Clonazepam is indicated for the treatment of panic disorder, with or without agoraphobia. Panic disorder is characterized by the occurrence of unexpected panic attacks and associated concern about having additional attacks, worry about the implications or consequences of the attacks, and/or a significant change in behavior related to the attacks.
Clonazepam is a benzodiazepine. It affects chemicals in the brain that may be unbalanced. Clonazepam is also a seizure medicine, also called an anti-epileptic drug.
Clonazepam is used to treat certain seizure disorders(including absence seizures or Lennox-Gastaut syndrome) in adults and children.
Clonazepam is also used to treat panic disorder (including agoraphobia) in adults.
CLONAZEPAM is used to prevent and control seizures. This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines.
IMPORTANT INFORMATION:
Source: https://www.drugs.com/clonazepam.html
You should not use clonazepam if you have narrow-angle glaucoma or severe liver disease, or if you are allergic to Valium or a similar medicine.
Call your doctor if you have any new or worsening symptoms of depression, unusual changes in behavior, or thoughts about suicide or hurting yourself.
Do not drink alcohol while taking this medicine. Clonazepam may be habit-forming. Never share clonazepam with another person. Keep the medication in a place where others cannot get to it.
HOW TO USE CLONAZEPAM
Source: https://www.webmd.com/drugs/2/drug-14403-6006/clonazepam-oral/clonazepam-oral/details
Take this medication by mouth as directed by your doctor, usually 2 or 3 times daily.
Dosage is based on your medical condition, age, and response to treatment. For children, the dose is also based on weight. Older adults usually start with a lower dose to decrease the risk of side effects. Do not increase your dose, take it more often, or take it for a longer time than directed.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day.
Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased.
This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as seizures, mental/mood changes, shaking, stomach/muscle cramps) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away.
When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.
Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.
If you have several different types of seizure disorders, you may experience a worsening of seizures when you first start using clonazepam. Consult your doctor right away if this happens. Your doctor may need to add or adjust the dose of your other medications to control the seizures.
BEFORE TAKING THIS MEDICATION:
You should not take clonazepam if you have:
narrow-angle glaucoma;
severe liver disease; or
a history of allergic reaction to any benzodiazepine, such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), chlordiazepoxide, flurazepam, and others.
To make sure clonazepam is safe for you, tell your doctor if you have ever had:
kidney or liver disease;
glaucoma;
porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system);
asthma, emphysema, bronchitis, chronic obstructive pulmonary disorder (COPD), or other breathing problems;
depression or suicidal thoughts or behavior;
mental illness, psychosis, or addiction to drugs or alcohol; or
if you use a narcotic (opioid) medication.
Some people have thoughts about suicide when taking seizure medication. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Follow your doctor's instructions about taking seizure medication if you are pregnant. Do not start or stop taking this medicine without your doctor's advice, and tell your doctor right away if you become pregnant. Clonazepam may cause harm to an unborn baby, and may cause breathing or feeding problems in a newborn. But having seizures during pregnancy could harm both mother and baby.
If you are pregnant, your name may be listed on a pregnancy registry. This is to track the outcome of the pregnancy and to evaluate any effects of clonazepam on the baby.
Clonazepam can pass into breast milk, but effects on the nursing baby are not known. Tell your doctor if you are breast-feeding
Do not give this medicine to a child without medical advice. Clonazepam is not approved to treat panic disorder in anyone younger than 18 years old.
SIDE EFFECTS
Drowsiness, dizziness, tiredness, loss of coordination, or increased saliva production may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
A small number of people who take anticonvulsants for any condition (such as seizures, bipolar disorder, pain) may experience depression, suicidal thoughts/attempts, or other mental/mood problems. Tell your doctor right away if you or your family/caregiver notice any unusual/sudden changes in your mood, thoughts, or behavior, including: confusion, memory problems, signs of depression, suicidal thoughts/attempts, thoughts about harming yourself.
Tell your doctor right away if any of these unlikely but serious side effects occur: easy bruising/bleeding, signs of infection (such as fever, persistent sore throat).
Get medical help right away if you have any very serious side effects, including: slow/shallow breathing.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Applies to the following strengths: 1 mg; 0.5 mg; 2 mg; 0.25 mg; 0.125 mg
Usual Adult Dose for:
Source: https://www.drugs.com/dosage/clonazepam.html
1.5 mg orally per day divided into 3 doses; this may be increased in increments of 0.5 mg to 1 mg every 3 days until seizures are adequately controlled or until side effects preclude any further increase.
-Maximum dose: 20 mg/day
Comments:
-The use of multiple anticonvulsants may result in an increase of depressant adverse effects.
-Maintenance doses should be determined by patient response.
-Some loss of effect may occur during the course of treatment; dose adjustments may reestablish efficacy in some patients.
Use: Alone or as an adjunct in the treatment of the Lennox-Gastaut syndrome (petit mal variant), akinetic and myoclonic seizures
Initial dose: 0.25 mg orally 2 times per day
Maintenance dose: 1 mg orally per day
Maximum dose: 4 mg/day
Comments:
-An increase to the target dose for most patients of 1 mg/day may be made after 3 days.
-The dose may be increased in increments of 0.125 mg to 0.25 mg 2 times per day every 3 days until panic disorder is controlled or until side effects make further increases undesired.
-Administration of one dose at bedtime may be desired, to reduce the inconvenience of somnolence.
-Treatment should be discontinued gradually, with a decrease of 0.125 mg 2 times per day every 3 days, until the drug is completely withdrawn.
-Efficacy was established in clinical trials with patients diagnosed with panic disorder given over 6- or 9-weeks; efficacy in long-term use (e.g., greater than 9 weeks) has not been established. Patients who require long-term use should be periodically reevaluated for usefulness.
Use: Treatment of panic disorder, with or without agoraphobia
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