✅ Product Benefits
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Dual therapeutic action: Clonazepam enhances GABA signaling to reduce neuronal excitability—effectively treating panic attacks and various seizure types with anxiolytic and anticonvulsant effects.
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Well‑studied and potent: Especially useful for Lennox‑Gastaut syndrome, absence seizures, and panic disorders unresponsive to other therapies.
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Flexible dosing titration: Adults starting doses range from 0.25 mg twice daily for panic disorder, up to 1 mg/day after adjustment; seizure control often begins at ~1 mg at night, escalating to 4–8 mg/day as needed (max 20 mg/day). Dosing individualized.
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Broad indication coverage: Also used off-label for social phobia, migraines, restless legs, insomnia, PTSD, trismus, neuropathic pain, and resistant depression.
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Locally affordable: Costs around ৳ 7 per tablet (৳ 70 per 10-tablet strip), making it accessible across Bangladesh.
ℹ️ Key Precautions & Safety Notes
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Addictive potential & withdrawal risk: Prolonged use may cause dependence. Abrupt discontinuation can lead to seizures, anxiety, insomnia, tremor, irritability. Tapering under medical supervision is essential.
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CNS depression effects: Common side effects include drowsiness (~50%), ataxia (~30%), fatigue, dizziness, impaired coordination, and depression. Others can include memory impairment, confusion, tremor, visual disturbances.
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Contraindications: Avoid in acute narrow-angle glaucoma, severe liver impairment, benzodiazepine allergy. Caution with respiratory conditions or depression history.
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Drug interactions: Enhances effects of other CNS depressants like alcohol, opioids, sedatives. May interact with certain antidepressants and antiepileptics. Use caution.
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Special populations:
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Elderly: Start with 0.5 mg; increased sensitivity to sedation, ataxia.
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Renal impairment: No dose adjustment needed.
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Pregnancy & lactation: Not recommended unless clearly needed; benzodiazepines cross placenta and pass into breast milk. Use only under guidance.
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Monitoring advice: Regular assessment for signs of misuse, mood changes, suicidal thoughts, or cognitive decline is advised.
📝 Summary at a Glance
| Feature | Details |
|---|---|
| Active ingredient | Clonazepam 2 mg |
| Therapeutic class | Benzodiazepine (anticonvulsant / anxiolytic) |
| Indications | Panic disorder, multiple seizure types, anxiety, off‑label for insomnia/PTSD |
| Typical adult dosing | Panic: start 0.25 mg × 2 daily up to 1 mg/day; Seizures: start 1 mg at night, titrating to 4–8 mg/day |
| Max dose | Up to 20 mg/day |
| Common side effects | Drowsiness, ataxia, fatigue, dizziness, depression |
| Dependence risk | High—avoid abrupt cessation |
| Cost (Bangladesh) | |
| Availability | Prescription-only; often limited supply due to misuse concerns |
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