Clonazepam 2mg

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

1. Översikt

• Aktiv ingrediens: Clonazepam (2mg)

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

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

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

2. Medicinska användningsområden

✅ Panikångest (prevention & acute episodes)
✅ Seizure Disorders (epilepsy, myoclonus)
✅ Svår ångest (short-term, when SSRIs fail)

⚠ Inte för:

• Mild anxiety (safer alternatives exist)

• Long-term daily use (high dependence risk)

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

3. Dosering och administrering

Viktiga riktlinjer:

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

• Varaktighet: 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

• Rebound-ångest (can be worse than baseline)

🚨 Respiratory Depression:

• Fatal with opioids/alcohol

• Avoid in COPD/sleep apnea

🚫 Kontraindikationer:

• Akut trångvinkelglaukom

• Allvarlig leversjukdom

• Pregnancy (risk of floppy infant syndrome)

5. Biverkningar

Gemensam:

• Dåsighet, yrsel

• Memory impairment

• Depression (with chronic use)

Dangerous (Seek Help):

• Trouble breathing

• Suicidal thoughts

• Hallucinations/aggression

6. Säkerhet och förvaring

🔐 Secure Storage: High theft/misuse potential
🌡️ Room temperature (undvik fukt)
💊 Förfogande: DEA take-back programs only

7. Legal Status

• Endast 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)