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What is Clonazepam of Rivotril?
Clonazepam is an antiepileptic drug; a medication that suppresses the symptoms of epilepsy. It is also prescribed for panic disorders, insomnia and neurological disorders such as polyneuropathies. Rivotril belongs to the benzodiazepines (and use in combination with alcohol is therefore not recommended). It is available in the form of drops, tablets and injections. Tablets are available in strengths of 0.5 and 2 mg. Rivotril® belongs to the group of drugs known as benzodiazepines and contains the active ingredient clonazepam.
Rivotril is prescribed by doctors for the treatment of epilepsy. In infants and children, the drug is indicated for mild seizures (petit mal) and tonic-clonic seizures (muscle jerks). Rivotril may also be used in adult epilepsies and focal seizures. The injection form of Rivotril is prescribed for the treatment of “status epilepticus” (a prolonged seizure or a number of seizures in succession without the person regaining consciousness in between). Rivotril is available as drops, as an injection fluid, and in tablet form.
Effects of Clonazepam
Rivotril is one of the benzodiazepines that has a very long half-life, 18 – 50 hours, Unlike the metabolites of diazepam, for example, the metabolites of clonazepam are virtually inactive. For adults, the maximum dose is 20 mg per day. Rivotril as a medication is mainly used in pill form and orally. However, it is also possible to smoke clonazepam and to use nasally, intramuscularly, intravenously or rectally.
Side effects Rivotril
Apart from the desired effect, this drug, like all drugs, can cause side effects. The most common side effects are the following: especially in the first weeks, drowsiness, fatigue and, less often, drowsiness. This reduces your ability to react and concentrate. Accidents can happen more easily: in traffic or at work. The adverse experiences for Rivotril are provided separately for patients with seizure disorders and panic disorder.
The most frequently occurring side effects of Rivotril are referable to CNS depression. Experience in treatment of seizures has shown that drowsiness has occurred in approximately 50% of patients and ataxia in approximately 30%. In some cases, these may diminish with time; behaviour problems have been noted in approximately 25% of patients. Others, listed by system, including those identified during postapproval use of Rivotril are:
- Cardiovascular: Palpitations
- Dermatologic: Hair loss, hirsutism, skin rash, ankle and facial oedema
- Gastrointestinal: Anorexia, coated tongue, constipation, diarrhoea, dry mouth, encopresis, gastritis, increased appetite, nausea, sore gum
- Genitourinary: Dysuria, enuresis, nocturia, urinary retention
- Hematopoietic: Anemia, leukopenia, thrombocytopenia, eosinophilia
- Hepatic: Hepatomegaly, transient elevations of serum transaminases and alkaline phosphatase
- Musculoskeletal: Muscle weakness, pains
- Miscellaneous: Dehydration, general deterioration, fever, lymphadenopathy, weight loss or gain
- Neurologic: Abnormal eye movements, aphonia, choreiform movements, coma, diplopia dysarthria, dysdiadochokinesis, ‘‘glassy-eyed’’ appearance, headache, hemiparesis, hypotonia, nystagmus, respiratory depression, slurred speech, tremor, vertigo
- Psychiatric: Confusion, depression, amnesia, hysteria, increased libido, insomnia, psychosis (the behavior effects are more likely to occur in patients with a history of psychiatric disturbances)
- The following paradoxical reactions have been observed: irritability, aggression, agitation, nervousness, hostility, anxiety, sleep disturbances, nightmares, abnormal dreams, hallucinations.
- Respiratory: Chest congestion, rhinorrhea, shortness of breath, hypersecretion in upper respiratory passages
Adverse events during exposure to Rivotril were obtained by spontaneous report and recorded by clinical investigators using terminology of their own choosing. Consequently, it is not possible to provide a meaningful estimate of the proportion of individuals experiencing adverse events without first grouping similar types of events into a smaller number of standardized event categories.
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On this website we do not sell any medications and refer visitors to trusted Internet providers. In this way, we save you and the best price to people many problems and you can easily and legally obtain this powerful medicine.
Frequently asked questions
Clonazepam belongs to the benzodiazepines. It affects information transmission through nerves in the brain. It also has a calming effect, muscle relaxant and reduces anxiety. Doctors prescribe it for epilepsy. They sometimes prescribe it for panic disorders, social phobia and muscle spasms. Look at all the different types of Rivotril here.
It is important to take this medicine consistently. If you do forget a dose:
– If you are taking this medicine 3 times a day. Will it take more than 2 hours before you take the next dose as normal? Then take the forgotten dose. Will it be less than 2 hours? Skip the forgotten dose.
– If you are taking this medicine twice a day. Will it be more than 4 hours before you take the next dose as usual? Then take the forgotten dose. Will it be less than 4 hours? Then skip the forgotten dose.
– If you are taking this medicine once a day. Will it be more than 8 hours before you take the next dose as normal? Then take the forgotten dose. Will it be less than 8 hours? Then skip the forgotten dose.
Careful consideration should be given, when combining, to the dosage of the various antiepileptic drugs to avoid potentiating side effects or provoking a seizure.
– Carbamazepine, lamotrigine, phenytoin phenobarbital, and possibly valproic acid may lower plasma levels.
– Clonazepam, when used concomitantly, may unaffect, decrease, or increase phenytoin levels, depending on dosage and patient-related factors.
– Concomitant use of primidone may lower the level of clonazepam but also cause more side effects.
– Do not use alcohol, this may reduce the effectiveness of treatment and cause severe sedation and respiratory and cardiovascular depression
If you have been taking this drug for only a few days in a row, you can stop at once. Generally, no withdrawal symptoms will occur. After several months of use, you should stop gradually. If you stop suddenly, you may experience withdrawal symptoms such as heart palpitations, insomnia, anxiety, irritability, feeling agitated, muscle cramps, tremors, and hypersensitivity to light, sound, and touch within a few days. If you reduce the dose slowly, you will have no or fewer withdrawal symptoms. Ask your doctor or pharmacist for advice on a good tapering schedule.
The withdrawal symptoms are difficult to distinguish from anxiety and tension symptoms. This is especially difficult since the symptoms you were originally given clonazepam for may come back stronger a few weeks after stopping. If so, do not start taking the drug again, but try to get rid of your symptoms in another way. Otherwise, you run the risk of ending up in a vicious circle.
Abruptly stopping Rivotril can therefore cause the same symptoms as the ones you were taking it for in the first place. Look at all the different types of Rivotril here.
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Last Updated on July 23, 2021 by Josette Davignon