Safety and effectiveness in pediatric patients with panic disorder below the age of 18 have not been established. Geriatric Use Clinical studies of clonazepam did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy.
Because clonazepam undergoes hepatic metabolism, it is possible that liver disease will impair clonazepam elimination. Metabolites of clonazepam are excreted by the kidneys; to avoid their excess accumulation, caution should be exercised in the administration of the drug to patients with impaired renal function. Sedating drugs may cause confusion and over-sedation in the elderly; elderly patients generally should be started on low doses of clonazepam and observed closely.
Seizure Disorders The most frequently occurring side effects of clonazepam are referable to CNS depression. Others, listed by system, are: Confusion, depression, amnesia, hallucinations, 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: Chest congestion, rhinorrhea, shortness of breath, hypersecretion in upper respiratory passages Cardiovascular: Hair loss, hirsutism, skin rash, ankle and facial edema Gastrointestinal: Anorexia, coated tongue, constipation, diarrhea, dry mouth, encopresis, gastritis, increased appetite, nausea, sore gums Genitourinary: Dysuria, enuresis, nocturia, urinary retention Musculoskeletal: Muscle weakness, pains Miscellaneous: I have been taking clonazepam about 11 years.
I like to distinguish between dependence and addiction. Dependence is when your body requires the drug for normal function. Benzodiazepine use creates dependence. Withdrawal from long term use is often difficult and protracted as the body adjusts to not having it. Addiction is where you hoard medicine, doctor shop to get more than your own doctor will give you, take way more than you are prescribed, buy it off the street etc.
They are two very different conditions. It works well for me, I have no desire to abuse or increase the dose so I don't worry about it. Do not drive a car or operate machinery until you know how this medication affects you. A small number of adults and children 5 years of age and older about 1 in people who took antiepileptics such as clonazepam to treat various conditions during clinical studies became suicidal during their treatment.
Some of these people developed suicidal thoughts and behavior as early as one week after they started taking the medication. There is a risk that you may experience changes in your mental health if you take an antiepileptic medication such as clonazepam, but there may also be a risk that you will experience changes in your mental health if your condition is not treated.
You and your doctor will decide whether the risks of taking an antiepileptic medication are greater than the risks of not taking the medication.
You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own. Talk to your doctor about eating grapefruit and drinking grapefruit juice while taking this medicine. Take the missed dose as soon as you remember it. It may harm an unborn baby.
However, 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. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy. This drug passes into breast milk and may have undesirable effects on a nursing infant.
Consult your doctor before breast -feeding. Interactions See also Warning section. Drug interactions may change how your medications work or increase your risk for serious side effects.
This document does not contain all possible drug interactions. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: Tell your doctor or pharmacist if you are taking other products such as opioid pain or cough relievers such as codeine, hydrocodone , alcohol, marijuana , drugs for sleep or anxiety such as alprazolam , lorazepam , zolpidem , muscle relaxants such as carisoprodol , cyclobenzaprine , or antihistamines such as cetirizine , diphenhydramine.
Check the labels on all your medicines such as allergy or cough -and-cold products because they may contain ingredients that cause drowsiness.
Ask your pharmacist about using those products safely. Should I avoid certain foods while taking Clonazepam? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing , call Otherwise, call a poison control center right away. US residents can call their local poison control center at Before using this medication , tell your doctor or pharmacist your medical history, especially of: This drug may make you dizzy or drowsy.
Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely.
Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products. Therefore, discuss the risks and benefits of treatment with clonazepam with your doctor. Older adults may be more sensitive to the effects of this drug, especially drowsiness and confusion. These side effects can increase the risk of falling. During pregnancy , this medication should be used only when clearly needed.
It may harm an unborn baby. However, 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. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately talk to your doctor about the benefits and risks of using this medication during pregnancy.
This drug passes into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast -feeding. Interactions See also Warning section. Drug interactions may change how your medications work or increase your risk for serious side effects.
This document does not contain all possible drug interactions. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
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