Recommendations for the use of Clonazepam
Contents:
- Recommended dosages for use
- Use in pregnant women
- Use with other drugs
Clonazepam is an antiepileptic drug that has a hypnotic, sedative, muscle relaxant effect. For the use of the drug Clonazepam, the indications are mainly in the treatment of epilepsy. In addition, it is recommended in the treatment of pathological psychological changes: phobias, fears, sleep disorders. Clonazepam is available in tablets, drops, as a solution for injection.
Known analogues of clonazepam are Nitrazepam, Clonotril, and Rivotril.
Recommended dosages for use of
Before taking Clonazepam, a doctor's consultation is mandatory. Typically, the drug is prescribed in the following dosages:
- Children 0 - 10 years( up to 30 kg body weight).For children from 0 to 10 years with the prescription of Clonazepam, the dosage is calculated per kilogram of body weight per day. This is 0.01-0.03 mg / kg. If necessary, the dosage can be increased until the condition improves. On average, up to 0.1 mg. The maximum dosage of the drug can reach 0.2 mg. Children and adolescents 10 - 16 years. At the beginning of treatment, the dosage is 1 mg( 0.5 times twice a day).The therapeutic dosage provides for addition of 0.25 or 0.5 mg.
- Adults. Begin treatment with a dosage of 1.5 mg per day. If this dosage is not enough, then you can add another 0.5 mg three times. The maximum dose per day can be up to 20 mg. The drug can be divided into three methods. All the features of dosage and dividing them into receptions during the day are determined by the doctor. If it is recommended to take the drug three times a day, then the daily dose is divided into three equal parts. If this does not work out and is recommended twice a day, then one dose will be greater than the other. Then it is recommended to take the most part for the night, and the second for the other reception.
- Clonazepam for panic attacks for adults is usually prescribed at 1 mg per day( maximum - 4 mg per day).
Intravenous administration is administered by drip continuous administration and slim. Children of younger age group recommends a single dose of 0.5 mg. For adults, the recommended dose for intravenous administration is 1 mg. Maximum is not more than 13 mg per day.
When administered, the concentration of the preparation and the solvent should be either in equal volume, or the solvent should be greater. Introduction is slow. Blood pressure and heart rate are monitored.
The substance is partially adsorbed by polyvinyl chloride materials. If there is a need for storage, then only glass containers should be used for this. The shelf life of the diluted clonazepam should not be more than 4 hours.
Recommendation! Occurrence with increased dosage of side effects is the reason for drug withdrawal.
Use in pregnant women
The use of the drug by pregnant women can only be carried out if the benefits of this greatly exceed the harm. In the drug Clonazepam, side effects on the fetus are more pronounced in the first trimester of pregnancy. They can cause the formation of different heart defects in the fetus.
In the third trimester, this can cause a heart rhythm disturbance. If during the pregnancy the patient was constantly receiving Clonazepam treatment, then this may cause the future child's dependence on him and the "cancellation" syndrome. The use of clonazepam before the process of childbirth or directly in childbirth causes a decrease in the muscle tone of the child.
Use with other drugs
The use of clonazepam, together with antiepileptic drugs, narcotic analgesics, muscle relaxants, other agents used in general anesthesia, enhances their effect. Application together with roll acid can cause epiprip. Together with narcotic analgesics, taking the drug leads to increased dependence.
The use of the drug for a long time leads to a decrease in its effectiveness. If you need to switch from using clonazepam to another antiepileptic drug, then this is done gradually under the supervision of a specialist. It is important to avoid strengthening their joint effects and the formation of convulsions due to insufficient dosage.
Abrupt cancellation is fraught with pathological changes in the functioning of the nervous system. The withdrawal of treatment with a drug without its replacement should also be done gradually. With a sharp cessation of treatment with Clonazepam, withdrawal syndrome appears frequently. It leads to the formation of mental dependence, the emergence of withdrawal symptoms.
Important! Categorically it is necessary to refrain from drinking alcohol when treating clonazepam. Such interaction can lead to pathological intoxication, aggressive behavior and psychomotor arousal. After drug cancellation, alcohol can be consumed only after three days.
Long-term use of the drug in children is not recommended. Side effects of prolonged treatment can manifest itself in the violation of mental development. And the changes may not be noticeable at once, but will become apparent after years. The use of the drug leads to a decrease in the ability to concentrate attention, the speed of psychomotor reactions.
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