R 35 pills are those white in color and round in shape. They have been identified as the clonazepam 2 mg pills. This is a controlled oral tablet that is available either with the brand name, Klonopin, or as a generic drug that costs less. You will find clonazepam as a disintegrating and oral tablet. And this drug is used in the treatment of seizures and panic disorders. It may also be used in combination therapy meaning it could be administered alongside other medication. However, the FDA has issued important warnings on the dangers that may occur if used with opioids. Clonazepam has a black box warning, the highest level of warning that can be issued by the FDA.
When used along with opioid drugs, clonazepam may affect the health severely. This may include slowed breathing, severe drowsiness, comas state, and death. If the doctor has to administer clonazepam together with opioids then there will be close monitoring. Some examples of opioids include codeine, tramadol, and hydrocodone. Clonazepam acts as a depressant that can decrease activities of the brain and mingle with your thinking, reaction time, and judgment. People on this drug are to avoid alcohol or other drugs with a similar effect on the brain. It’s also best to stay off driving while on this medication or engage in activities that need alertness.
How R 35 Pill Clonazepam Works
Clonazepam is a member of the benzodiazepine drug class. The drugs in this class have a similar working pattern and are usually used in treating similar conditions.
Clonazepam functions by increasing GABA activity. GABA is the acronym for gamma-aminobutyric acid which is responsible for sending signals to the nervous system. An insufficient amount of GABA may bring your body to an exciting level. This level or body state may lead to seizures or panic attacks. When you use this medication, your body’s level of GABA increases. This will reduce seizures and panic attacks.
Clonazepam tablets may lead to drowsiness. It may also increase the risks of developing suicidal behaviors and thoughts. You should let your doctor know if you are experiencing suicidal behaviors, thoughts, or worsening depression.
Other sides effects include:
- Problems with coordination and walking
- Memory problems
Mild effects usually go in a few days while severe ones may last longer and you have to see a pharmacist or doctor.
These serious effects may require that you dial 911 especially if they are life-threatening like suicidal thoughts, depression, seizures. Please seek urgent medical care if any of these are experienced.
This oral tablet, clonazepam may interfere with some other medications, herbs, or vitamins that you are simultaneously taking. Drug interaction is when the substance affects the workings of a drug. This could either harm the person or affect the proper functioning of the drug.
One way to avoid interactions is by allowing your doctor to carefully manage your medications. Make sure that your doctor knows about all medications, herbs, or vitamins you are currently taking. Here are some of the drugs that when taken along with clonazepam, increases the risk of developing side effects:
- Benzodiazepines like clonazepam, midazolam, triazolam, and lorazepam. The person may feel more drowsy and sedated
- Opioids like hydrocodone and codeine. Taking these with clonazepam may lead to coma, slowed breathing, severe drowsiness, or death.
- Nonbarbiturate and barbiturate like butabarbital, amobarbital, eszopiclone, zaleplon, zolpidem, and pentobarbital. This may cause you to be more drowsy and sedated.
- Other anxiety treatment drugs like hydroxyzine and buspirone. It may lead to higher feelings of drowsiness and sedation.
- Tricyclic depressants like nortriptyline and amitriptyline. These may also cause more drowsiness and sedation.
- Other seizure treatment drugs like pregabalin, and gabapentin. This may also cause more drowsiness and sedation.
There are several warnings attached to the use of this drug.
Alcohol interaction: Alcoholic drinks could increase the sedative effects risk of clonazepam. The person may have poor judgment, sleepiness, and slowed reflexes. Speak to your doctor if you normally drink alcohol.
Allergy warning: The use of clonazepam may lead to serious allergic reactions with symptoms such as tongue or throat swelling and troubled breathing. Those with allergic reactions are encouraged to consult their doctor immediately. For severe symptoms, dial 911 or visit the closest emergency room. Forever abstain from this drug if you have had allergic reactions to it. It could lead to death.
The use of clonazepam may worsen depression symptoms and suicidal thoughts. Call the doctor immediately if this is noticed.
People with narrow-angle acute glaucoma should not use this drug as it may worsen their condition.
Liver disease patients should also stay away from clonazepam as their liver is not functional enough to get rid of the drug. This may lead to its accumulation in the body and puts the patient at risk of clonazepam side effects.
Pregnant women are best without using clonazepam. Research has shown that this drug may affect the fetus severely if taken by the mother. If this drug must be administered in pregnancy then the case must be extremely serious and needed for the mother’s condition.
Breastfeeding women should also abstain from this drug as it goes into breast milk. When this gets into the child’s body it may result in side effects. Some doctors will advise the woman to either stop the medication or quit breastfeeding.
Older adults have less functioning kidneys compared to younger ones. This may mean their body processes drugs slowly and drugs have to stay for long in there. Their chances of getting side effects are increased.
The effect of this drug on children has not been studied hence those below eighteen years should not use it.