Clonazepam 2 mg

Clonazepam 2mg (Klonopin/Rivotril) – High-Potency Anxiety & Seizure Control

1. Oversigt

• Aktiv ingrediens: Clonazepam (2mg)

• Form: Orally disintegrating, scored tablets, or standard pills

• Type: Long-acting benzodiazepine (half-life: 18–50 hours)

• DEA-skema IV (Controlled Substance – abuse risk)

2. Medicinske anvendelser

✅ Panikangst (prevention & acute episodes)
✅ Seizure Disorders (epilepsy, myoclonus)
✅ Svær angst (short-term, when SSRIs fail)

⚠ Ikke til:

• Mild anxiety (safer alternatives exist)

• Langvarig daglig brug (høj risiko for afhængighed)

• Sleep aid (lasts too long, causes next-day sedation)

3. Dosering og administration

Vigtige retningslinjer:

• Debut: 1–2 hours (slower than Xanax)

• Varighed: 8–12 hours (therapeutic effects)

• Påkrævet konisk afgrænsning: Reduce by 0.25mg every 2 weeks to avoid withdrawal

4. Advarsler om sorte bokse

🚨 Dependence/Withdrawal:

• Seizures, psychosis hvis det stoppes brat

• Rebound anxiety (can be worse than baseline)

🚨 Respirationsdepression:

• Fatal with opioids/alcohol

• Avoid in COPD/sleep apnea

🚫 Kontraindikationer:

• Akut snævervinklet glaukom

• Alvorlig leversygdom

• Pregnancy (risk of floppy infant syndrome)

5. Bivirkninger

Fælles:

• Drowsiness, dizziness

• Memory impairment

• Depression (with chronic use)

Dangerous (Seek Help):

• Problemer med at trække vejret

• Suicidal thoughts

• Hallucinations/aggression

6. Sikkerhed og opbevaring

🔐 Secure Storage: High theft/misuse potential
🌡️ Room temperature (undgå fugt)
💊 Bortskaffelse: DEA take-back programs only

7. Legal Status

• Kun på recept (strict limits in many states)

• No refills without visit (DEA monitoring)

8. Alternatives

🔄 Mod angst:

• SSRIs (Lexapro) – long-term

• Buspirone – non-addictive

⚕️ For Seizures:

• Lamotrigine

• Levetiracetam

⚠ Critical Risks

• Counterfeit Alert: Fake “2mg” pills may contain fentanyl or etizolam

• Overdose Risk: Especially with alcohol/opioids

Need Help Tapering?

• Ashton Manual (gold-standard benzo taper guide)

• Medical detox (for high-dose dependence)