Clonazepam is not recommended for use by people with depression or psychosis or who have attempted suicide.
Side effects can be mild or severe, temporary or permanent. Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. Do not stop taking this medication without consulting your doctor. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor.
The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.
If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications.
Since caffeine, the nicotine from cigarettes, or street drugs can affect the action of many medications; you should let your prescriber know if you use them. l your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also l them about any supplements you take. Medications other than those listed above may interact with this medication.
Seniors: Seniors may be at increased risk for the sedative and impaired coordination effects of this medication. This can increase the risk of falls and fractures. Seniors may require lower doses of this medication.
People with severe liver problems should not take this medication. Liver function: If you have liver disease or decreased liver function, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
If you are a breast-feeding mother and are taking clonazepam, it may affect your baby. Breast-feeding: This medication passes into breast milk. Talk to your doctor about whether you should continue breast-feeding.
It is important that the dose be individualized to your specific needs to avoid decreased coordination or excessive drowsiness. The dose of clonazepam is determined based on how much is needed to control seizures and varies from person to person.
In general, benzodiazepines are used as a sedative or to decrease seizures or anxiety. Clonazepam is used to treat seizure disorders. It helps by slowing the activity of the nerves in the brain (i.e., the central nervous system). Clonazepam belongs to the class of medications called benzodiazepines.
If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule.
Clonazepam may be taken with food or on an empty stomach. Avoid drinking grapefruit juice while you are taking this medication as it can increase the levels of clonazepam in your blood.
Grapefruit juice: Avoid drinking grapefruit juice while you are taking this medication as it can increase the levels of clonazepam in your blood.
Depression: Clonazepam, like other benzodiazepines, has been known to cause mood swings and symptoms of depression. If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking this medication contact your doctor as soon as possible. If you have depression or a history of depression, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Porphyria: If you have porphyria, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
People who have an addiction to alcohol or other drugs should not take clonazepam except in rare situations under medical supervision.
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.
If you have severe breathing problems, discuss the risks and benefits of taking this medication your doctor. Breathing: Clonazepam can suppress breathing. This effect on breathing may be more pronounced for people with breathing problems, brain damage, or who are taking other medications that suppress breathing (e.g., codeine, morphine).
Nonmedicinal ingredients: cornstarch, lactose, magnesium stearate, and microcrystalline cellulose. Gluten-, paraben-, sodium-, sulfite-, and tartrazine-free. 2 mg Each white, cylindrical, biplane, scored, bevelled-edged tablet, with "ROCHE" over "2" on one side, cross-scored on the other, contains 2 mg of clonazepam.
There may be an interaction between clonazepam and any of the following:
If you experience worsening seizures or the frequency of your seizures does not decrease while taking this medication, contact your doctor. Seizures: For some people taking this medication, seizures may worsen or a new type of seizure can occur.
down the sink or in the toilet) or in household garbage. Do not dispose of medications in wastewater (e.g. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Alcohol can increase the drowsiness effects and should be avoided. This is particularly true when first taking the medication and until you have established how clonazepam affects you. Drowsiness/reduced alertness: Because clonazepam causes drowsiness and sedation, avoid activities requiring mental alertness, judgment, and physical coordination (such as driving or operating machinery) while taking it.
Before you begin taking a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take this medication.
The starting dose should be calculated as 0.01 mg per kilogram of body weight per day to 0.03 mg per kilogram of body weight per day, divided into 2 or 3 doses. The maximum starting dose should be no more than 0.05 mg per kilogram of body weight per day. The doctor will gradually increase the dose until the child’s seizures are controlled. For children up to 10 years old or who weigh 30 kilograms or less, the dose is based on body weight. Generally, the maintenance dose is between 0.1 mg per kilogram and 0.2 mg per kilogram of body weight.
Discuss the options with your doctor and follow their instructions closely. This medication should only be used during pregnancy if the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediay. Pregnancy: Taking clonazepam during pregnancy can increase the risk of certain birth defects. Do not stop taking this medication suddenly, as this may result in withdrawal symptoms.
The recommended maintenance dose for adults is 8 mg to 10 mg per day in 3 divided doses. This helps to minimize drowsiness and other side effects. The recommended adult starting dose of clonazepam should not be greater than 1.5 mg per day in 3 divided doses. Your doctor will gradually increase the dose until your seizures are controlled.
Do not use clonazepam if you: are allergic to clonazepam, or any ingredients of the medication have had an allergic reaction to any other benzodiazepine (e.g., lorazepam, diazepam, oxazepam) have acute narrow or closed angle glaucoma have myasthenia gravis have severe breathing problems have severe liver disease have sleep apnea Clonazepam may be used by people with open angle glaucoma who are receiving appropriate treatment.
Coordination problems: If you have a medical condition that affects coordination (e.g., spinal or cerebellar ataxia, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:.
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not seek medical attention.
Alcohol: People taking this medication should not consume alcohol since doing so can reduce the effectiveness of this medication and increase the risk of side effects.
Stop taking the medication and seek immediate medical attention if any of the following occur:
Long-term use may have an effect on your child’s physical and mental development. Children: If long-term use of clonazepam is being considered for a child, discuss with your child's doctor the benefits and the risks of clonazepam use.
If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor. The side effects listed below are not experienced by everyone who takes this medication.
0.5 mg Each pale orange, cylindrical, biplane, scored, bevelled-edged tablet, with "ROCHE" over "0.5" on one side, cross-scored on the other, contains 0.5 mg of clonazepam. Gluten-, paraben-, sodium-, sulfite-, and tartrazine-free. Nonmedicinal ingredients: cornstarch, iron oxide red, iron oxide yellow, lactose, magnesium stearate, potato starch, and talc.
Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. The contents herein are for informational purposes only. 1996 – 2018. Source: /drug/getdrug/Rivotril. All material MediResource Inc. Terms and conditions of use.
Check with your doctor as soon as possible if any of the following side effects occur:
Lactose intolerance: Lactose is one of the ingredients in this medication. If you have a hereditary condition that makes you intolerant to lactose, discuss other alternatives with your doctor.
Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.
Memory: This medication may impair recent memory. If you experience this while taking this medication, contact your doctor.
Speak to your doctor about how any drug interactions are being managed or should be managed. An interaction between two medications does not always mean that you must stop taking one of them.
This medication may be available under multiple brand names and/or in several different forms. As well, some forms of this medication may not be used for all of the conditions discussed here. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here.
Severe withdrawal symptoms may occur if the dose is significantly reduced or suddenly stopped. Do not suddenly stop taking this medication without talking to your doctor. These symptoms include seizures, irritability, nervousness, sleep problems, agitation, tremors, diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms. Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) has been associated with benzodiazepines such as clonazepam.
If you have kidney disease or reduced kidney function, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. Kidney function: Decreased kidney function or kidney disease may cause this medication to build up in the body, causing side effects.Rivotril