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Clonazepam, offered under the trademark name Klonopin, is a medication utilized to prevent and treat seizures, panic attack, anxiety conditions, and the motion condition called akathisia. It is a tranquilizer of the benzodiazepine class. It has anxiolytic, anticonvulsant, sedative, hypnotic, and skeletal muscle relaxant residential or commercial properties. It is typically taken by mouth. Results begin within one hour and last in between six and twelve hours.
Typical adverse effects include drowsiness, poor coordination, and agitation. Long-term use might result in tolerance, dependence, and withdrawal symptoms if stopped suddenly. Reliance takes place in one-third of people who take benzodiazepines for longer than four weeks.
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There is an increased risk of suicide, particularly in people who are currently depressed. If utilized during pregnancy it may result in harm to the fetus. Klonopin binds to GABAA receptors, therefore increasing the impact of the chief repressive neurotransmitter γ-aminobutyric acid (GABA).
Klonopin was patented in 1960 and went on sale in 1975 in the United States from Roche. It is available as a generic medication. In 2020, it was the 44th most frequently prescribed medication in the United States, with more than 14 million prescriptions. In numerous locations of the world it is commonly used as a recreational drug.
Medical uses :
Klonopin is prescribed for short term management of epilepsy, anxiety, and panic attack with or without agoraphobia and Seizures.
Klonopin, like other benzodiazepines, while being a first-line treatment for intense seizures, is not suitable for the long-term treatment of seizures due to the advancement of tolerance to the anticonvulsant effects.
Klonopin has actually been discovered effective in treating epilepsy in children, and the inhibition of seizure activity appeared to be achieved at low plasma levels of clonazepam. As a result, Klonopin is often used for certain uncommon childhood epilepsies; nevertheless, it has been found to be inefficient in the control of infantile convulsions.
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Klonopin is generally recommended for the intense management of epilepsies. Klonopin has been found to be reliable in the acute control of non-convulsive status epilepticus; nevertheless, the advantages tended to be transient in lots of people, and the addition of phenytoin for lasting control was needed in these patients.
It is also approved for treatment of common and atypical lacks (seizures), infantile myoclonic, myoclonic, and akinetic seizures. A subgroup of people with treatment resistant epilepsy may gain from long-lasting use of Klonopin; the benzodiazepine clorazepate may be an alternative due to its sluggish beginning of tolerance.
Stress and anxiety conditions:
Panic disorder with or without agoraphobia. Klonopin has also been found efficient in treating other stress and anxiety disorders, such as social phobia, however this is an off-label usage.
The efficiency of Klonopin in the short-term treatment of panic disorder has actually been demonstrated in controlled clinical trials. Some long-lasting trials have recommended an advantage of Klonopin for up to three years without the development of tolerance however these trials were not placebo-controlled. Klonopin is also efficient in the management of acute mania.
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Uneasy legs syndrome can be dealt with using Klonopin as a third-line treatment option as using Klonopin is still investigational. Bruxism likewise reacts to clonazepam in the short-term. Rapid eye movement sleep habits condition responds well to low dosages of Klonopin.
The treatment of intense and chronic akathisia caused by neuroleptics, likewise called antipsychotics. Spasticity related to amyotrophic lateral sclerosis.
Other Benzodiazepines, such as Klonopin , are sometimes utilized for the treatment of mania or acute psychosis-induced aggression. In this context, benzodiazepines are offered either alone, or in mix with other first-line drugs such as lithium, haloperidol or risperidone.
The effectiveness of taking benzodiazepines together with antipsychotic medication is unidentified, and more research is needed to determine if benzodiazepines are more efficient than antipsychotics when immediate sedation is required. Hyperekplexia Lots of types of parasomnia and other sleep conditions are treated with clonazepam. It is not effective for preventing migraines.
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