Rivotril

Rivotril

clonazepam

Manufacturer:

Cheplapharm

Distributor:

Firma Chun Cheong
/
DKSH
/
Agencia Lei Va Hong
Concise Prescribing Info
Contents
Clonazepam
Indications/Uses
Most clinical forms of epilepsy in infants & childn, in particular typical & atypical absences (Lennox syndrome), nodding spasms, primary or secondary generalized tonic-clonic spasms. Adult epilepsy & focal seizures.
Dosage/Direction for Use
Adult Initial dose: 1-2 mg daily. Maintenance dose: 2-4 mg daily. Max: 20 mg daily. Childn >10 yr (or >30 kg) Initial dose: 1-2 mg daily. Maintenance dose: 1.5-3 mg daily. Infant & childn ≤10 yr (or ≤30 kg) Initial dose: 0.01-0.03 mg/kg daily. Maintenance dose: 0.05-0.1 mg/kg daily.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity to benzodiazepines. Severe resp or severe hepatic impairment.
Special Precautions
Risk of w/drawal symptoms. Do not abruptly stop treatment. May precipitate status epilepticus if discontinued abruptly. Use of benzodiazepines may lead to development of physical & psychic dependence. Avoid concomitant use w/ alcohol &/or CNS depressants. Caution in patients w/ history of alcohol or drug abuse; patients w/ spinal or cerebellar ataxia, in the event of acute intoxication w/ alcohol or drugs, & in patients w/ severe liver damage (eg, liver cirrhosis); patients w/ porphyria. Carefully adjust dose to individual requirements in patients w/ pre-existing disease of the resp system (eg, COPD) or liver & in patients undergoing treatment w/ other centrally-acting medications or anticonvulsant (antiepileptic) agents. May increase risk of suicidal thoughts & behavior. Patients w/ history of depression &/or suicide attempts should be kept under close supervision. Rare hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption. May impair ability to drive or operate machinery. Pregnancy. Administration of high doses in the last trimester of pregnancy or during labour can cause heartbeat irregularities in the unborn child, & hypothermia, hypotonia, mild resp depression & poor feeding in the neonate. Do not breastfeed while undergoing treatment. May cause increased production of saliva & bronchial secretion in infants & small childn.
Adverse Reactions
Somnolence, headache, URTI, fatigue, flu, depression, dizziness, irritability, insomnia, ataxia, balance loss, nausea, abnormal coordination, lightheadedness, sinusitis, impaired conc.
Drug Interactions
Increased clearance w/ phenytoin, phenobarb, carbamazepine & valproate. Combination w/ valproic acid may occasionally cause petit mal status epilepticus. Enhanced effects on sedation, respiration & hemodynamics w/ any centrally-acting depressants, including alcohol.
MIMS Class
Anticonvulsants
ATC Classification
N03AE01 - clonazepam ; Belongs to the class of benzodiazepine derivatives antiepileptic.
Presentation/Packing
Form
Rivotril tab 0.5 mg
Packing/Price
60's
Form
Rivotril tab 2 mg
Packing/Price
60's
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