Co Clonazepam

The dose of clonazepam is determined based on how much is needed to control seizures and varies from person to person. It is important that the dose be individualized to your specific needs to avoid decreased coordination or excessive drowsiness.

The recommended adult starting dose of clonazepam should not be greater than 1.5 mg per day in 3 divided doses. This helps to minimize drowsiness and other side effects. Your doctor will gradually increase the dose until your seizures are controlled. The recommended maintenance dose for adults is 8 mg to 10 mg per day in 3 divided doses.

For children up to 10 years old or who weigh 30 kilograms or less, the dose is based on body weight. The starting dose should be calculated as 0.01 mg per kilogram of body weight per day to 0.03 mg per kilogram of body weight per day, divided into 2 or 3 doses. The maximum starting dose should be no more than 0.05 mg per kilogram of body weight per day. The doctor will gradually increase the dose until the child’s seizures are controlled. Generally, the maintenance dose is between 0.1 mg per kilogram and 0.2 mg per kilogram of body weight.

Clonazepam may be taken with food or on an empty stomach. Avoid drinking grapefruit juice while you are taking Co Clonazepam as it can increase the levels of clonazepam in your blood.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take Co Clonazepam exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store Co Clonazepam at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.

0.5 mg
Each round, biconvex, orange tablet, scored on one side and embossed "C31" on the other, contains 0.5 mg of clonazepam. Nonmedicinal ingredients: colour (FD&C & D&C), FD&C Yellow No. 6 Lake 15%, FD&C Blue No. 2 Aluminum Lake 12%, D&C Yellow No. 10 Aluminum Lake 17%, lactose, magnesium stearate, and pregelatinized starch.

1 mg
Each round, biconvex, green tablet, scored on one side and embossed "C32" on the other, contains 1 mg of clonazepam. Nonmedicinal ingredients: colour (FD&C & D&C), FD&C Yellow No. 6 Lake 15%, FD&C Blue No. 2 Aluminum Lake 12%, D&C Yellow No. 10 Aluminum Lake 17%, lactose, magnesium stearate, and pregelatinized starch.

2 mg
Each round, biconvex, white tablet, scored on one side and embossed "C33" on the other side, contains 2 mg of clonazepam. Nonmedicinal ingredients: colour (FD&C & D&C), FD&C Yellow No. 6 Lake 15%, FD&C Blue No. 2 Aluminum Lake 12%, D&C Yellow No. 10 Aluminum Lake 17%, lactose, magnesium stearate, and pregelatinized starch.

Do not use clonazepam if you:

• are allergic to clonazepam, or any ingredients of the medication
• have had an allergic reaction to any other benzodiazepine (e.g., Lorazepam, Diazepam, Oxazepam)
• have acute narrow or closed angle Glaucoma
• have Myasthenia Gravis
• have severe breathing problems
• have severe liver disease
• have Sleep Apnea

Clonazepam may be used by people with open angle glaucoma who are receiving appropriate treatment.

There may be an interaction between clonazepam and any of the following:

• Abiraterone acetate
• alcohol
• antihistamines (e.g,. cetirizine, doxylamine, Diphenhydramine, Hydroxyzine, Loratadine)
• antipsychotics (e.g., Chlorpromazine, Clozapine, Haloperidol, Olanzapine, Quetiapine, Risperidone)
• Aprepitant
• azelastine
• "azole" antifungals (e.g., itraconazole, ketoconazole, Voriconazole)
• barbiturates (e.g., butalbital, Phenobarbital)
• benzodiazepines (e.g., Alprazolam, diazepam, lorazepam)
• Bicalutamide
• boceprevir
• Bosentan
• brimonidine
• Buspirone
• calcium channel blockers (e.g., Amlodipine, Diltiazem, Nifedipine, Verapamil)
• chloral hydrate
• Clonidine
• Cobicistat
• conivaptan
• Crizotinib
• Dabrafenib
• Dasatinib
• Deferasirox
• Dronedarone
• efavirenz
• Entacapone
• Enzalutamide
• general anesthetics (medications used to put people to sleep before surgery) grapefruit juice
• HIV non-nucleoside reverse transcriptase inhibitors (e.g., delavirdine, efavirenz, etravirine, nevirapine)
• HIV protease inhibitors (e.g., atazanavir, indinavir, ritonavir, saquinavir)
• imatinib
• kava kava
• macrolide antibiotics (e.g., clarithromycin, erythromycin)
• magnesium sulfate
• Methadone
• mifepristone
• Mirtazapine
• Mitotane
• Modafinil
• muscle relaxants (e.g., Baclofen, Cyclobenzaprine, methocarbamol, orphenadrine)
• narcotic-containing medications (e.g., codeine, Oxycodone, morphine)
• Nabilone
• nefazodone
• Norfloxacin
• Olopatadine
• Pramipexole
• proton pump inhibitors (e.g., Lansoprazole, Omeprazole)
• rifabutin
• rifampin
• Ropinirole
• St. John's wort
• scopolamine
• seizure medications (e.g., Clobazam, Carbamazepine, Levetiracetam, phenobarbital, Phenytoin, primidone, Topiramate, Valproic acid, zonisamide)
• selective serotonin reuptake inhibitors (SSRIs; e.g., Citalopram, Duloxetine, Fluoxetine, Paroxetine, Sertraline)
• siltuximab
• simeprevir
• Tapentadol
• tetrahydrocannabinol
• thalidomide
• theophyllines (e.g., Aminophylline, Oxtriphylline, Theophylline)
• Tocilizumab
• tolcapone
• Tramadol
• tricyclic antidepressants (e.g., Amitriptyline, Clomipramine, Desipramine, Trimipramine)
• valerian
• Zolpidem
• Zopiclone

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with Co Clonazepam. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, the Nicotine from cigarettes, or street drugs can affect the action of many medications; you should let your prescriber know if you use them.

Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Co Clonazepam.

HEALTH CANADA ADVISORY

October 30, 2020

Health Canada has issued new restrictions concerning the use of benzodiazepines and benzodiazepine-like prescription drugs. To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.

Alcohol: People taking Co Clonazepam should not consume alcohol since doing so can reduce the effectiveness of Co Clonazepam and increase the risk of side effects.

People who have an addiction to alcohol or other drugs should not take clonazepam except in rare situations under medical supervision.

Breathing: Clonazepam can suppress breathing. This effect on breathing may be more pronounced for people with breathing problems, brain damage, or who are taking other medications that suppress breathing (e.g., Codeine, Morphine). If you have severe breathing problems, discuss the risks and benefits of taking Co Clonazepam your doctor.

Coordination problems: If you have a medical condition that affects coordination (e.g., spinal or cerebellar ataxia, discuss with your doctor how Co Clonazepam may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Co Clonazepam, and whether any special monitoring is needed.

Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) has been associated with benzodiazepines such as clonazepam. Severe withdrawal symptoms may occur if the dose is significantly reduced or suddenly stopped. These symptoms include seizures, irritability, nervousness, sleep problems, agitation, tremors, Diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms. Do not suddenly stop taking Co Clonazepam without talking to your doctor.

Depression: Clonazepam, like other benzodiazepines, has been known to cause mood swings and symptoms of depression. If you have depression or a history of depression, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Co Clonazepam, and whether any special monitoring is needed. If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking Co Clonazepam contact your doctor as soon as possible.

Clonazepam is not recommended for use by people with depression or psychosis or who have attempted suicide.

Drowsiness/reduced alertness: Because clonazepam causes drowsiness and sedation, avoid activities requiring mental alertness, judgment, and physical coordination (such as driving or operating machinery) while taking it. This is particularly true when first taking the medication and until you have established how clonazepam affects you. Alcohol can increase the drowsiness effects and should be avoided.

Grapefruit juice: Avoid drinking grapefruit juice while you are taking Co Clonazepam as it can increase the levels of clonazepam in your blood.

Kidney function: Decreased kidney function or Kidney Disease may cause Co Clonazepam to build up in the body, causing side effects. If you have kidney disease or reduced kidney function, discuss with your doctor how Co Clonazepam may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Co Clonazepam, and whether any special monitoring is needed.

Lactose intolerance: Lactose is one of the ingredients in this medication. If you have a hereditary condition that makes you intolerant to lactose, discuss other alternatives with your doctor.

Liver function: If you have liver disease or decreased liver function, discuss with your doctor how Co Clonazepam may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Co Clonazepam, and whether any special monitoring is needed. People with severe liver problems should not take Co Clonazepam.

Memory: Co Clonazepam may impair recent memory. If you experience this while taking Co Clonazepam, contact your doctor.

Porphyria: If you have porphyria, discuss with your doctor how Co Clonazepam may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Co Clonazepam, and whether any special monitoring is needed.

Seizures: For some people taking Co Clonazepam, seizures may worsen or a new type of seizure can occur. If you experience worsening seizures or the frequency of your seizures does not decrease while taking this medication, contact your doctor.

Pregnancy: Taking clonazepam during pregnancy can increase the risk of certain birth defects. Co Clonazepam should only be used during pregnancy if the benefits outweigh the risks. If you become pregnant while taking Co Clonazepam, contact your doctor immediately. Do not stop taking Co Clonazepam suddenly, as this may result in withdrawal symptoms. Discuss the options with your doctor and follow their instructions closely.

Breast-feeding: Co Clonazepam passes into breast milk. If you are a breast-feeding mother and are taking clonazepam, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: If long-term use of clonazepam is being considered for a child, discuss with your child's doctor the benefits and the risks of clonazepam use. Long-term use may have an effect on your child’s physical and mental development.

Seniors: Seniors may be at increased risk for the sedative and impaired coordination effects of Co Clonazepam. This can increase the risk of falls and fractures. Seniors may require lower doses of Co Clonazepam.

<p><a href="/drug/rivotril">Clonazepam</a> belongs to the class of medications called <i>benzodiazepines</i>. In general, benzodiazepines are used as a sedative or to decrease seizures or anxiety. Clonazepam is used to <b>treat seizure disorders.</b> It helps by slowing the activity of the nerves in the brain (i.e., the central nervous system).</p><p><b>Co Clonazepam may be available under multiple brand names and/or in several different forms.</b> Any specific brand name of Co Clonazepam may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Co Clonazepam may not be used for all of the conditions discussed here.</p><p><b>Your doctor may have suggested Co Clonazepam for conditions other than those listed in these drug information articles.</b> If you have not discussed this with your doctor or are not sure why you are taking Co Clonazepam, speak to your doctor. <b>Do not stop taking Co Clonazepam without consulting your doctor.</b></p><p><b>Do not give Co Clonazepam to anyone else, even if they have the same symptoms as you do.</b> It can be harmful for people to take Co Clonazepam if their doctor has not prescribed it.</p>