October 21, 2014
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Drug Factsheets

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Rivotril

(clonazepam)

DIN (Drug Identification Number)

00382825 RIVOTRIL 0.5MG TABLET
00382841 RIVOTRIL 2MG TABLET

How does Rivotril work? What will it do for me?

Clonazepam belongs to the class of medications called benzodiazepines. In general, benzodiazepines are used as a sedative or to decrease seizures or anxiety. Clonazepam is used to treat seizure disorders. It helps by slowing the activity of the nerves in the brain (i.e., the central nervous system).

This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor has not prescribed it.

How should I use Rivotril?

The dose of clonazepam is determined based on how much is needed to control seizures and varies from person to person. It is important that the dose be individualized to your specific needs to avoid decreased coordination or excessive drowsiness.

The recommended adult starting dose of clonazepam should not be greater than 1.5 mg per day in 3 divided doses. This helps to minimize drowsiness and other side effects. Your doctor will gradually increase the dose until your seizures are controlled.

The recommended maintenance dose for adults is 8 mg to 10 mg per day in 3 divided doses. For children up to 10 years old or who weigh 30 kilograms or less, the dose is based on weight (0.01 mg per kilogram of body weight per day to 0.03 mg per kilogram of body weight per day).

Clonazepam may be taken with food or on an empty stomach. Avoid drinking grapefruit juice while you are taking this medication as it can increase the levels of clonazepam in your blood.

Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

It is important to take this medication exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.





What form(s) does Rivotril come in?

0.5 mg
Each pale orange, cylindrical, biplane, scored, bevelled-edged tablet, with "ROCHE" over "0.5" on one side, cross-scored on the other, contains clonazepam 0.5 mg. Nonmedicinal ingredients: cornstarch, iron oxide red, iron oxide yellow, lactose, magnesium stearate, potato starch, and talc. Gluten-, paraben-, sodium-, sulfite-, and tartrazine-free.

2 mg
Each white, cylindrical, biplane, scored, bevelled-edged tablet, with "ROCHE" over "2" on one side, cross-scored on the other, contains clonazepam 2 mg. Nonmedicinal ingredients: cornstarch, lactose, magnesium stearate, and microcrystalline cellulose. Gluten-, paraben-, sodium-, sulfite-, and tartrazine-free.

Who should NOT take Rivotril?

Do not use clonazepam if you:

  • are allergic to clonazepam, or any ingredients of the medication
  • have had an allergic reaction to any other benzodiazepine (e.g., lorazepam, diazepam, oxazepam)
  • have acute narrow or closed angle glaucoma
  • have myasthenia gravis
  • have severe breathing problems
  • have severe liver disease
  • have sleep apnea

Clonazepam may be used by people with open angle glaucoma who are receiving appropriate treatment.

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