Clonapam; Clonazepam-R; Rivotril
- This drug is a benzodiazepine. The use of a benzodiazepine drug along with opioid drugs has led to very bad side effects. Side effects that have happened include slowed or trouble breathing and death. Opioid drugs include drugs like codeine, oxycodone, and morphine. Opioid drugs are used to treat pain and some are used to treat cough. Talk with the doctor.
- If your child is taking this drug with an opioid drug, get medical help right away if your child feels very sleepy or dizzy; if your child has slow, shallow, or trouble breathing; or if your child passes out. Get medical help right away if your child does not respond, does not answer or react like normal, or will not wake up.
- It is used to treat seizures.
- It is used to treat panic attacks.
- It may be given to your child for other reasons. Talk with the doctor.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has any of these health problems: Glaucoma or liver disease.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- This drug may be habit-forming with long-term use.
- Do not stop giving this drug to your child all of a sudden without calling the doctor. Your child may have a greater risk of side effects. If your child needs to stop this drug, you will want to slowly stop it as told by the doctor.
- Have your child’s blood work checked if he/she is on this drug for a long time. Talk with your child’s doctor.
- If your child has lung disease, talk with the doctor. He/she may be more sensitive to this drug.
- Alcohol may interact with this drug. Be sure your child does not drink alcohol.
- Talk with the doctor before giving your child other drugs and natural products that may slow your child’s actions.
- Have your child avoid tasks or actions that call for alertness until you see how this drug affects your child. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
- If your child has had seizures in the past, this drug may cause your child to pass out. Use with care. Be sure your child avoids activities that may be unsafe for your child or others if your child passes out, like swimming.
- Talk with your child’s doctor if this drug stops working well. Do not give more than ordered.
- If your child is taking phenytoin, talk with the doctor. Your child may need to have blood work checked more closely while taking it with this drug.
If your child is pregnant or breast-feeding a baby:
- This drug may cause harm to the unborn baby if your child takes it during pregnancy. If your child is pregnant or gets pregnant while taking this drug, call the doctor right away.
- Taking this drug late in pregnancy may raise the chance of breathing or feeding problems, low body temperature, or withdrawal symptoms in the newborn. Talk with the doctor.
- Tell the doctor if your child is breast-feeding a baby. You will need to talk about any risks to the baby.
- Do not change the dose or stop your child’s drug. This could cause seizures. Talk with your child’s doctor.
- If your child has phenylketonuria (PKU), talk with your child’s doctor. Some products have phenylalanine.
For all uses of this drug:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Change in balance.
- Feeling confused.
- Feeling very tired or weak.
- Shortness of breath.
- Memory problems or loss.
- Period (menstrual) pain.
- Bad dreams.
- Hallucinations (seeing or hearing things that are not there).
- Patients who take this drug may be at a greater risk of having thoughts or actions of suicide. The risk may be greater in people who have had these thoughts or actions in the past. Call the doctor right away if signs like low mood (depression), nervousness, restlessness, grouchiness, panic attacks, or changes in mood or actions are new or worse. Call the doctor right away if any thoughts or actions of suicide occur.
- If seizures are new or worse after starting this drug.
- Feeling sleepy.
- Hard stools (constipation).
- More saliva.
- Feeling tired or weak.
- Signs of a common cold.
- Have your child swallow whole with a full glass of water.
- Be sure your hands are dry before you touch this drug.
- Place on your child’s tongue and let it melt. Water is not needed. Do not let your child swallow it whole. Do not let your child chew, break, or crush it.
- If the tablets come in a foil blister, do not push the tablet out of the foil when opening. Use dry hands to take it from the foil.
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- Protect from light.
- If the tablets come in a foil pouch, store in the foil pouch until ready for use.
- Use oral-disintegrating tablet right after opening. Throw away any part of opened pouch that is not used.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.