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Increased risk of drug-related mortality from concomitant use with opioids. Suicidal thoughts or behavior (monitor). Depression. May increase or precipitate tonic-clonic seizures. Compromised respiratory function (eg, COPD, sleep apnea). Porphyria. Monitor LFTs, CBCs during long-term therapy. Assess patient's risk for abuse, misuse, addiction prior to and during therapy. Avoid abrupt cessation. Withdraw gradually. Drug or alcohol abusers. Renal impairment. Elderly. Labor & delivery. Pregnancy. Nursing mothers.
The initiation or abrupt withdrawal of Clonazepam in patients with epilepsy or a history of epileptic seizures may precipitate the development of seizures or an epileptic condition. Several studies have shown that about 30% of patients who received anticonvulsant therapy for three months had a decrease in drugs anticonvulsant activity. In some cases, adjusting the dose allowed to restore this activity. The risk of drug dependence increases when using high doses and with increasing duration of use and in patients with a history of drug and alcohol dependence. If it is necessary to discontinue treatment with Clonazepam, withdrawal should be made gradually by reducing the dose to reduce the risk of withdrawal syndrome. In this case, the simultaneous prescription of another antiepileptic agent is necessary. With abrupt withdrawal after long-term use or taking high doses, withdrawal syndrome occurs, characterized by agitation, fear, autonomic disturbances, insomnia, in severe cases - mental disorders.
In women planning to become pregnant, therapy with anticonvulsants should not be discontinued if the drug is used to prevent seizures because there is a high probability of epileptic status with associated hypoxia and risk to life. In individual cases, when the severity and frequency of epileptic seizures are low. It is reasonable to assume that withdrawal of therapy will not result in serious life-threatening conditions. Women should withdraw the treatment before and during pregnancy. Note that even moderately severe seizures can be harmful to the fetus. In terms of using Clonazepam for children, the risk and benefit should be evaluated because of the possibility of adverse side effects on the child's physical and mental development, including delayed. Avoid drinking alcoholic beverages during treatment with Clonazepam. Use with caution together with drugs that cause CNS depression. Concomitant use of CNS-depressant drugs or alcohol increases the likelihood of severe adverse reactions. Avoid driving a vehicle and perform work requiring quick psychomotor reactions during treatment with Clonazepam and within 3 days after its completion.
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Klonopin starts working fairly quickly. You can start feeling its effects within an hour. Klonopin usually lasts for 8-12 hours, meaning you should be able to sleep through the night when you are on the right dose for you of this medication. The right dose is essential, otherwise a person will wake up in the middle of the night if the dose is too low or sleep late into the morning if the dose is too high.
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Many people who abuse drugs are determined to hide the signs of their drugs abuse so that they will not be forced to quit. In fact, this is so common that the National Council on Alcoholism and Drug Dependency explains that secrecy itself is one of the primary signs of addiction. The very fact that a loved one is keeping secrets, acting suspiciously or attempting to hide what or how much of a substance he or she uses should make you start to take notice.
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