Withdrawal symptoms (including convulsions, tremors, cramps, vomiting, sweating, or insomnia) may occur with abrupt discontinuation; taper off slowly under a doctor's supervision. Klonopin can cause mild or serious side effects. Coordination issues. Youll also need to check your insurance plan, as it may only cover one or the other. The manufacturer of Klonopin tablets recommends that you swallow them whole with water. For information on how the drug performed in clinical studies, see Klonopins prescribing information. A seizure disorder is a condition in which you have several seizures. To get better control of your seizures, the doctor may increase the dosage by 0.5 to 1 mg every 3 to 7 days. They can tell you about other medications that may work well for you. If you need financial support to pay for Klonopin, help may be available. reducing the overall amount of clonazepam, changing the amount taken at certain times, such as taking a greater proportion of the clonazepam at bedtime to reduce daytime sleepiness, prescribing smaller doses, to be taken more often, An allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, face, or tongue; or hives), Sores in the mouth or throat (could mean a blood problem), Hallucinations, severe confusion, or changes in vision. Clonazepam is useful for seizures brought on by flashing lights (photosensitivity). If youre sexually active and you or your partner can become pregnant, talk with your doctor about your birth control needs while youre taking Klonopin. Acute withdrawal from Klonopin may last for a few weeks. Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, or coma. These symptoms can include: People with panic disorder sometimes develop agoraphobia, which is a fear of public places or situations from which it may be hard to leave. They may want to see whether Klonopin or something else is the cause. The children also experienced drug dependence and withdrawal. It's in a class of drugs known as benzodiazepines. View complete list of side effects. Avoid storing this medication in areas where it could get damp or wet, such as bathrooms. Clonazepam. If the dose has been increased gradually over many months or years, it can be hard to separate the effects of the clonazepam (or other benzodiazepines) from the effects of other medications, seizures, and other neurological and psychological disorders. Follow your doctor's instructions about tapering your dose. Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on. A boxed warning is the most serious warning from the FDA. Avoid drinking alcohol while taking clonazepam because it may enhance the side effects of sedation and respiratory depression. Off-label drug use is when an FDA-approved drug is used for a purpose other than what its approved for. MNT is the registered trade mark of Healthline Media. They can advise you on the pros and cons of the medication. But its common to experience withdrawal in phases. Some of these are: We again urge patients and families to contact their doctor before stopping an epilepsy medication because this may possibly lead to seizures and worsening of mood. Body aches and pains, palpitations, memory disturbance, headache, tiredness, and several other side effects have also been reported. Dizziness or drowsiness can cause falls, accidents, or severe injuries. And with dependence, your body needs the drug to feel like you usually do. Klonopin (clonazepam) is a medication indicated for the treatment of panic disorder and seizure disorders. It is recommended that if the doses are not equally divided during the day, the largest dose should be taken at bedtime. 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. Continue reading. Here are some details on certain side effects this drug may cause. If you have any questions about eating certain foods with Klonopin, talk with your doctor. They generally start by taking no more than 0.01 to 0.02 mg per kg each day (a total of 0.25 to 0.75 mg per day for a child weighing 65 pounds or more). Clonazepam is potentially addictive and may cause both emotional and physical dependence. Factors influencing the decision about whether to add clonazepam to a regimen of seizure medicines that are not fully controlling a person's seizures may include potential interactions, side effects, and the mechanisms of action of the various medications. There arent any herbs or supplements that have been specifically reported to interact with Klonopin. Klonopin comes as oral tablets that you swallow with water. Low levels of GABA have been linked to anxiety, mood disorders, seizure disorders, and pain. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. It is also used to treat panic attacks. It is thought that benzodiazepines work by enhancing the activity of certain neurotransmitters in the brain. Protracted withdrawal symptoms can include: You should not suddenly stop taking Klonopin. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Klonopin treats: If you have absence seizures and seizure drugs called succinimides, such as ethosuximide, havent worked for you, Klonopin may help. This amount is given in two or three doses per day. There are four main types of epilepsy: focal, generalized, combination, and unknown. Clonazepam is a generic prescription drug that treats certain types of seizures in adults and children and controls panic attacks in adults diagnosed with panic disorder.Clonazepam belongs to a class of drugs called benzodiazepines.These drugs slow down brain activity by mirroring the effects of a chemical in the brain called gamma-aminobutyric acid (GABA), a neurotransmitter that blocks nerve . This medication should only be used while expecting a baby only if the benefits are greater than the risks to the baby. This drug comes with several precautions. It sometimes loses its efficacy after a while. The name or appearance may differ in other countries. Klonopin is a brand-name drug used for panic disorder and certain seizure disorders. Another option is to talk with your doctor. Klonopin use is not recommended during pregnancy. Drowsiness, sleepiness, or dizziness are the most common side effects reported. If the dosage is increased gradually over a long period, subtle changes in personality (such as irritability, depression, or decreased motivation) or problems such as impaired memory may go unnoticed or be considered natural for that person. In some cases, these problems diminish with time. As a result, common symptoms include: Scientific studies show that about half of people treated for seizures with clonazepam experience drowsiness and about 30% have problems with coordination. The generic is considered to be as safe and effective as the original drug. If needed, you can keep Klonopin at 59F to 86F (15C to 30C) for short periods. To help make sure that you dont miss a dose, try using a medication reminder. 1976;33(5):322-325. The withdrawal timeline for Klonopin isnt the same for everyone. But the drug may be used off-label to treat alcohol withdrawal. How bacteria can colonize skin and accelerate eczema growth, Social isolation linked to lower brain volume that may affect cognitive health, Vitamin D supplements may benefit heart health, research finds, Elevated blood sugar, lower gray matter volume linked to depression, Klonopin interactions: Alcohol, medications, and other factors, the type and severity of the condition youre taking Klonopin to treat. Clonazepam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen). Swallow regular-release tablets whole with water. In addition to the following information, you can see this article to learn about Klonopins interactions. However, be sure to take the dosage your doctor prescribes for you. This small study reported very good results when clonazepam (Klonopin) was used as add-on therapy. Klonopin use is not recommended while breastfeeding. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. It can be used to treat absence seizures, often in combination with Depakote (valproate). GABA is involved in transmitting messages. Tax ID: 52-0856660. The use of drugs called benzodiazepines, including Klonopin, can lead to misuse and physical dependence. Do not drink alcohol. These include excessive sleepiness, respiratory depression (slowed, shallow breathing), coma, and in some cases, death. Use caution to avoid falling or accidental injury. Confusion. See Dosage for seizure disorders above. This document is commonly known as a package insert because it is usually included with each package of the medicine. Your doctor will determine the best dosage to fit your needs. Call your doctor right away if you have serious side effects. This drug has boxed warnings. Clonazepam is a benzodiazepine prescription drug and is classified by the DEA as Schedule IV controlled substance under the federal Controlled Substances Act. An important concern when people with epilepsy take clonazepam or other benzodiazepines is the risk that seizures will become more frequent or more severe if the medicine is reduced or stopped. A controlled substance is a drug thats regulated by the government because it can lead to misuse or addiction. You should not take extra doses to make up for a missed dose. Tell your doctor about all other medicines you use. It also helps keep the drug from harming the environment. If you take one dose of Klonopin per day, its best to take it at bedtime. Klonopin can interact with several other medications. Taking Klonopin It's OK to take Klonopin either with food or without food. Selling or giving away this medicine is against the law. What are the dose ranges for [node:title]? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. You can also ask your pharmacist for information about how to dispose of your medication. Before approving coverage for Klonopin, your insurance company may require you to get prior authorization. This article provides several useful tips on medication disposal. Pregnant women and those who are breastfeeding should also tell their doctors of this prior to using this clonazepam. What is important to know about taking clonazepam? Never share clonazepam with another person. In the study on absence seizures, clonazepam was compared to ethosuximide (a medication used to treat absence seizures). Stay with the person until professional help arrives. Off-label drug use is when an FDA-approved drug is used for a purpose other than what its approved for. Ask your doctor or pharmacist if you do not understand these instructions. Panic attacks are sudden episodes of intense fear that can cause physical symptoms. This chemical sends signals between brain cells. Clonazepam takes approximately 20-60 minutes to start working. Be careful if the doctor writes a new prescription using a different kind of pill. Clonazepam works by acting on receptors in the brain called GABA receptors. This drug is also used as a treatment for panic attacks, insomnia, and symptoms related to chronic anxiety and anxiety disorders. Your child's dose needs may change if the child gains or loses weight. For details on this use, see Klonopin for seizure disorders above. You should be aware if anyone is using it improperly or without a prescription. Examples of other drugs that may be used to treat seizure disorders include: Examples of other drugs that may be used to treat panic disorder include: Klonopin can cause withdrawal and physical dependence. Data sources include IBM Watson Micromedex (updated 3 July 2023), Cerner Multum (updated 10 July 2023), ASHP (updated 10 July 2023) and others. If the orthostatic hypotension is due to the drug, your doctor may adjust your dosage or treatment plan. Clonazepam pregnancy and breastfeeding warnings. Learn more. Mild side effects* of Klonopin can include: Some of these side effects may go away within a few days or a couple of weeks. It is also used to treat panic attacks. If your seizures nearly always occur during sleep or first thing in the morning, the doctor may tell you to take all the tablets at one time, usually at bedtime. Some drugs in this list are commonly prescribed to treat the same conditions as Klonopin. Clonazepam and other benzodiazepines work by increasing the levels of a chemical called gamma-aminobutyric acid. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Using this service may help lower the drugs cost and allow you to get your medication without leaving home. Your family or caregivers should also watch for sudden changes in your behavior. Last updated on Jun 3, 2023. Here is a link to one article related to clonazepam: Mikkelsen B, Birket-Smith E, Bradt S, et al. In one study, traces of clonazepam (the active drug in Klonopin) were detected in urine tests for 3 to 4 weeks after a single dose. If you have panic disorder, they may advise you to take an antidepressant or an antipsychotic drug with Klonopin. About 25% have behavior problems such as hyperactivity in children. May rarely cause respiratory depression (unusually slow and shallow breathing). Do not take two doses at one time. When you get Klonopin from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. Swallow several times as the tablet dissolves. However, its possible for children to develop paradoxical reactions while taking Klonopin. Call 911 or your local emergency number if your symptoms feel life threatening or if you think youre having a medical emergency. But if they become more severe or dont go away, talk with your doctor or pharmacist. Specifically, its a kind of anxiety disorder. An overdose of clonazepam can be fatal if you take it with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing. The warning alerts doctors and patients about drug effects that may be dangerous. Most patients experienced side effects, but they were usually tolerable. Maybe. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. If youd like more information on the registry, talk with your doctor. Withdrawal symptoms are side effects that can occur when you stop taking a drug that your body has become dependent on. Can diet help improve depression symptoms? The FDA advisory panel voted to accept the FDA's data at its meeting on July 10. * This is a partial list of mild side effects from Klonopin. Dosage FAQ What is clonazepam? In fact, the drug has a boxed warning for these risks. Xanax (alprazolam) is a prescription tablet for generalized anxiety disorder and panic disorder. Clonazepam is also used to treat panic disorder (including agoraphobia) in adults. You should not take clonazepam if you allergic to it or if you have: a history of allergic reaction to any benzodiazepine (including alprazolam, diazepam, lorazepam, Valium, Xanax, Versed, and others). How long Klonopin is used varies. Children with Lennox-Gastaut syndrome also frequently benefit from its use, though not all studies have found it helpful for long-term treatment. But the drug may be used off-label for sleep problems. COMMON BRAND NAME(S): Klonopin Uses Before taking Warnings Side effects Overdose Dosage FAQ Warning This medicine is a benzodiazepine. Medically reviewed by Kaci Durbin, MD. You should always consult your doctor or another healthcare professional before taking any medication. Symptoms of a mild allergic reaction can include: A more severe allergic reaction is rare but possible. Follow your doctor's directions.Call if you have any questions. Read and carefully follow any Instructions for Use provided with your medicine. Caution is advised in giving this drug to . They can tell you if it comes in forms and strengths that can be used for your condition. For children ages 10 years and younger or children who weigh 30 kilograms (about 66 pounds) or less, the dosage is based on their weight. If you would like to notify the FDA about a side effect youve had with Klonopin, you can do so through MedWatch. If you have trouble swallowing Klonopin, talk with your pharmacist. Your doctor may adjust your dose as needed. It comes as tablets and as a liquid that you swallow. During a crisis, people who are hard of hearing can use their preferred relay service or dial 711 then 988. It's a prescription drug that's used in people with: Seizure disorders.. Even short-term use of Klonopin (as little as 3 to 6 weeks) at prescribed dosages can cause physical dependence and withdrawal. Who should take Klonopin? May not be suitable for some people including those with pre-existing respiratory disease (such as COPD or sleep apnea), acute narrow-angle glaucoma, a history of drug or alcohol abuse, at high risk of falls, women who are pregnant or breastfeeding, or people with kidney or liver disease. Data sources include IBM Watson Micromedex (updated 3 July 2023), Cerner Multum (updated 10 July 2023), ASHP (updated 10 July 2023) and others. CNS depressants can cause sleepiness and can impair your ability to think, react, and move quickly. The maximum dosage (highest dose) of Klonopin for seizure disorders in adults is a total of 20 mg per day. This calming action makes clonazepam an effective option for preventing and treating seizures or panic attacks. Clonazepam is mainly used to treat panic disorders and seizures, including epileptic seizures. Do not bite them. Clonazepam is in a class of medications called benzodiazepines. This means that youll likely take two, three, or more doses, spaced throughout the day. There arent any foods that have been specifically reported to interact with Klonopin. Is the ketogenic diet right for autoimmune conditions? We judged both studies as being of poor quality. The U . If recommended by your doctor, you may be able to receive a 90-day supply of Klonopin, so theres less concern about running out of the medication. Because of this, its important that you and your doctor discuss from time to time whether you need to continue Klonopin treatment. If youve had problems with drug misuse or addiction in the past, its important to talk with your doctor about it. Drug interactions, dosage, pregnancy and breastfeeding safety information should be reviewed prior to taking this medication. This is not a complete list of side effects and others may occur. Using dry hands, place the wafer in the mouth immediately after peeling back the foil from the blister pack. These drugs are thought to make brain cells less sensitive to stimulation, producing a calming effect. No, Klonopin is not a narcotic (a powerful pain reliever also known as an opioid). Learn about side effects, dosage, and. With orthostatic hypotension, your blood pressure drops quickly when you stand up, which may cause you to feel dizzy. Clonazepam is available on prescription only. The drug is known to pass into breast milk. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Klonopin has a boxed warning for these risks. This is because your dose will be increased gradually until you're taking the right amount. Do not give this medicine to a child without medical advice. May also be used to treat certain seizure disorders (for example, Lennox Gastaut). changes in your emotions, moods, or behaviors. If you use clonazepam during pregnancy, your baby could be born with life-threatening withdrawal symptoms, and may need medical treatment for several weeks. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=817696&dopt=Abstract>Clonazepam in the treatment of epilepsy. Available for Android and iOS devices. To treat seizures in children, the dosage of Klonopin depends on your childs age and weight: Your childs doctor may continue to adjust the dose until the seizure disorder is well managed. Klonopin may not be right for you if you have certain medical conditions or other factors affecting your health. Consuming alcohol with benzodiazepines increases these risks. Benzodiazepines are tranquilizers (sedatives) that prevent or stop seizures by slowing down the central nervous system. Side Effects. have liver problems. If youre interested in taking the generic form of Klonopin, talk with your doctor. Taking more than the recommended dosage of Klonopin can lead to serious side effects. Generic name: clonazepam [kloe-NAZ-e-pam] The drug is divided into doses throughout the day. This is a very dangerous cycle, since long-term use can cause long-lasting changes in the brain's GABA receptors that lead to significant problems such as impaired thinking, decreased motivation, and depression. When hypotension (low blood pressure) occurred with Klonopin in clinical studies, it was usually due to a condition called orthostatic hypotension. So instead of causing drowsiness and fatigue (as in adults), Klonopin may cause increased excitement in children. Problems with thinking and memory. Preventing seizures may outweigh these risks. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use clonazepam only for the indication prescribed. What are the most common side effects of [node:title]? Use of the term female in this article refers to sex assigned at birth. Hypotension can also be a symptom of overdose. In children, drowsiness or hyperactivity can occur if clonazepam is started too quickly. For information about the effectiveness of Klonopin, see the Klonopin uses section below. To find out how often orthostatic hypotension occurred in clinical studies, see Klonopins prescribing information. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. Here's a list of symptoms that may be the start of one of these problems. & Public Policy Institute, http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=817696&dopt=Abstract, http://www.ema.europa.eu/ema/index.jsp?curl=pages/includes/medicines/medicines_landing_page.jsp, http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=817696&dopt=Abstract>Clonazepam. MISUSE OF CLONAZEPAM CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Panic disorder is a type of mental health condition. * Klonopin has a boxed warning for this side effect. Drug classes: Benzodiazepine anticonvulsants, Benzodiazepines. For this use, you'll likely take Klonopin twice per day. What are the effects of [node:title] on Seniors. Also tell them about any vitamins, herbs, and supplements you use. Also, sometimes clonazepam makes people feel sleepy or uncoordinated. For further details, you can refer to this article. Klonopin wafers will dissolve rapidly in saliva, so water is not necessary (but drinking some is OK). Investigating the power of music for dementia. A boxed warning is the most serious warning from the FDA. Clonazepam may make you feel dizzy, increasing your risk of falls. For more information, see the Klonopin withdrawal and dependence section below. Sometimes, a series of combinations must be tried before finding what is best for the individual. This article explains Klonopin, how it works, what it is used for, its addiction potential, signs . Swallow the regular tablet whole, with a full glass of water. Any one of these side effects may impair reaction skills and affect a person's ability to drive or operate machinery or increase the risk of falls. Klonopin is FDA-approved to treat panic disorder with or without agoraphobia in adults. Other drugs are available that can treat seizure disorders or panic disorder. We comply with the HONcode standard for trustworthy health information. Can You Take Clonazepam while Pregnant? In many of these cases, very gradual reduction of the benzodiazepine (often over many months or years) can lead to a dramatic improvement in attention, concentration, memory, and mood without worsening the seizures, insomnia, or anxiety for which the medication was originally prescribed. If you and your doctor determine that there are no other effective treatment options available, its likely youll take Klonopin long term. As with other anticonvulsants, clonazepam may increase the risk of suicidal thoughts or behavior which may be noticeable as early as one week following initiation. Psychosis Schizoaffective Disorder Common with Mental Illness Risk of Suicide Self-harm Sleep Disorders Infographics & Resources Substance Use Disorders Treatments Types of Mental Health Professionals Getting Treatment During a Crisis Mental Health Medications Risks of Benzodiazepines Types of Medication Research Know the warning signs If youre interested in finding an alternative to Klonopin, talk with your doctor. Be sure to follow your doctors instructions about how many hours between doses are safe for you. The maximum dosage of Klonopin for panic disorder is 4 mg per day. Clonazepam may increase the risk of depression or unmask depression or increase the risk of suicidal thoughts. Serious side effects and their symptoms can include: * For more information about this side effect, see the Side effect details section below. Show More Uses Clonazepam is used to prevent and control seizures. Often the medicine is started at 0.5 mg, taken at bedtime to promote sleep and avoid daytime drowsiness. Occasionally, paradoxical reactions (the opposite of what is to be expected) may occur. In patients with absence seizures (petit mal) who have failed to respond to succinimides, Klonopin may be useful. These changes can happen very quickly so it is important to be mindful of any sudden differences. If you visit PubMed (http://www.ncbi.nlm.nih.gov/pubmed/), a service of the National Library of Medicine, you can read summaries of studies that have tested the effectiveness of clonazepam, as well as other reports about this medication. Clonazepam is usually regarded as less effective against partial seizures than carbamazepine (Tegretol or Carbatrol) or phenytoin (Dilantin, Phenytek). However, your doctor may continue to make dosage adjustments until they find what works for you. This medication is known as an anticonvulsant or antiepileptic drug. Find out how clonazepam treats epileptic seizures or fits, muscle spasms, panic disorder and restless legs syndrome, and how to take it. Some may be a better fit for you than others. 2 However, it also carries with it a risk of misuse, dependence, and addiction. For more information, see the Klonopin withdrawal and dependence section above. Follow the directions on your prescription label and read all medication guides. 83% of reviewers reported a positive experience, while 9% reported a negative experience. Clonazepam can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol. May also be used off-label, that is, prescribed for conditions that are not FDA-approved but may be well-established. Klonopin is a type of drug called a benzodiazepine. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Avoid doing these activities if clonazepam has this effect on you. Klonopin contains the drug clonazepam, which is a Schedule IV controlled substance. PMID: 817696. A boxed warning alerts doctors and patients about drug effects that may be dangerous. epilepsy since 1975. Symptoms include anxiety, agitation, rage, sleep disturbances, sexual disinhibition, or hallucinations. If youre thinking about stopping treatment with the drug, talk with your doctor first. Summary. Your doctor will advise you on how to taper off the dose. When used long-term it can cause dependence and withdrawal symptoms on discontinuation. [node:title] information sheet for patients, Nutritional Deficiencies as a Seizure Trigger, Focal Bilateral Tonic Clonic Seizures (Secondarily Generalized Seizures), Focal Onset Aware Seizures (Simple Partial Seizures), Focal Onset Impaired Awareness Seizures (complex partial seizures), Childhood Epilepsy Centrotemporal Spikes (Benign Rolandic Epilepsy), Epilepsy Eyelid Myoclonia Jeavons Syndrome, Epilepsy of Infancy with Migrating Focal Seizures, Developmental/Epileptic Encephalopathy with Spike Wave Activation In Sleep, Fires Febrile Infection-Related Epilepsy Syndrome, Self Limited Familial and Non-Familial Neonatal Infantile Seizures, Self Limited Late Onset Occipital Epilepsy Gastaut Syndrome, Epilepsy Generalized Tonic Clonic Seizures Alone, Factores Que Pueden Provocar Crisis Epilpticas, Primeros Auxilios Para Crisis Epilpticas, Sturge Weber Syndrome Encephalotrigeminal Angiomatosis, Periventricular Nodular Heterotopias (PVNH), When to Wean Children Off Medications After Surgery, New-Onset Refractory Status Epilepticus (NORSE), First Aid for Focal Aware (simple partial) Seizures, First Aid for Focal Impaired Awareness (complex partial) Seizures, Seizure First Aid Training and Certification, Childcare Professionals and Babysitters' Guide to Seizure Disorders, Seizure Dogs: Children and Parent Partners.
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