Klonazepam 2 mg

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

1. Prehľad

• Účinná látka: Clonazepam (2mg)

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

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

• Príloha IV DEA (Controlled Substance – abuse risk)

2. Lekárske použitie

✅ Panická porucha (prevention & acute episodes)
✅ Seizure Disorders (epilepsy, myoclonus)
✅ Severe Anxiety (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. Dávkovanie a spôsob podávania

Kľúčové usmernenia:

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

• Trvanie: 8–12 hours (therapeutic effects)

• Požadované zúženie: Reduce by 0.25mg every 2 weeks to avoid withdrawal

4. Upozornenia čiernej skrinky

🚨 Dependence/Withdrawal:

• Seizures, psychosis if stopped abruptly

• Úzkosť, ktorá sa opäť prejavuje (can be worse than baseline)

🚨 Respiračná depresia:

• Fatal with opioids/alcohol

• Avoid in COPD/sleep apnea

🚫 Kontraindikácie:

• Akútny glaukóm s úzkym uhlom

• Severe liver disease

• Pregnancy (risk of floppy infant syndrome)

5. Vedľajšie účinky

Bežné:

• Drowsiness, dizziness

• Memory impairment

• Depression (with chronic use)

Dangerous (Seek Help):

• Trouble breathing

• Suicidal thoughts

• Hallucinations/aggression

6. Bezpečnosť a skladovanie

🔐 Secure Storage: High theft/misuse potential
🌡️ Room temperature (vyhnite sa vlhkosti)
💊 Disposal: DEA take-back programs only

7. Legal Status

• Iba na lekársky predpis (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)