Clonazepam bei Epilepsie

About clonazepam

Clonazepam is used to treat epileptic disease and seizures. It can be taken by adults and by children.

If you have epilepsy, it means that you have had more than one unexplained fit, or seizure. A seizure is a short episode of symptoms caused by a burst of abnormal electrical activity in your brain. Different parts of the brain control different functions of your body, so the symptoms that occur during a seizure will depend on where the abnormal burst of electrical activity occurs. Symptoms that may occur during a seizure can affect your muscles, sensations, behaviour, emotions, and consciousness, or a combination of these. The seizures can be prevented in most people by suitable anti-epileptic medication.

Clonazepam controls the symptoms of seizures by stabilising the electrical activity of your brain, which prevents the seizures from occurring. It also relaxes muscles that stiffen, or contract, during a seizure. This means that the numbers of seizures are reduced, and those that do occur, are less severe.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking clonazepam it is important that your doctor knows:

• Wenn Sie schwanger sind, versuchen, schwanger zu werden oder stillen.

• If you have any breathing problems.

• Wenn Sie Probleme mit der Funktion Ihrer Leber haben oder wenn Sie Probleme mit der Funktion Ihrer Nieren haben.

• If you have a mental health problem. This includes conditions such as psychosis, depression, obsessive conditions, phobias and personality disorders.

• Wenn Sie jemals eine Drogen- oder Alkoholabhängigkeit hatten.

• If you have been told you have spinal or cerebellar ataxia. These are conditions where you have difficulty controlling your movements - you may become shaky and unsteady, and have slurred speech or rapid eye movements.

• Wenn Sie an einer Erkrankung leiden, die schwere Muskelschwäche verursacht, genannt Myasthenia gravis.

• Wenn Sie eine seltene erbliche Bluterkrankung namens Porphyrie haben.

• Wenn Sie jemals eine allergische Reaktion auf ein Medikament hatten.

• Wenn Sie andere Medikamente einnehmen oder verwenden. Dazu gehören alle Medikamente, die Sie einnehmen und die ohne Rezept erhältlich sind, sowie pflanzliche und ergänzende Medikamente.

• Before you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about clonazepam, and will also provide you with a full list of the side-effects which you could experience from taking it.

• Take clonazepam exactly as your doctor tells you to - the dose will be individualised to suit your needs. You will be advised to take a small dose when you first start taking it and then to increase your dose over a few weeks as your body becomes used to it. Your doctor or pharmacist will explain this to you, and directions will also be printed on the label of the pack to remind you about what the doctor said to you.

• Clonazepam is usually taken as a once-daily dose at bedtime, although some doctors may recommend that you take it divided into three or four smaller doses a day until your body has adjusted to it. Try to take clonazepam at the same time(s) each day, as this will help you to remember to take your doses regularly.

• You can take clonazepam either with or without food. Swallow the tablet(s) with a drink of water.

• Clonazepam is available in two strengths of tablets and several strengths of liquid medicine. Your treatment could be affected by switching between different makes of the medicine. If this is the case for you, each time you collect a new supply, check the label to make sure it is the same as you have had before or ask your pharmacist to check it out for you.

• If you forget to take a dose at your usual time, take it as soon as you remember. If you do not remember until the following day, leave out the forgotten dose from the previous day and take the dose that is due that day as normal. Do not take two doses together to make up for a missed dose.

• Versuchen Sie, Ihre regelmäßigen Termine mit Ihrem Arzt einzuhalten. So kann Ihr Arzt Ihren Fortschritt überprüfen.

• Wenn Sie eine neue Behandlung gegen Epilepsie beginnen, kann sich die Anzahl oder Art der Anfälle, die Sie erleben, verändern. Ihr Arzt wird Sie darüber informieren.

• Clonazepam can make you feel sleepy, especially when you first start treatment. Do not drink alcohol while you are on clonazepam as it will increase the likelihood that you experience this side-effect.

• Während Sie wegen Epilepsie behandelt werden, besteht ein geringes Risiko, dass Sie Stimmungsschwankungen, belastende Gedanken und Suizidgedanken entwickeln. Wenn dies passiert, müssen Sie sofort Ihren Arzt darüber informieren.

• People with epilepsy must stop driving at first. Your doctor will advise you about if and when it may be possible for you to start driving again. This will usually be after a year free of seizures. If you are permitted to drive, please be aware that clonazepam is likely to affect your reactions and ability to drive. It is an offence to drive while your reactions are impaired. Please also be aware that the effects of clonazepam can last into the following day. Even if your driving ability is not impaired, should you drive, you are advised to carry with you some evidence that the medicine has been prescribed for you - a repeat prescription form or a patient information leaflet from the pack is generally considered suitable.

• Taking clonazepam over a period of time can make you become tolerant to it. If this happens, it will not be as effective for you as it once was. If you think this is happening to you, please discuss it with your doctor.

• Taking benzodiazepines like clonazepam can lead to the development of dependence. This means that your body becomes dependent on the medicine. If you are concerned about this, you should discuss it with your doctor.

• Many antiepileptic medicines can harm an unborn child. If you are a woman, make sure you have discussed with your doctor which types of contraception are suitable for you and your partner. If you want to have a family, discuss this with your doctor so that you can be given advice from a specialist bevor you become pregnant.

• Wenn Sie eine Operation oder eine zahnärztliche Behandlung haben, teilen Sie der Person, die die Behandlung durchführt, mit, welche Medikamente Sie einnehmen.

• You need to take clonazepam regularly every day. Do not stop taking it until your doctor tells you to stop. Stopping treatment suddenly can cause problems and your doctor will want you to reduce your dose gradually when this becomes necessary.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with clonazepam. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer's printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer's information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

Wenn Sie andere Symptome bemerken, die Ihrer Meinung nach auf das Medikament zurückzuführen sind, sprechen Sie mit Ihrem Arzt oder Apotheker für weitere Ratschläge.

• Bewahren Sie alle Medikamente außerhalb der Reichweite und Sicht von Kindern auf.

• An einem kühlen, trockenen Ort aufbewahren, fern von direkter Hitze und Licht.

• The oral liquid medicine usually lasts for one month after first opening, but always check the expiry date on the medicine you are supplied with. It is a good idea to write the date you opened the bottle on to the label.