DRUG NAME ACTION INDICATION CONTRAINDICATION SIDE EFFECT NURSING

CONSIDERATION
Generic Name: Unknown. Lennox- -Contraindicated in CNS: Amnesia, -Monitor all patients
Clonazepam probably acts by Gastaut patients hypersensitive coma, confusion, for changes in
  facilitating the syndrome, to benzodiazepines and depression, behavior that may
Brand Name: effects of the atypical in those with significant dysarthria, ,”glassy indicate worsening of
Klonopin inhibitory absence hepatic disease or acute eyed” appearance, suicidal thoughts or
  neurotransmitter seizures, angle-closure glaucoma. hallucinations, behavior or
Therapeutic Class: GABA akinetic and headache, depression.
Anticonvulsants myoclonic -Use cautiously in hypotonia, anxiety,
  seizure. patients with mixed-type vertigo, -Don’t stop abruptly
Classification: seizures because the nightmares, because this may
Benzodiazepines drug may cause nervousness, worsen seizure. Notify
Controlled substance generalized tonic-clonic insomnia, fever the prescriber at once
schedule:IV seizures. and dizziness if adverse reactions
  develop.
Route: Per Orem -Use cautiously in CV: palpitation
  children; in patients with -Assess elderly
Dosage: 0.5 mg, 1mg chronic respiratory EENT: abnormal patient’s response
or 2mg disease, open- angle eye movements, closely, elderly
  glaucoma, porphyria, or blurred vision, patients are more
-Adults and children a history of drug or pharyngitis, sensitive to
older than age 10 or alcohol addiction; and in sinusitis drug’s CNS effects.
weighing more than those at risk for falls
30: initially, no more GI: anorexia, -Monitor patient for
than 1.5 mg/ day P.O -Use cautiously in constipation, over sedation.
in three divided elderly patients. Drug diarrhea, nausea
doses. May be may accumulate due to -Monitor CBC and
increased by 0.5 to potential decrease in GU: dysuria, urine LFTs.
1mg every 3 days hepatic and renal retention, UTI
until seizures are functions. -Withdrawal
controlled or adverse Hematologic: symptoms are similar
effects prevent anemia, to those of
further increases. leukopenia barbiturates.
 
-Children age 10 and Hepatic: -To reduce the
younger or weighing hepatomegaly inconvenience of
30 or less: initially, somnolence when
0.01 to 0.03 mg/kg Metabolic: drugs are used for
P.O. daily (not to dehydration, panic disorder, giving
exceed 0.05 to mg/kg weight loss or gain one dose at bedtime
daily) in two or three may be desirable.
divided doses. Musculoskeletal:
Increase by 0.25 to muscle weakness -Don't confuse
0.5 mg every third and muscle pain clonazepam with
day to maximum clonidine, clozapine,
maintenance dose of Respiratory: or lorazepam. Don’t
0.1 to 0.2 mg/kg respiratory confuse klonopin with
P.O.  daily divided depression, clonidine.
into three equal shortness of
doses, as needed breath, cough -Black Box Warning:
  Caution patient or
-Panic Disorder  Skin: hair loss, caregiver of patient
Adults: initially 0.25 rash talking an opioid with
mg P.O. b.i.d.; a benzodiazepine,
increase to target Other: ankle and CNS depressant, or
dose of 1 md daily facial edema, alcohol to seek
after 3 days. Some influenza and immediate medical
patients may benefit allergic reaction attention for
from dosages up to a dizziness, light-
maximum of 4mg headedness, extreme
daily. To achieve sleepiness, slowed or
4mg daily, increase difficult breathing, or
dosage in increments unresponsiveness.
of 0.125 to 0.25mg
b.i.d. every 3 days,
as tolerated, until
panic disorder is
controlled. Taper
drug with decrease of
0.125 mg b.i.d every
3 days until drug is
stopped.

Frequency: B.I.D or
T.I.D