Clonazepam 2mg

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

1. Overzicht

• Actief bestanddeel: Clonazepam (2mg)

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

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

• DEA Schema IV (Controlled Substance – abuse risk)

2. Medisch gebruik

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

⚠ Not For:

• Mild anxiety (safer alternatives exist)

• Long-term daily use (high dependence risk)

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

3. Dosering en toediening

Belangrijkste richtlijnen:

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

• Duur: 8–12 hours (therapeutic effects)

• Taper Required: Reduce by 0.25mg every 2 weeks to avoid withdrawal

4. Black Box Warnings

🚨 Dependence/Withdrawal:

• Seizures, psychosis if stopped abruptly

• Terugvalangst (can be worse than baseline)

🚨 Respiratory Depression:

• Fatal with opioids/alcohol

• Avoid in COPD/sleep apnea

🚫 Contra-indicaties:

• Acuut nauwekamerhoekglaucoom

• Ernstige leverziekte

• Pregnancy (risk of floppy infant syndrome)

5. Bijwerkingen

Gewoon:

• Drowsiness, dizziness

• Memory impairment

• Depression (with chronic use)

Dangerous (Seek Help):

• Trouble breathing

• Suicidal thoughts

• Hallucinations/aggression

6. Veiligheid en opslag

🔐 Secure Storage: High theft/misuse potential
🌡️ Room temperature (vermijd vocht)
💊 Beschikbaarheid: DEA take-back programs only

7. Legal Status

• Alleen op recept (strict limits in many states)

• No refills without visit (DEA monitoring)

8. Alternatives

🔄 For Anxiety:

• 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)