are allergic to clonazepam, or to any of the ingredients of the medication
an allergic reaction to any other benzodiazepine (eg, lorazepam, diazepam, oxazepam)
acute angle-closure glaucoma;
severe breathing difficulties;
severe liver disease
Clonazepam can be used by people with open-angle glaucoma who receive appropriate treatment.
What are the possible side effects of this medicine?
Many medications can cause side effects. A side effect is an undesirable response to a drug when taken at normal doses. It can be mild or severe, temporary or permanent.
The side effects listed below are not felt by everyone who takes this medicine. If you are worried about side effects, discuss the risks and benefits of this medicine with your doctor.
At least 1% of people taking this medicine have reported the following side effects. A lot of these side effects can be taken care of and a few can go away on their own with time.
Consult your doctor if you experience these side effects and if they are serious or bothersome. Your pharmacist may be able to give you advice on what to do if these side effects occur:
an increase in saliva;
dizziness or lightheadedness
unusual tiredness or weakness;
clumsiness or instability;
a delayed reaction;
Most of the side effects listed below do not occur very often, but they could cause serious problems if you do not see your doctor or if you do not receive medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
nightmares or sleep disturbances;
seizures (epileptic seizures)
hallucinations (the perception of phenomena that do not actually exist);
behavioral changes (eg aggression, agitation, unusual arousal, nervousness, irritability)
memory loss of recent events;
signs of depression (eg, lack of concentration, weight fluctuations, sleep disturbances, lack of interest in many activities, suicidal thoughts)
disturbances of thought (disorientation, irrational beliefs, or loss of sense of reality);
more frequent falls.