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Klonopin Oral
GENERIC NAME(S): CLONAZEPAM
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Warnings:
Taking clonazepam with opioid medications (such as codeine, hydrocodone) may increase your risk of very serious side effects, including death. To lower your risk, your doctor should have you take the smallest dose of clonazepam that works, and take it for the shortest possible time. Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up.
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Uses
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.
How to use Klonopin oral
Read the Medication Guide provided by your pharmacist before you start taking clonazepam and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
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.
Dosage and Administration
Tablets:
0.5 mg tablets contain lactose, magnesium stearate, microcrystalline cellulose, corn starch.
1 mg tablets contain lactose, magnesium stearate, microcrystalline cellulose, corn starch.
2 mg tablets contain lactose, magnesium stearate, microcrystalline cellulose, corn starch
KLONOPIN tablets should be taken with water and swallowed whole.
The lowest dose of Klonopin is 0.25mg twice daily. This is also the amount that is advised at the beginning of one’s treatment.
The normal amount then increases to 1.5mg per day, divided into three doses.
The highest dose of Klonopin should never exceed 20mg per day when it comes to treating seizures. In geriatric and pediatric cases (elderly and children) the dose should be lower.
Seizures – 1.5 mg divided into 3 doses raise by 0.5 mg every 3 days until the desired effect is reached; divide into 3 even doses or else give the largest dose at bedtime; maximum dose generally 20 mg/day
- Panic – 1 mg/day; start at 0.25 mg divided into 2 doses, raise to 1 mg after 3 days; dose either twice daily or once at bedtime; maximum dose generally 4 mg/day
COMMON SIDE EFFECTS
The most common side effects reported with Klonopin are sedation and drowsiness, especially shortly after initiating therapy. Other frequent symptoms are impaired concentration and memory, the feeling of dissociation (“spacey”), and impaired coordination.
CONTRAINDICATIONS
Klonopin should not be used in patients with a history of sensitivity to benzodiazepines,nor in patients with clinical or biochemical evidence of significant liver disease. It may be used in patients with open-angle glaucoma who are receiving appropriate therapy but is contraindicated in acute narrow-angle glaucoma.
Side Effects
- drowsiness
- dizziness
- depression
- Sedation,
- fatigue,
- ataxia,
- slurred speech,
- weakness
- Forgetfulness,
- confusion
- Hyperexcitability,
- nervousness
- Rare hallucinations,
- maniaRare hypotension
- Hypersalivation,
- dry mouth
Warnings
Clonazepam may increase your risk of suicidal thoughts and behavior. Do not drink alcohol or take other medicines that may make you sleepy or dizzy while taking KLONOPIN until you talk to your healthcare provider.
Risks from Concomitant Use with Opioids: Concomitant use of benzodiazepines, including Klonopin, and opioids may result in profound sedation, respiratory depression, coma, and death. Because of these risks, reserve concomitant prescribing of benzodiazepines and opioids for use in patients for whom alternative treatment options are inadequate. Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to the use of opioids alone. If a decision is made to prescribe Klonopin concomitantly with opioids, prescribe the lowest effective dosages and minimum durations of concomitant use, and follow patients closely for signs and symptoms of respiratory depression and sedation. Advise both patients and caregivers about the risks of respiratory depression and sedation when Klonopin is used with opioids.
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