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An overdose of clonazepam can be fatal if you take it with alcohol, opioid medicine, or other drugs that cause drowsiness or slow your breathing. and transmitted securely. Lund HM, iestad El, Gjerde H, Christophersen AS. Class, PG 1648, 3, II Safety Data . 7-Aminoclonazepam | Certified Solutions Standards | Certified Reference Blank A, Hellstern V, Shuster D, et al. Principles of Forensic Toxicology. Anti-epileptic drugs, benzodiazepines such as clonazepam in particular, should be reduced in dose slowly and gradually when discontinuing the drug to mitigate withdrawal effects. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. 12% 38% 41% 1% 8% Fig. [116] The anticonvulsant properties of benzodiazepines are due to the enhancement of synaptic GABA responses, and the inhibition of sustained, high-frequency repetitive firing. 1A Detection frequency NPS TID Prescription/OTC DSS P/A/I 27% 12% 55% 2% 4% Fig. about all the medicines, herbs, vitamins, and supplements you are taking. [122] Benzodiazepines act via micromolar benzodiazepine binding sites as Ca2+ channel blockers and significantly inhibit depolarization-sensitive calcium uptake in experimentation on rat brain cell components. [106] It acts by binding to the benzodiazepine site of the GABA receptors, which enhances the electric effect of GABA binding on neurons, resulting in an increased influx of chloride ions into the neurons. The criteria for non-medical use in this study were purposefully broad, and include, for example, drug abuse, accidental or intentional overdose, or adverse reactions resulting from legitimate use of the medication.[134]. [9] Clonazepam may affect levels of phenytoin (diphenylhydantoin). 2012;413(15-16):1199-202. Because the exact drug ingested may not be distinguishable due to the overlapping metabolic pathways, positive results for Nordiazepam, Oxazepam, and/or Temazepam are reported by Aegis as Benzodiazepine Metabolites. J Opioid Manag. Efavirenz treatment and false-positive results in benzodiazepine screening tests. This includes . [10] In 2020, it was the 44th most commonly prescribed medication in the United States, with more than 14million prescriptions.