Clonazepam (clonazepam) is a psychoactive drug used in psychiatric and neurological diseases. It has a positive effect on the nervous system and helps fight mental disorders, but its consumption must be strictly controlled by a doctor, because the product has strong psychoactive properties. What? How does clonazepam work and when should it be taken?
1. What is clonazepam?
Clonazepam (clonazepam) is psychoactive drug from the Group benzodiazepines. It affects nervous system, has hypnotic, anticonvulsant, anxiolytic and relaxing properties. It is used mainly in mental diseases and neurology.
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This drug can only be obtained by prescription because of its potency psychological effect and addictive potential. It must also be used according to the doctor’s recommendations and under his constant supervision.
Clonazepam is used to treat:
- lack of sleep
- a state of anxiety
- nervous tics
- increased muscle tension
Clonazepam is available in the form of tablets or intravenous injections.
2. When should I use clonazepam?
Clonazepam is a drug that a doctor can prescribe for us and there must be specific indications for this. Often, this drug is used treatment epilepsyfrequent muscle spasms and increased tension, uncontrollable nervous tics, and certain mental disorders.
It is used as an auxiliary in treat depressionanxiety, neurotic disorders, and in the case of persistent sleep.
2.1. How is clonazepam used?
The dose of clonazepam is adjusted individually for the patient. Your doctor will consider the severity of your symptoms, your medical history and allergies as well behavior of mental disorders or access stimuli.
Medicines containing clonazepam must be used with caution. Overdose can be very dangerous, so your doctor should first start by prescribing a small dose that will be increased gradually if necessary. The drug is used 3 times a day, washing the tablet with plenty of water. The initial level should not be more than 1.5 mg per day. This dose can be gradually increased to 4-8 mg daily. This is called maintenance dose.
You can never change the dose to your liking – this decision is always made by a specialist.
It can also not be sudden stop clonazepam treatment – this can cause withdrawal symptoms and worsen the symptoms of the disease we fought with this drug.
2.2. Clonazepam for children
Clonazepam can also be used in children – then the dose is determined according to the patient’s weight. Usually the drug is administered 3-4 times at the same dose and at the same intervals.
2.3. Clonazepam for injection
Intravenous injections containing clonazepam are given primarily for immediate control status epilepticus. They can be administered directly from the injection or as slow infusions. The usual dose is 0.5 mg for children and 1 mg for adults.
If intravenous injection is not possible for some reason, clonazepam can be administered intramuscularly.
3. Contraindications for the use of clonazepam
Due to its strong psychological effects and addictive potential, clonazepam cannot be used by everyone. The main contraindication is a history of allergy to this ingredient or any drug from the benzodiazepine group. You should also not use clorazepam if you are allergic to any of the medication’s excipients.
Clonazepam should not be used during pregnancy or breastfeeding. This drug crosses the barrier blood-placentawhich may endanger the child. It can also penetrate into the milk, so it should not be used until the end of feeding.
Other contraindications to the use of clonazepam are:
- acute lung failure
- inability to breathe
- sleep apnea
- myasthenia gravis
- alcohol poisoning
- liver problems
The drug should also not be used for the elderly, as well as for sick patients natural depression (they may kill themselves).
4. Effects of clonazepam
Clonazepam, like all drugs, can cause side effects. It usually comes from misuse or overdose. However, the patient may experience some side effects, in most cases harmless to health and life.
Often, after using clonazepam, the following appear:
- drowsiness and chronic fatigue
- headache and dizziness
- nausea and vomiting
- diarrhea and abdominal pain
- poor eyesight
- drop in blood pressure
- problems with coordination and movement.
Sometimes after taking clorazepam there is what is known retrograde amnesia – this usually happens a few hours after taking the medicine. Often, this symptom occurs when using high doses.
If the patient suddenly stops clonazepam, the so-called withdrawal symptoms. Common symptoms are hallucinations, hallucinations, agitation and increased symptoms of the disease for which clonazepam is prescribed.
Long-term treatment with clorazepam
Clorazepam cannot be used for a very long time, as it causes an increase in the body’s tolerance to the drug and thus a decrease in its effectiveness. Frequent use of clorazepam can also cause it addiction.
5. Clonazepam and adverse interactions
Clonazepam may interact with other medications or stimulants. Make sure your doctor knows about all the medicines you are taking, as there are a large group of active substances that can increase the effects of clonazepam.
It should not be combined with certain drugs, among others:
- fight cancer
- used in the treatment of lung and bronchial diseases
- used in the treatment of alcoholism
You should not mix clonazepam with substances such as:
- other benzodiazepines
- protein inhibitors
- unusual neuroleptics
- antiepileptic drugs
- angiotensin converting enzyme inhibitors
- calcium channel blockers
- muscarinic receptor antagonists
- muscle relaxation
- glucocorticosteroids and glycosides
- histamine receptor antagonists
- protein kinase inhibitors
- interleukin inhibitors
- some antibiotics
- opioid receptor antagonists
As a result of combining clonazepam with other drugs, not only sleep or stomach discomfort may occur, but also hallucinations, de-reality and disturbance of consciousness.
Clonazepam should not be combined with alcohol and other stimulants. Smoking during treatment can reduce the effectiveness of the medicine. It is also inappropriate driving cars and machinesas the drug can change your perception and significantly increase your reaction time. You should not get behind the wheel not only while you are taking clorazepam, but also around 3 days after the end of the therapy.
You should also not take clonazepam and oral doses at the same time contraception.
5.1. Clonazepam during pregnancy
Clorazepam should not be used during pregnancy or breastfeeding. It enters the placenta and breast milk, which can cause the development of many birth defects and the death of the fetus. It shows strength teratogenic effectand thus may favor the occurrence of growth retardation or lead to premature delivery, as well as the development of severe defects in the fetus.
If a woman plans to become pregnant or suspects that she is already pregnant, she must inform the doctor about it.
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