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Klonopin / Rivotril (generic name clonazepam) is a benzodiazepine sometimes prescribed to alleviate anxiety and difficulty sleeping for those with bipolar disorder (manic depression).

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Clonazepam (marketed by Roche under the trade-names
Klonopin in the United States and Rivotril in Europe, South America, Canada, and Australia)
is a drug which is a benzodiazepine derivative. It is a highly potent anticonvulsant, amnestic and anxiolytic.

Indications
Clonazepam is commonly prescribed for:
- Epilepsy
- Anxiety disorder. Due to the chronic nature of anxiety, long-term low-dose benzodiazepine treatment may be necessary for some patients; this continuation of treatment should not be considered abuse or addiction.
- Panic attacks
- Restless leg syndrome (RLS)
- Initial treatment of mania, together with firstline-drugs such as lithium, haloperidol or risperidone
- Hallucinogen persisting perception disorder (off-label use)
- Chronic fatigue syndrome
- Night terrors
- Tourette Syndrome - Clonazepam has shown to be helpful in reducing and dealing with the physical motor tics associated with TS, though is still considered an off-label usage by many.
- Schizophrenia - Clonazepam has been prescribed in order to alleviate the side effects of certain antipsychotic agents used in the treatment of Schizophrenia.

Clonazepam is rarely used as a treatment for insomnia, because its sedative effects are relatively weak compared to other benzodiazepines.

Interactions
Similar to Diazepam.

Contraindications
Klonopin should not be used in patients with a history of sensitivity to benzodiazepines, nor in patients with clinical or biochemical evidence of significant liver disease. It may be used in patients with open angle glaucoma who are receiving appropriate therapy, but is contraindicated in acute narrow angle glaucoma.

How to use
Take Clonazepam tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If Clonazepam upsets your stomach, take it with food or milk. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking or change the dose except on your prescriber`s advice.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.