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INDICATIONS AND USAGE.
Klonopin is used in the treatment of seizures.
-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.
-In patients with absence seizures (petit mal) who have failed to respond to succinimides, Klonopin may be useful.
Some loss of effect may occur during the course of clonazepam treatment.
-Panic Disorder: Klonopin is indicated for the treatment of panic disorder, with or without agoraphobia. Panic disorder is characterized by the occurrence of unexpected panic attacks and associated concern about having additional attacks, worry about the implications or consequences of the attacks, and/or a significant change in behavior related to the attacks. Buy Pain Pills Online
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DOSAGE AND ADMINISTRATION
Clonazepam (Klonopin) is available as a tablet. klonopin comes in tablets of 0.5, 1, and 2 milligrams (mg). The tablets should be administered with water by swallowing the tablet whole.
klonopin comes in regular and dissolving tablets. Carefully remove dissolving tablets from the foil packaging. Make sure your hands are dry, and don’t push tablets through the foil. Put these tablets on your tongue right away.
Your dose of klonopin will depend on the condition you have and your response to the drug. Start with a low dose and increase your dose until you have a good response. This may take a few weeks.
Seizure Disorders: Adults: A typical adult dose to treat seizures may start at 1.5 mg a day, divided into three doses. Your doctor may gradually increase your dose to a maximum daily dose of 20 mg. The initial dose for adults with seizure disorders should not exceed 1.5 mg/day divided into three doses. Dosage may be increased in increments of 0.5 to 1 mg every 3 days until seizures are adequately controlled or until side effects preclude any further increase. Maintenance dosage must be individualized for each patient depending upon response. Maximum recommended daily dose is 20 mg.
The use of multiple anticonvulsants may result in an increase of depressant adverse effects. This should be considered before adding Klonopin to an existing anticonvulsant regimen.
Pediatric Patients: A child’s dose to treat seizures depends on weight. Klonopin is administered orally. In order to minimize drowsiness, the initial dose for infants and children (up to 10 years of age or 30 kg of body weight) should be between 0.01 and 0.03 mg/kg/day but not to exceed 0.05 mg/kg/day given in two or three divided doses. Dosage should be increased by no more than 0.25 to 0.5 mg every third day until a daily maintenance dose of 0.1 to 0.2 mg/kg of body weight has been reached, unless seizures are controlled or side effects preclude further increase.
Whenever possible, the daily dose should be divided into three equal doses. If doses are not equally divided, the largest dose should be given before retiring.
Geriatric Patients: In general, elderly patients should be started on low doses of Klonopin and observed closely.
Panic Disorder: Adults: A typical adult dose to treat panic disorder may start at 0.25 mg twice a day. After three days, your doctor may increase the dose to 1 mg a day. The initial dose for adults with panic disorder is 0.25 mg bid (3 times a day). An increase to the target dose for most patients of 1 mg/day may be made after 3 days. of up to a maximum dose of 4 mg/day, and in those instances, the dose may be increased in increments of 0.125 to 0.25 mg bid every 3 days until panic disorder is controlled or until side effects make further increases undesired. To reduce the inconvenience of somnolence, administration of one dose at bedtime may be desirable.
Treatment should be discontinued gradually, with a decrease of 0.125 mg bid every 3 days, until the drug is completely withdrawn.
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Klonopin Side Effects
Drowsiness, dizziness, or increased saliva production may occur, problems with walking and coordination, depression, fatigue, problems with memory. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Klonopin is contraindicated in patients with the following conditions:
-History of sensitivity to benzodiazepines.
-Clinical or biochemical evidence of significant liver disease.
-Acute narrow angle glaucoma (it may be used in patients with open angle glaucoma who are receiving appropriate therapy).
WARNINGS AND PRECAUTIONS.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain type of eye problem (narrow angle glaucoma), a certain blood disorder (porphyria), liver disease, kidney disease, lung/breathing problems, mental/mood problems (such as depression, thoughts of suicide), personal or family history of a substance use disorder (such as overuse of or addiction to drugs/alcohol).
Risks from Concomitant Use with Opioids: Concomitant use of benzodiazepines, including Klonopin, and opioids may result in profound sedation, respiratory depression,
coma, and death. Because of these risks, reserve concomitant prescribing of benzodiazepines and opioids for use in patients for whom alternative treatment options are inadequate.
Worsening of Seizures: When used in patients in whom several different types of seizure disorders coexist, Klonopin may increase the incidence or precipitate the onset of generalized tonic-clonic seizures (grand mal). This may require the addition of appropriate anticonvulsants or an increase in their dosages. The concomitant use of valproic acid and Klonopin may produce absence status.
Before taking clonazepam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (such as diazepam, lorazepam); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.