Clonazepam【D】管4

Neurologic Drugs : Antiepileptics
ORIVO5 “Rivotril tablet” 0.5 mg/tab
OCLON1Clonopam tablet” 0.5 mg/tab

適應症:癲癇。

Usual dose:

Panic disorder:

Initial, 0.25 mg orally twice daily for 3 days, then increased to a target dose of 1 mg daily.

Maintenance, may increase dosage by 0.125 to 0.25 mg orally twice daily every 3 days to a MAX total daily dose of 1 to 4 mg.

Seizure

Initial, 0.5 mg orally 3 times a day

Maintenance, may increase daily dose by 0.5 to 1 mg orally every 3 days to a max total daily dose of 20 mg (divided into 3 daily doses).

Sleep walking disorder

Pediatric (> 10 yrs, 30 kg): initial, 0.01-0.03 mg/kg/day divided into 2-3 daily doses; maintenance, may increase daily dose by 0.25-0.5 mg q3d to a max. 0.1-0.2 mg/kg/day (divided into 3 daily doses).

Dose adjustment:

Discontinuation dosing: decrease dose by 0.125 mg bid q3d.

Liver disease, geriatric: decrease usual dose by 50%.

Contraindication:

Acute narrow angle glaucoma,.hypersensitivity to benzodiazepines, significant liver disease

Adverse effect:

Common: ataxia, coordination problem, dizziness, somnolence, problem behavior, upper respiratory infection, fatigue.

Serious: depression, suicidal thoughts, respiratory depression.

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