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Is clonazepam 0.5mg safe for long term use?
Stira Disuza Stira Jan 14, 2020 02:54AM
Is clonazepam 0.5mg safe for long term use

Klonopin, or clonazepam, is a benzodiazepine drug and central nervous system depressant. ... Klonopin can have short-term therapeutic benefits when taken as prescribed. In general, long-term use is not advised because of the high risk for developing tolerance, dependence, and addiction.



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Clonazepam is used to prevent and control seizures. This medication is known as an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. Clonazepam works by calming your brain and nerves. It belongs to a class of drugs called benzodiazepines.

How to use Clonazepam
Read the Medication Guide provided by your pharmacist before you start taking clonazepam and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, usually 2 or 3 times daily.

Dosage is based on your medical condition, age, and response to treatment. For children, the dose is also based on weight. Older adults usually start with a lower dose to decrease the risk of side effects. Do not increase your dose, take it more often, or take it for a longer time than directed.

Take this medication regularly to get the most benefit from it. To help you remember, take it at the same times each day.

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Your dose may need to be gradually decreased.

If you suddenly stop using this medication, you may have withdrawal symptoms (such as seizures, mental/mood changes, shaking, stomach/muscle cramps). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used clonazepam for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal.

When this medication is used for a long time, it may not work as well. Talk with your doctor if this medication stops working well.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Take this medication exactly as prescribed to lower the risk of addiction. Ask your doctor or pharmacist for more details.

If you have several different types of seizure disorders, you may experience a worsening of seizures when you first start using clonazepam. Consult your doctor right away if this happens. Your doctor may need to add or adjust the dose of your other medications to control the seizures.

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The medication of Clonazepam is prescribed to the patients to prevent and control seizures. Clonazepam is known as antiepileptic or anticonvulsant medicine. This medicine is also used to treat panic attacks, such as the sudden appearance of intense fear or anxiety and physical symptoms. Clonazepam works by producing a calming effect on the brain and nerves. Clonazepam belongs to the category of medicine known as benzodiazepines.

How to use Clonazepam

Read the medication instructions provided by your pharmacist along with the medicine, before you start taking the dosage of Clonazepam or whenever you get a refill. If you have any questions about the medication, consult with your doctor, or pharmacist right away.

Take the dosages of this medicine by orally by mouth as directed by your doctor, usually two or three times a day. Dosage of Clonazepam always depends on the medical condition of the patient, age, and response to the medication. The dosage is based on the weight of children. Older patients most commonly start this medication with a lower dose to prevent the risks of side effects. The patient should never alter the treatment of this medicine, take it more often than prescribed, or continue it for a longer time without consulting doctor.


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Clonazepam is used to control and prevent seizures. This is an anticonvulsant or antiepileptic drug. It is also used to treat panic attacks. It works by calming your brain and nerves. It belongs to a category of drugs called benzodiazepines.

Dosage of medication

1.5 mg orally per day divided into three doses; this may be increased in increments of 0.5 mg to 1mg every three days until seizures are adequately controlled…
-Maximum dose: 20 mg/day


The precautions that a person has to know are as follows-

Tell your doctor if you are allergic to it; or to other benzodiazepines (such as diazepam, lorazepam); or if you have any other allergies, before starting this medicine.
Before starting to use this medication, tell your doctor about your medical history, like eye problem (narrow-angle glaucoma), a particular 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).
This drug may make you dizzy or drowsy. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy.
Don’t drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages.
Consult your doctor, before having surgery, about all the products you use (including prescription and nonprescription drugs, and herbal products).
For children, the long-term effects on physical and mental/behavioural development are uncertain and may not be seen until after many years. Therefore, discuss the risks and benefits of treatment with clonazepam with your doctor.
Elder people may be more sensitive to the effects of this drug, especially drowsiness and confusion. it can increase the risk of falling.
This drug should be used only when needed during pregnancy. It may harm an unborn baby.
Since untreated seizures are a serious condition that can harm both a pregnant woman and her unborn baby, do not stop taking this medication unless directed by your doctor.
Consult your doctor before breastfeeding.
Side Effects of the medicine

loss of coordination or increased saliva production may occur.
If any of these effects worsen, tell your doctor immediately.

Few people who take anticonvulsants for any condition (such as seizures, bipolar disorder, pain) may feel depression, suicidal thoughts/attempts, or other mental/mood problems.
Consult your doctor immediately if you or your family notice any unusual changes in your mood, thoughts, or behaviour, including confusion, memory problems, signs of depression etc.
Consult your doctor immediately if any of these unlikely but severe side effects would occur: easy bruising/bleeding, signs of infection (such as fever, persistent sore throat).
Get medical help immediately if you have any severe side effects, including slow/shallow breathing.

If someone has overdosed and has severe symptoms such as passing out or trouble breathing, call 911. Symptoms of overdose may include:

severe drowsiness,
loss of consciousness,
slowed/decreased reflexes.
Don’t share this medication with others. Sharing it is against the law.

Laboratory and medical tests (such as liver function tests, complete blood count) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Don’t double the dose to catch up.


Store at room temperature away from light and moisture.
Do not store in the bathroom.
Keep all medications away from children and pets.
Don’t flush medications down the toilet or pour them into a drain unless instructed to do so.
Properly discard this product when it is expired or no longer needed.

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clonazepam is a benzodiazepine tranquilizer that is widely used to treat acute anxiety states and as a premedication in adolescents over 12 years and adults.

The drug possesses sedative, hypnotic, anxiolytic and muscle relaxing action. Currently, clonazepam is considered one of the safest and most effective tranquilizers, used to treat anxiety disorders.

Prescribing Information

clonazepam tranquilizer is used for:

treatment of anxiety disorders, accompanied by depression and sleep disorders;
premedication (when preparing the patient for diagnostic procedures or surgical interventions);
control of status epilepticus (tonic-clonic seizures and partial onset seizure).
Ativan helps to quickly cope with the manifestations of a nervous breakdown and anxiety, weakens irritability and reduces psycho emotional stress.

clonazepam is a prescription drug. The main form of release are tablets and solution for injections. The drug is available in:

5 mg, 1 mg and 2 mg oral tablets.
4 mg/ml solution for injection.
The success of treating anxiety disorders depends not only on the individual patient’s characteristics,but also on the observance of the dosing schedule of Ativan.

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To achieve the optimal result, the dosage regimen of Ativan is selected individually, depending on the patient’s clinical response to the tranquilizer administration.

Dosage for anxiety disorders
In anxiety states, the recommended initial dose of Ativan is 2 mg per day. If necessary, the daily dose can be gradually increased or decreased by 0.5 mg to avoid adverse effects.

The usual therapeutic dose of Ativan varies from 2 mg to 6 mg. In the expressed anxiety state, the tranquilizer dose may be increased to 10 mg per day. The daily dose should be divided into two or three doses. The highest dose of Ativan is usually prescribed before bedtime.

In sleep disorders, caused by anxiety disorders, Ativan is prescribed at the rate of 1 mg to 4 mg once a day, before bedtime.

Dosage for premedication

For premedication, both Ativan tablets and injections can be used. The injection form of the tranquilizer can be administered intravenously or intramuscularly.

Adults are prescribed 2.5 mg to 5 mg of Ativan two hours before a surgery or investigations. The pediatric dose is calculated based on the weight of the child’s body and amounts to 0.05 mg per kg of body weight.

Dosage for status epilepticus

To effectively arrest the epileptic status, adults are prescribed 1 mg to 4 mg of Ativan, children – up to 2 mg. The tranquilizer is administered intravenously slowly within 2-5 minutes.

Caution should be observed when prescribing the tranquilizer to the elderly and debilitated patients, who take opioids and Levodopa. Ativan can enter into a drug interaction with these and other drugs.


Combined use of Ativan with antihistamines, barbiturates, antipsychotic medications, hypnotics, antianxiety medications, and tricyclic antidepressants has a depressing impact over the CNS and increases the likelihood of respiratory depression.

It was found that the combination of Ativan with probenecid can lead to an increase and prolongation of the tranquilizer’s effect. Theophylline or aminophylline may reduce the sedative effect of Ativan.

Side effects

As a rule, side effects develop at the beginning of therapy and often disappear as it continues. The most frequent side effects of Ativan are respiratory depression (when used in high doses), arterial hypotension, asthenia, nausea, fatigue, and depression.


Prolonged use of Ativan (more than 4 months)increases the risk of physical and mental dependence. Abrupt cessation of the tranquilizer may be accompanied by the onset of withdrawal symptoms and well-being worsening. Therefore, the dose of Ativan should be reduced gradually, if a patient requires treatment discontinuation.





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What is clonazepam, and is it hygienic to use?

Clonazepam is FDA approved medication, and clonazepam found the advanced medicines to treat seizures, anxiety, and panic disorder within a short period, and this period maybe 3 to 4 weeks according to patient condition, medical status, and current health issue. Clonazepam is also known as the name of anticonvulsant and antiepileptic in scientific terms. Clonazepam belongs to a different class group that is benzodiazepine. The primary function of clonazepam is providing calm and peace to the brain and nerve cells.

Yes, clonazepam is hygienic and safe to use if you follow the guidelines and directions given by the health experts, doctors, and scientists. You should not use the clonazepam without a doctor’s recommendation and consultation.

What factors make the clonazepam a harsh medication?

Many protocols make clonazepam hazardous and harsh medication. There are many directions given by the health experts to overcome the side effects, and you should follow the precaution those are given below to stay away from the side effects-

Avoid if you are under psychological treatment- you should avoid the use of clonazepam if you are under the psychological therapy because this drug may react with your medication and may lead to cause you to disturb and unhealthy mindset.

Should not be taken by kids and pregnant women- clonazepam should not be used by the children who are less than 18 and pregnant and nursing ladies because it may cause the internal and external health issue to mother and unborn child.

Don’t use without doctor recommendation-clonazepam can show adverse effects on the healthy body if you are running under the clonazepam treatment without doctor recommendation. So you should use it with a doctor’s prescription for minimizing future issues.

What are the side effects noticed with the use of clonazepam?

There are side effects noticed with the use of clonazepam. There is a list given below of frequent and severe health issues which may occur with the use of clonazepam-

Common side effects are-

Unhealthy digestion
Severe side effects are-

Blurred vision
Mood swings
Low and high range of heartbeat
Chest pain
NOTE- You should avoid the use of clonazepam if you face above mentioned severe health issue.

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