Klonopin (clonazepam) vs. Restoril (temazepam)

  • Medical Editor: John P. Cunha, DO, FACOEP
    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, FACOEP

    John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

Klonopin vs. temazepam: What's the difference?

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?

Klonopin

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:

Other serious side effects of Klonopin include:

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.

Temazepam

The most common side effects associated with temazepam are:

Other important side effects include:

QUESTION

Why do we sleep? See Answer

What is the dosage of Klonopin vs. temazepam?

Klonopin

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.

Temazepam

  • 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

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.

Temazepam

Alcohol or drugs that cause sleepiness increase the effects of temazepam.

Are Klonopin and temazepam safe to use while pregnant or breastfeeding?

Klonopin

Temazepam

  • Temazepam and other benzodiazepines have been associated with fetal damage, including congenital malformations, when taken by pregnant women in their first trimester. Temazepam should be avoided during pregnancy.
  • Use by nursing mothers has not been adequately studied.

SLIDESHOW

Sleep Disorders: Foods That Help Sleep or Keep You Awake See Slideshow

Summary

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.

Treatment & Diagnosis

Medications & Supplements

Subscribe to MedicineNet's Depression Newsletter

By clicking "Submit," I agree to the MedicineNet Terms and Conditions and Privacy Policy. I also agree to receive emails from MedicineNet and I understand that I may opt out of MedicineNet subscriptions at any time.

Health Solutions From Our Sponsors

FDA Logo

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

Medically Reviewed on 5/1/2019
References
REFERENCE:

FDA Prescribing Information
CONTINUE SCROLLING FOR RELATED SLIDESHOW