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Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. For example, clonazepam and alprazolam have similar side effects, drug interactions, and warnings. This medicine should come with a Medication Guide. Generic drugs are thought to be as safe and effective as the brand-name drug theyre based on. In: StatPearls [Internet]. In these cases, your doctor may want to change the dose, or other precautions may be necessary. With misuse, clonazepam is taken differently than how it was prescribed. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence). Clonazepam tablets may not be right for you if you have certain medical conditions or other factors that affect your health. Certain pharmacies may provide medication labels that: Your doctor or pharmacist may be able to recommend a pharmacy that offers these options if your current pharmacy doesnt. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Factors to consider include those in the list below. If you are a Mayo Clinic patient, this could Its important to take clonazepam exactly as your doctor has prescribed. Dose reduction: A doctor should decrease a persons dose slowly when stopping treatment with this drug. It works by increasing the action of the brain chemical GABA, which reduces nerve excitability and produces a calming effect. Mayo Clinic does not endorse companies or products. For more information on the possible side effects of clonazepam, or tips on how to deal with a troubling side effect, a person should talk with their doctor or pharmacist. A person should talk to their doctor about other drug options that may work for them. Clonazepam oral tablet is a prescription drug thats available as the brand-name drug Klonopin. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. [30 kg] or less). Clonazepam comes in two tablet forms. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class. Healthline Media does not provide medical advice, diagnosis, or treatment. Clonazepam is approved to treat certain seizure disorders in children. We explain the symptoms and how to treat these conditions. Some people may have an allergic reaction to clonazepam tablets. Keep in mind that clonazepam tablets are only used for short-term treatment of panic disorder. Clonazepam can cause a severe allergic reaction. Australian Prescriber. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco. Medications. They can help you decide if clonazepam is right for you. benzodiazepines other than clonazepam, including. Clonazepam may be used as part of a combination therapy. Clonazepam works by calming . Clonazepam (Klonopin) and diazepam (Valium) are both generic drugs. . (With off-label use, a drug is given for a condition other than what its approved to treat.). As a result, more of a drug stays in their body for a longer time. Investigating the power of music for dementia. With dependence, your body needs the drug in order to function like usual. What should I know about clonazepam vs. diazepam? Keep from freezing. Health care providers may use benzodiazepines such as clonazepam (Klonopin) to treat people for whom tension or anxiety worsens tremors. Clonazepam withdrawal is a cluster of physical and psychological symptoms that occur when you are physically dependent on clonazepam and stop regular dosing of clonazepam suddenly. Serious side effects and their symptoms can include the following: The clonazepam dosage a doctor prescribes will depend on several factors. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you. Check with your doctor immediately if any of the following side effects occur: Get emergency help immediately if any of the following symptoms of overdose occur: Some side effects may occur that usually do not need medical attention. Clonazepam is available on prescription only. With misuse, clonazepam is taken differently than how it was prescribed. First and foremost is to find the help of a professional. information highlighted below and resubmit the form. The exact length of time they should be used for seizures will be recommended by your doctor. Keep from freezing. Your doctor may adjust your dose as needed. However, safety and efficacy in children with panic disorder have not been established. Your doctor may adjust your dose as needed. the unsubscribe link in the e-mail. do not stop taking it without checking first with your doctor. They can include fatigue, weight gain and . Your dosage of clonazepam will differ depending on the condition youre treating. Tranquilizers. Clonazepam (Oral Route) Proper Use - Mayo Clinic Its a prescription drug thats used in people with: To learn more about clonazepams uses, see the What are clonazepam tablets used for? section below. Proper Disposal. Your doctor will prescribe the form thats best for you. Misuse and addiction. This side effect may be worse in older adults. Your doctor may taper your dose over an extended period to reduce the risks and minimize symptoms. After the tablet has melted, you may take a sip of water. Call your doctor right away if you have an allergic reaction to clonazepam tablets. 2023 Healthline Media LLC. Addiction. [Updated 2022 Sep 1]. Taking it again could be fatal (cause death). It is also used in a variety of other anxiety-related disorders and sometimes prescribed as a second-line treatment for social anxiety disorder (SAD). If you are currently in Klonopin withdrawal, you can do a few things to find relief. Symptoms of an overdose include: change in consciousness, changes in patterns and rhythms of speech, hallucinations, lack of coordination, loss of consciousness, loss of strength or energy, mood or mental changes, muscle pain or weakness, nightmares, sleepiness or unusual drowsiness, shakiness and unsteady walk, slurred speech, trouble in speaking, trouble sleeping, unsteadiness, trembling, or other problems with muscle control or coordination, unusual drowsiness, dullness, tiredness, weakness or feeling of sluggishness, unusual excitement, nervousness, restlessness, or irritability, or unusual weak feeling. Some people take their medication exactly, or almost exactly, as directed by their physician. Ask your healthcare professional how you should dispose of any medicine you do not use. Causes Coping strategies Summary Benzodiazepine, or benzo, withdrawal happens when a person suddenly stops taking benzodiazepine drugs, which doctors do not recommend. Benzodiazepine harm: how can it be reduced? Corinne Osborn is an award-winning health and wellness journalist with a background in substance abuse, sexual health, and psychology. (For example, it may be taken more often than prescribed.) 2023 Dotdash Media, Inc. All rights reserved. Your doctor may adjust your dose as needed. trouble with coordination or slow reflexes. A: No. Flumazenil is used along with other treatment to help treat an overdose from a benzodiazepine, such as clonazepam. They cant hurt the medication. If you have certain health conditions, your doctor may discuss clonazepam with you. If you dont have a primary care doctor, but you do have health insurance, check your insurance companys website for a list of providers. for managing epilepsy. This puts them at a higher risk for side effects. This is because while the drug has a medical use, it can cause misuse, addiction, and dependence. A doctor will determine the best dosage to suit a persons needs. In studies, clonazepam hasnt been shown to be an effective treatment for this condition. Possible symptoms of clonazepam overdose can include: Call your doctor if you think youve taken too many clonazepam tablets. Thank you, {{form.email}}, for signing up. So be sure to discuss your mental health history and all your current medications with your doctor. Studies in primary care settings have found that a gradual taper over the course of at least 10 weeks is most successful. Clonazepam works by increasing the activity of gamma aminobutyric acid (GABA). Symptoms of a severe allergic reaction can include swelling under your skin, typically in your eyelids, lips, hands, or feet. Flight delays, crowded spaces, and the loss of control that comes with being up so high in the air causes stress or anxiety in many people. Flumazenil shouldnt be used in people with certain conditions or for overdose from a mixture of substances or unknown substances. Benzodiazepine tapering: a prospective study. Clonazepam is an active drug that comes as: Clonazepam is a generic drug. Effectiveness of current treatment approaches for benzodiazepine discontinuation: a meta-analysis, High-dose benzodiazepine dependence: a qualitative study of patients' perception on cessation and withdrawal. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. For more information about clonazepams boxed warnings, see the What are clonazepam tablets side effects? section above. The dose of this medicine will be different for different patients. Bring someone with you to your appointment if doing so will help you feel more comfortable. Being extremely tired might affect your ability to do daily activities such as working and driving. Other ways to reduce your discomfort and make withdrawal easier include the following: Icro Maremmani AG, Rovai L, Rugani F, et al. If youd like to learn more about how clonazepam and lorazepam compare, see this articles section called Ativan vs. Klonopin. Also be sure to talk with your doctor about which drug is right for you. Clonazepam (Klonopin), a tranquilizer, is the most common drug used to treat myoclonus symptoms. Drug information provided by: Merative, Micromedex. If you are struggling with psychological or addiction issues, therapy is a primary component of long-term healing. With clonazepam, dosages for seizure disorders are higher than those for panic disorder. The deputy conducted a traffic stop at around 10 p.m. of Kevin Blanc, 22, for driving an electric scooter the wrong way in a vehicle without lights. However, the dose is usually not more than 4 mg per day. If theyre more severe or dont go away, a person should talk to their doctor or pharmacist. It hasnt been confirmed that clonazepam is safe and effective for use in people younger than 18 years for this condition. Some people may misuse clonazepam to get high. But misuse of clonazepam increases the risk of overdose, and in some cases, death. Always take clonazepam exactly as your doctor has prescribed. Different interactions can cause different effects. Using this medicine during the later pregnancy may cause problems in your newborn baby (eg, sedation or withdrawal symptoms). Taking clonazepam with opioids can cause dangerous side effects. Clonazepam oral tablet is used for short-term treatment. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. It comes as tablets and as a liquid that you swallow. Clonazepam and diazepam do have some differences, though. This is because, after several weeks, most people develop a physical dependence. If a person misses doses or doesnt take the drug on schedule: They may have withdrawal symptoms if they dont take the drug on schedule. What to do if a person misses a dose: A person usually should take a missed dose as soon as they remember. Although not all of these side effects may occur, if they do occur they may need medical attention. You should always consult your doctor or other healthcare professional before taking any medication. Dependence means your body needs the drug in order to function like usual. Follow your doctor's orders or the directions on the label. Adverse effects of chronic benzodiazepine use are sedation, tolerance, and . (Misusing a drug means its taken differently than how your doctor prescribed it.). Remove any guns, knives, medications, or other things that may cause harm. Tell your doctor if youre pregnant or become pregnant while taking the drug. To learn more, visit their websites. The Role of Benzodiazepines in the Treatment of Epilepsy Clonazepam tablets: Side effects and how to manage them You will need to work closely with a doctor who can adjust your dose every few days or weeks, as necessary. Management of benzodiazepine misuse and dependence. Withdrawal from clonazepam can last from a few weeks to over 12 months. Among people using benzodiazepines for more than six months, about 40% will experience moderate-to-severe withdrawal symptoms. For panic disorder, clonazepam may be used alone. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Dose increases: A doctor may increase a childs dose by 0.25 to 0.5 mg every three days until their seizures are controlled. In general, generics usually cost less than brand-name drugs do. Until you become used to how clonazepam affects you, be careful with any activities that require alertness. Uses. Taking clonazepam can cause physical dependence on the drug. How clonazepam affects your body will depend on individual factors such as your age, overall health, and other medications you take. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Read this Healthline article to learn more about the differences between generic and brand-name drugs. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. Your doctor may adjust your dose as needed. It can also affect whether you can do other tasks that require you to be alert. Clonazepam is FDA-approved for use in children to treat seizure disorders, but not for anxiety disorders or other psychiatric problems. Not put this medication in a cars glove compartment or leave it in the car. If you have burning mouth syndrome, ask your doctor or dentist for more information about treatments. Sharing this information can help avoid potential interactions. KLONOPIN after continued use, or administration of flumazenil (a benzodiazepine antagonist) may precipitate acute withdrawal reactions, which can be life- threatening . Be sure to talk with your doctor for more information about long-term use of clonazepam. Keep in mind that side effects of a drug can depend on: Your doctor or pharmacist can tell you more about the potential side effects of clonazepam tablets. Children up to 10 years or 30 kilograms (kg) of body weightDose is based on body weight and must be determined by your doctor. unsteadiness, trembling, or other problems with muscle control or coordination, problems in urination or increase in the amount of urine, Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, fast, irregular, pounding, or racing heartbeat or pulse, pain, inflammation, or swelling in the calves, shoulders, or hands, pain or swelling in the arms or legs without any injury, pain, tenderness, or swelling of the foot or leg, shakiness in the legs, arms, hands, or feet, swelling of the face, ankle, foot, or knees, thoughts of killing oneself changes in behavior, trembling or shaking of the hands or feet, feeling that others are watching you or controlling your behavior, feeling that others can hear your thoughts, feeling, seeing, or hearing things that are not there, irregular, fast, slow, or shallow breathing, irregular, twisting uncontrolled movement of the face, hands, arms, or legs, sores, ulcers, or white spots on the lips or in the mouth, changes in patterns and rhythms of speech, unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness, unusual excitement, nervousness, restlessness, or irritability, longer than usual time to ejaculation of semen, loss in sexual ability, desire, drive, or performance, pain or tenderness around the eyes and cheekbones, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, blistering, burning, crusting, dryness, or flaking of the skin, cracks in the skin at the corners of the mouth, excess air or gas in stomach or intestines, feeling of constant movement of self or surroundings, itching in the genital or other skin areas, itching, scaling, severe redness, soreness, or swelling of the skin, redness of the face, neck, arms, and occasionally, upper chest, smaller amount of semen ejaculated than usual, soreness or redness around the fingernails and toenails, difficulty having a bowel movement (stool), increased hair growth, especially on the face, increased in sexual ability, desire, drive, or performance. Learn about side effects, warnings. This medicine should come with a Medication Guide. Ambien Withdrawal: Symptoms, Timeline, Treatment, Celexa Withdrawal: Symptoms, Timeline & Treatment. J Clin Psychopharmacol. Do not break or split the tablet. The Drug Enforcement Administration has assigned clonazepam a schedule. A class of drugs is a group of medications that work in a similar way. When a person takes this drug, they will have more GABA in their body. Heres a short list of some of the mild side effects that clonazepam tablets can cause. They can also recommend ways to help prevent overdose with this medication. The amount of medicine that you take depends on the strength of the medicine. This content does not have an English version. The dose is usually 0.01 to 0.03 mg per kg of body weight per day, given in 2 or 3 divided doses. Clonazepam does pass into breast milk. People may experience travel anxiety due to an anxiety disorder or negative past experiences. Clonazepam: a medicine to treat seizures and panic disorder Why Parkinson's research is zooming in on the gut. Make sure you tell your doctor if you have any other medical problems, especially: Take this medicine only as directed by your doctor. Primidone (Mysoline) may be effective in people who don't respond to beta blockers. Drug information provided by: Merative, Micromedex. This is a decision you and your doctor will make. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.