Clonazepam 2mg

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

1. Übersicht

• Wirkstoff: Clonazepam (2mg)

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

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

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

2. Medizinische Anwendungen

✅ Panikstörung (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. Dosierung und Verabreichung

Wichtige Richtlinien:

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

• Dauer: 8–12 hours (therapeutic effects)

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

4. Black-Box-Warnungen

🚨 Dependence/Withdrawal:

• Seizures, psychosis if stopped abruptly

• Rebound-Angst (can be worse than baseline)

🚨 Atemdepression:

• Fatal with opioids/alcohol

• Avoid in COPD/sleep apnea

🚫 Contraindications:

• Acute narrow-angle glaucoma

• Schwere Lebererkrankung

• Pregnancy (risk of floppy infant syndrome)

5. Nebenwirkungen

Gemeinsam:

• Schläfrigkeit, Schwindel

• Memory impairment

• Depression (with chronic use)

Dangerous (Seek Help):

• Atembeschwerden

• Suicidal thoughts

• Hallucinations/aggression

6. Sicherheit und Lagerung

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

7. Legal Status

• Nur auf Rezept (strict limits in many states)

• No refills without visit (DEA monitoring)

8. Alternativen

🔄 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)