CLONAZEPAM XGX PHARMA is a brand name for Clonazepam. The medicine, its uses, side effects and dosage are the same regardless of brand.
Used for: Administered intravenously, Clonazepam 1 mg/ml is indicated for the treatment of status epilepticus in all clinical forms.
Verbatim from this product's MHRA label. Tap a section to expand.
Posology Dosage in epilepsy The dosage is individual and is adapted to the patient's age, clinical effect and tolerance. For further information on intravenous administration, see section
4) Not known Paradoxical reactions, including irritability, thrombophlebitis/thrombosis Injury, poisoning and procedural complications Not known Risk of falls and fracture Investigations Rare Thrombocytopenia Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important.
It allows continued monitoring of the benefit/risk balance of the medicinal product. uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store
4. 0 ml water for injections. For adults and adolescents, this dose can be repeated as needed. The maximum recommended dose in adults and adolescents is 20 mg daily. 6). 2). 4). 3). Renal impairment The safety and efficacy of clonazepam in patients with renal impairment have not been studied.
2) no dose adjustment is required in these patients. 3). Patients with mild to moderate hepatic impairment should be given the lowest possible dose. Withdrawal Clonazepam should not be discontinued abruptly. Discontinuation should be done by slow dose reduction to avoid provoking tonic clonic seizures.
Withdrawal symptoms are highly variable and can range from a few hours up to a week or more. In less severe cases withdrawal symptoms may be limited to tremor, restlessness, insomnia, anxiety, headache, and difficulty concentrating.
However, withdrawal symptoms such as sweating, muscle and abdominal spasms and altered consciousness may occur. In rare cases delirium and convulsions may occur. In the event of withdrawal symptoms careful medical monitoring and patient support are necessary.
Method of administration The product can be administered by slow intravenous injection, intravenous infusion or as an intramuscular injection. Slow intravenous injection Slow intravenous injection shoud be used for acute treatment, not for long term treatment.
0 ml water for injections to prevent local irritation at the injection site. The solution for injection should be prepared immediately before administration. Intravenous infusion The solution for infusion should be used for long term treatment and prepared immediately before administration.
All intravenous treatment should be administered slowly, with constant monitoring of EEG, respiration and blood pressure. Intramuscular injection Only in exceptional cases, where intravenous administration is not possible, intramuscular (IM) route of administration should be used, due to the slow absorption rate following IM administration.
1 or to other medicines of the benzodiazepine group. • Severe respiratory failure. • Severe hepatic impairment. • Patients who are in coma. • Patients known to be abusing pharmaceuticals, drugs or alcohol. • Children under 12 years of age.
Not medical advice. Always read the patient information leaflet and follow your prescriber or pharmacist.
Other brands of Clonazepam in United Kingdom.
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For intramuscular injection product should not be diluted since administration will be more painful. There is evidence that clonazepam can be adsorbed by the plastic infusion bags and infusion sets containing PVC. This can lead to a reduction in clonazepam concentration by up to 50%, especially where prepared bags containing clonazepam are stored for 24 hours or more, in warm ambient conditions, or where long tubing sets or slow rates of infusion are used.
PVC-containing bags and infusion sets should be avoided when infusing clonazepam. When infusing clonazepam caution should be exercised when switching between PVC and non-PVC-containing bags and infusion sets. 1 or to other medicines of the benzodiazepine group.
• Severe respiratory failure. • Severe hepatic impairment. • Patients who are in coma. • Patients known to be abusing pharmaceuticals, drugs or alcohol. • Children under 12 years of age. 4 Special warnings and precautions for use Suicidal ideation, suicidal behaviour and depression Suicidal ideation and behaviour have been reported in patients treated with antiepileptic agents for various indications.
A meta-analysis of randomised placebo controlled trials of antiepileptic drugs has also shown a small increased risk of suicidal ideation and behaviour. The mechanism of action regarding this risk is not known and the available data do not exclude the possibility of an increased risk for clonazepam.
Therefore patients should be monitored for signs of suicidal ideation and behaviours and appropriate treatment should be considered. Patients (and caregivers of patients) should seek medical advice if signs of suicidal ideation or behaviour emerge.
Patients with a history of depression and/or suicide attempts should be kept under close supervision. CNS Clonazepam may be used only with particular caution in patients with spinal or cerebellar ataxia. Concomitant use with alcohol/CNS depressants The concomitant use of clonazepam with alcoholic beverages and/or CNS depressants should be avoided.
5). Amnesia Anterograde amnesia may occur with the use of benzodiazepines at therapeutic doses and the risk increases with higher doses. Myasthenia gravis Particular caution should be exercised when administering clonazepam to patients with myasthenia gravis due to the additional risk for muscle weakness and respiratory depression.
Psychiatric and "paradoxical" reactions During treatment with benzodiazepines, paradoxical reactions such as restlessness, agitation, irritability, aggression, anxiety, delusions, anger, nightmares, […]