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Klonopin vs. temazepam: What's the difference?
- Klonopin (clonazepam) and Restoril (temazepam) are benzodiazepines used to treat anxiety.
- Klonopin is primarily used for treating panic disorder and preventing certain types of seizures such as those caused by Lennox-Gastaut syndrome.
- Temazepam is used to treat symptoms of insomnia.
- A brand name for clonazepam is Klonopin.
- A brand name for temazepam is Restoril.
- Side effects of Klonopin and temazepam that are similar include sedation, dizziness, depression, loss of orientation, headache, weakness, unsteadiness, and sleep problems (insomnia).
- Side effects of Klonopin that are different from temazepam include lack of inhibition, fatigue, amnesia, confusion, changes in sexual desire, rash, and irritability.
- Suddenly stopping Klonopin or temazepam after prolonged use can lead to withdrawal symptoms.
What are Klonopin and temazepam?
Klonopin is a benzodiazepine anti-anxiety medication. Other benzodiazepines include alprazolam (Xanax), diazepam (Valium), lorazepam (Ativan), and flurazepam (Dalmane). Klonopin is mainly used to treat panic disorder, to prevent certain types of seizures, and to provide short-term relief of anxiety symptoms. Klonopin and other benzodiazepines enhance the effects of the neurotransmitter gamma-aminobutyric acid (GABA) in the brain. Research shows that excessive activity in the brain may lead to anxiety or other psychiatric disorders.
Temazepam is a benzodiazepine used to treat anxiety and insomnia symptoms, such as trouble falling asleep or staying asleep. Temazepam is in the benzodiazepine class of drugs. Research shows that excessive activity in the brain may lead to anxiety or other psychiatric disorders, and that temazepam reduces the activity. Temazepam increases total sleep time.
What are the side effects of Klonopin and temazepam?
The most common side effects associated with Klonopin are sedation, which is reported in approximately half of patients. Dizziness is reported in one-third of patients.
Other common side effects include:
- A feeling of depression
- Loss of orientation
- Sleep disturbance
- Lack of inhibition
- Changes in sexual desire
Other serious side effects of Klonopin include:
- Respiratory depression
- Enlarged liver
- Withdrawal symptoms (if stopped suddenly)
- Increased heart rate
- Low blood pressure
- Blood disorders
Other serious adverse reactions:
Antiepileptic medications have been associated with an increased risk of suicidal thinking and behavior. Anyone considering the use of antiepileptic drugs must balance this risk of suicide with the clinical need for the antiepileptic drug. Patients who begin antiepileptic therapy should be closely observed for clinical worsening, suicidal thoughts or unusual changes in behavior.
The most common side effects associated with temazepam are:
Other important side effects include:
What is the dosage of Klonopin vs. temazepam?
The dosage of Klonopin is tailored to the patient's needs.
- For seizures in adults, the initial dose is 1.5 mg daily in 3 divided doses.
- Dosage may be increased by 0.5 to 1 mg daily every 3 days until seizures are controlled or side effects preclude further increases in dose.
- The maximum dose is 20 mg daily. The initial dose for panic disorders is 0.25 mg twice daily.
- The dose may be increased to the target dose of 1 mg daily after 3 days.
- The recommended dose of temazepam is 7.5 to 30 mg taken about 30 minutes prior to bedtime.
- For elderly patients, start with 7.5 mg until the response is determined.
What drugs interact with Klonopin and temazepam?
Klonopin, like all other benzodiazepines, accentuates the effects of other drugs that slow the brain's processes -- such as alcohol, barbiturates, and narcotics -- and leads to increased sedation.
Alcohol or drugs that cause sleepiness increase the effects of temazepam.
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Are Klonopin and temazepam safe to use while pregnant or breastfeeding?
- Klonopin and other benzodiazepines have been associated with fetal damage, including congenital malformations, when taken by pregnant women in their first trimester. Klonopin is best avoided in the first trimester and probably throughout pregnancy.
- Benzodiazepines are secreted in breast milk. Mothers who are breastfeeding should not take Klonopin.
Klonopin (clonazepam) and Restoril (temazepam) are benzodiazepine drugs used for the treatment of anxiety. Klonopin is also used to treat panic disorder, while temazepam is also used to treat insomnia symptoms, such as trouble falling asleep and staying asleep. Learn about the side effects, recommended dosage and main differences between these two anti-anxiety medications.
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Related Disease Conditions
Anxiety is a feeling of apprehension and fear characterized by symptoms such as trouble concentrating, headaches, sleep problems, and irritability. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults. Treatment for anxiety may incorporate medications and psychotherapy.
Panic attacks are sudden feelings of terror that strike without warning. These episodes can occur at any time, even during sleep. A person experiencing a panic attack may believe that he or she is having a heart attack or that death is imminent. The fear and terror that a person experiences during a panic attack are not in proportion to the true situation and may be unrelated to what is happening around them. Most people with panic attacks experience several of the following symptoms: racing heartbeat, faintness, dizziness, numbness or tingling in the hands and fingers, chills, chest pains, difficulty breathing, and a feeling of loss or control. There are several treatments for panic attacks.
Second Source article from WebMD
Insomnia is the perception or complaint of inadequate or poor-quality sleep because of difficulty falling asleep; waking up frequently during the night with difficulty returning to sleep; waking up too early in the morning; or unrefreshing sleep. Secondary insomnia is the most common type of insomnia. Treatment for insomnia include lifestyle changes, cognitive behavioral therapy, and medication.
Insomnia Treatment (Sleep Aids and Stimulants)
Insomnia is difficulty in falling or staying asleep, the absence of restful sleep, or poor quality of sleep. Insomnia is a symptom and not a disease. The most common causes of insomnia are medications, psychological conditions, environmental changes and stressful events. Treatments may include non-drug treatments, over-the-counter medicines, and/or prescription medications.
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