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|Clonazepam Orally Disintegrating Tablets

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Clonazepam Orally Disintegrating Tablets

Generic Name: Clonazepam Orally Disintegrating Tablets (kloe-NA-ze-pam)
Brand Name: Klonopin Wafer

Clonazepam Orally Disintegrating Tablets is used for:

Controlling certain types of seizures in the treatment of epilepsy. It is also used for the treatment of panic disorders.

Clonazepam Orally Disintegrating Tablets is a benzodiazepine. It works by increasing the activity of a naturally occurring chemical in the brain.

Do NOT use Clonazepam Orally Disintegrating Tablets if:

you are allergic to any ingredient in Clonazepam Orally Disintegrating Tablets or other benzodiazepines
you have acute angle-closure glaucoma or severe liver disease
you are taking sodium oxybate (GHB)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Clonazepam Orally Disintegrating Tablets:

Some medical conditions may interact with Clonazepam Orally Disintegrating Tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have or have ever had alcoholism or substance abuse or dependence, or if you consume more than 3 alcohol containing drinks per day
if you have depression or have ever considered or attempted suicide
if you have myasthenia gravis (a condition in which the muscles become progressively weakened)
if you have glaucoma, kidney or liver problems, or porphyria
if you have chronic bronchitis, chronic obstructive pulmonary disease (COPD), emphysema, or other breathing problems

Some MEDICINES MAY INTERACT with Clonazepam Orally Disintegrating Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

Disulfiram, kava, nefazodone, or omeprazole because they may increase the risk of Clonazepam Orally Disintegrating Tablets"s side effects
Sodium oxybate (GHB) because an increase in sleep duration and a decrease in the ability to breathe may occur
Clozapine because dangerous side effects, such as confusion, sedation, excess salivation, unsteady movements, lightheadedness (especially upon standing), difficult or slow breathing, or drowsiness leading to unresponsiveness or coma, may occur
Rifampin, St. John"s wort, or valproic acid because they may decrease Clonazepam Orally Disintegrating Tablets"s effectiveness
Digoxin, kava, or valproic acid because the risk of their side effects may be increased by Clonazepam Orally Disintegrating Tablets
Nondepolarizing muscle relaxants (eg, tubocurarine) because the risk of their side effects may be increased or decreased by this medicine
Paroxetine or tricyclic antidepressants (eg, amitriptyline) because side effects, including restlessness, fever, excessive sweating, confusion, twitching, and seizures, which can rarely be life-threatening, may occur

This may not be a complete list of all interactions that may occur. Ask your health care provider if Clonazepam Orally Disintegrating Tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Clonazepam Orally Disintegrating Tablets:

Use Clonazepam Orally Disintegrating Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Take Clonazepam Orally Disintegrating Tablets by mouth with or without food.
Do not remove the blister from the outer pouch until you are ready to take Clonazepam Orally Disintegrating Tablets. Make sure that your hands are dry when you open the blister pack. Do not push the tablet through the foil. Peel back the foil on the blister pack and place the tablet on your tongue. The tablet dissolves quickly and can be swallowed with saliva. Take Clonazepam Orally Disintegrating Tablets with water. Take the tablet immediately after opening the blister pack. Do not store the removed tablet for future use
If you are taking Clonazepam Orally Disintegrating Tablets for the prevention of seizures, taking Clonazepam Orally Disintegrating Tablets at the same times each day will help you remember to take it.
Continue to take Clonazepam Orally Disintegrating Tablets even if you feel well. Do not miss any doses. Clonazepam Orally Disintegrating Tablets works best when there is a constant level of Clonazepam Orally Disintegrating Tablets in your body.
If you miss a dose of Clonazepam Orally Disintegrating Tablets and you are taking it regularly, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Clonazepam Orally Disintegrating Tablets.

Important safety information:

Clonazepam Orally Disintegrating Tablets may cause drowsiness, dizziness, lightheadedness, or difficulty with coordination. These effects may be worse if you take it with alcohol or certain medicines. Use Clonazepam Orally Disintegrating Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Clonazepam Orally Disintegrating Tablets may cause you to lose consciousness if you have a history of seizures. Use Clonazepam Orally Disintegrating Tablets with caution. Do not perform tasks that could be unsafe for you or others if you should lose consciousness (eg, driving, swimming, running heavy machinery).
Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Clonazepam Orally Disintegrating Tablets; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
Carry an ID card at all times that says you take Clonazepam Orally Disintegrating Tablets if it is used for seizures.
LAB TESTS, including liver function, blood counts and electrocardiograms, may be performed while you use Clonazepam Orally Disintegrating Tablets. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Use Clonazepam Orally Disintegrating Tablets with caution in the ELDERLY; they may be more sensitive to its effects, especially confusion and drowsiness.
Clonazepam Orally Disintegrating Tablets should not be used in CHILDREN younger than 18 years old with panic disorder; safety and effectiveness in these children have not been confirmed.
PREGNANCY and BREAST-FEEDING: Clonazepam Orally Disintegrating Tablets may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Clonazepam Orally Disintegrating Tablets while you are pregnant. Clonazepam Orally Disintegrating Tablets is found in breast milk. Do not breast-feed while taking Clonazepam Orally Disintegrating Tablets.

When used for long periods of time or at high doses, Clonazepam Orally Disintegrating Tablets may not work as well and may require higher doses to obtain the same effect as when originally taken. This is known as TOLERANCE. Talk with your doctor if Clonazepam Orally Disintegrating Tablets stops working well. Do not take more than prescribed.

When used for longer than a few weeks or at high doses, some people develop a need to continue taking Clonazepam Orally Disintegrating Tablets. This is known as DEPENDENCE or addiction. If you stop taking Clonazepam Orally Disintegrating Tablets suddenly, you may have WITHDRAWAL symptoms. These may include abnormal thoughts or behavioral disorder, anxiety, depression, hallucinations, personality changes or loss of contact with reality; convulsions (seizures); insomnia; stomach and muscle cramps; tremor. Do not suddenly stop taking Clonazepam Orally Disintegrating Tablets. If you need to stop Clonazepam Orally Disintegrating Tablets, your doctor will lower your dose over time.

Possible side effects of Clonazepam Orally Disintegrating Tablets:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Bed wetting; clumsiness or unsteadiness; coated tongue; common cold symptoms (eg, cough, runny nose); confusion; constipation; depression; dizziness; drowsiness; excessive daytime drowsiness; feeling of a whirling motion; frequent urination at night; headache; increased saliva production; lightheadedness; loss of appetite; menstrual cramps; reduced desire for sex; runny nose; tiredness; unusual weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); aggressive behavior; bizarre behavior; chest congestion; confusion; excessive upper respiratory tract secretions; hallucinations; hostility; hysteria; interrupted breathing; loss of coordination; memory loss or difficulties; mental mood changes; nervousness; pounding in chest; seizures or worsening of seizures; shortness of breath; slurred speech or difficulty speaking; stomach pain; suicidal thoughts or behaviors; tremor; vision changes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms may include clumsiness; confusion; difficult or slow breathing; dizziness; drowsiness leading to unresponsiveness or coma; lightheadedness, especially upon standing; loss of consciousness.

Proper storage of Clonazepam Orally Disintegrating Tablets:

Store Clonazepam Orally Disintegrating Tablets at 77 degrees F (20 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store in original foil packaging until just before use. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Clonazepam Orally Disintegrating Tablets out of the reach of children and away from pets.

General information:

If you have any questions about Clonazepam Orally Disintegrating Tablets, please talk with your doctor, pharmacist, or other health care provider.
Clonazepam Orally Disintegrating Tablets is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Clonazepam Orally Disintegrating Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 1, 2006

Database Edition 06.4.1.002

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