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PAXAM Clonazepam Tablets, 0.5 Mg and 2 Mg NEW ZEALAND CONSUMER MEDICINE INFORMATION PAXAM Clonazepam tablets, 0.5 mg and 2 mg Paxam is available only with a liver problems What is in this leaflet doctor's prescription. lung problems kidney problems Please read this leaflet carefully high or low blood pressure before you start taking Paxam. Before you take myasthenia gravis (severe Paxam muscle weakness) This leaflet answers some common sleep apnoea (a condition questions about Paxam. where you have temporary When you must not take stops in breathing during sleep) It does not contain all the available it glaucoma (a condition where information. It does not take the you have high pressure in the place of talking to your doctor or Do not take Paxam if you are eye) pharmacist. allergic to: depression, psychosis, medicines containing schizophrenia All medicines have risks and clonazepam or other epilepsy benefits. Your doctor has weighed benzodiazepines spinal or cerebellar ataxia, the risks of you taking Paxam any of the ingredients listed at conditions of clumsiness or against the benefits they expect it the end of this leaflet. inco-ordination of the muscles will have for you. history of addiction or drug Some of the symptoms of an dependence If you have any concerns about allergic reaction may include skin porphyria (a rare blood pigment taking this medicine, talk to your rash, itching or hives; swelling of the disorder). doctor or pharmacist. face, lips or tongue, which may cause difficulty in swallowing or Your doctor may want to take Keep this leaflet with the breathing; wheezing or shortness of special care if you have any of medicine. You may need to read it breath. these conditions. again. Do not take Paxam if you have: Tell your doctor if you are pregnant or plan to become What Paxam is used severe and chronic lung pregnant. for disease It is not known whether Paxam is severe liver disease safe to use during pregnancy. an addiction to drugs or alcohol. However, there have been reports Paxam is used to treat epilepsy in of unwanted effects occurring in the adults and in children aged 5 years Do not take this medicine after newborn with the use of medicines and over. the expiry date printed on the of this class when used during bottle or if the packaging is torn pregnancy. Therefore, if there is a Paxam contains the active or shows signs of tampering. need to take Paxam during ingredient clonazepam, which If it has expired or is damaged, pregnancy, your doctor will discuss belongs to a group of medicines return it to your pharmacist for the risks and benefits with you. called benzodiazepines. These disposal medicines are thought to work by Tell your doctor if you are their action on brain chemicals. If you are not sure whether you breastfeeding or plan to should start taking Paxam this breastfeed. Ask your doctor if you have any medicine, talk to your doctor. Paxam is not recommended for use questions about why Paxam has during breastfeeding as it passes been prescribed for you. Your into the breast milk, and may cause doctor may have prescribed Paxam Before you start to take drowsiness and feeding difficulties for another reason it in the infant. Tell your doctor if you have The use of benzodiazepines may allergies to any other medicines, Tell your doctor if you drink lead to dependence on the foods, preservatives or dyes. alcohol. medicine. If you have any concerns, You should not drink alcohol whilst you should discuss these with your taking Paxam. Alcohol may doctor. Tell your doctor if you have or have had any of the following increase the effects of Paxam. medical conditions: Page 1 of 4 Tell your doctor if you are lactose They may differ from the information How long to take it intolerant. contained in this leaflet. Continue taking your medicine If you have not told your doctor If you do not understand the for as long as you doctor tells or pharmacist about any of the instructions on the bottle, ask you. above, tell them before you start your doctor or pharmacist for This medicine helps to control your taking Paxam. help. condition but does not cure it. It is important to keep taking your Taking other medicines How much to take medicine even if you feel well. Tell your doctor or pharmacist if The dose varies from person to If you forget to take it you are taking any other person. medicines, including medicines If it is almost time for your next that you buy without a Take Paxam exactly as directed by dose, skip the dose you missed prescription from a pharmacy, your doctor. and take your next dose when supermarket or health food shop. you are meant to. Your doctor will tell you how many You should also tell any health tablets you need to take each day Otherwise, take it as soon as you professional who is prescribing a and when to take them. The dose remember, and then go back to new medication for you that you are may depend on your age, your taking your tablets as you would taking Paxam. condition and whether or not you normally. are taking any other medicines. Some medicines may be affected Do not take a double dose to by Paxam or may affect how well Paxam is usually started using low make up for the dose you Paxam works. These include: doses. Your doctor may then missed. gradually increase this dose to the If you take too much Paxam, you other medicines for epilepsy, lowest amount needed to control may feel drowsy, tired, confused, such as phenytoin, your condition, depending on how dizzy, have difficulty breathing, feel carbamazepine, lamotrigine, well you respond and tolerate the weak or become unconscious. sodium valproate medicine. sleeping tablets, sedatives, If you miss more than one dose, tranquillisers or muscle The usual adult maintenance dose or are not sure what to do, check relaxants is between 4 mg and 8 mg per day. with your doctor or pharmacist. some medicines for depression, anxiety, schizophrenia or other Children, the elderly and people If you have trouble remembering to mental illnesses with liver or kidney problems may take your medicine, as your some antihistamines, used to need smaller doses. pharmacist for some hints. treat allergies or colds pain relievers or opioids How to take it anaesthetics While you are taking flumazenil Swallow the tablets with a glass Paxam cimetidine (a medicine used to of water. treat ulcers) Paxam tablets can be broken in half Things you must do Your doctor can tell you what to do or quartered if your doctor has If you are about to be started on if you are taking any of these prescribed half, or quarter of a any new medicine, tell your medicines. tablet. doctor and pharmacist that you are taking Paxam. If you are not sure whether you are When to take it taking any of these medicines, Tell all other doctors, dentists check with your doctor or Paxam is usually taken twice a day and pharmacists who treat you pharmacist. (morning and evening). However, that you are taking this medicine. depending on your dose, your Your doctor and pharmacist have doctor may recommend you take it If you plan to have surgery (that more information on medicines to three or four times a day. requires an anaesthetic), be careful with or avoid while taking including dental surgery, tell your Paxam. It does not matter if you take this doctor or dentist that you are medicine before or after food. taking Paxam. Take Paxam at about the same How to take Paxam If you become pregnant while time each day. taking Paxam, tell your doctor Taking your tablets the same time Follow all directions given to you immediately. by your doctor and pharmacist each day will have the best effect. It carefully. will also help you remember when to take it. Tell your doctor if you feel that Paxam is not helping your condition. Page 2 of 4 Tell your doctor if, for any could be dangerous if they are treatment if you get some of the reason, you have not taken feeling drowsy or sleepy. side effects. Paxam exactly as prescribed. Otherwise, your doctor may change If Paxam is being given to a small Ask your doctor or pharmacist to your treatment unnecessarily. child, you should be especially answer any questions you may careful that they are breathing have. Keep all of your doctor’s freely. appointments so that your Paxam may increase the amount of Tell your doctor if you notice any progress can be checked. saliva and fluid in the airways. of the following and they worry Your doctor may ask you to have you: regular blood tests to check your Be careful if you are elderly, blood count, kidney and liver unwell or taking other medicines. drowsiness, tiredness function. Some people may experience side dizziness, unsteadiness effects such as drowsiness, loss of memory, Things you must not do confusion, dizziness and inattentiveness, confusion, lack unsteadiness, which may increase of concentration Do not take Paxam to treat any the risk of a fall. slurred speech other conditions unless your unpleasant dreams doctor tells you to. muscle weakness In case of overdose changes in mood, such as Do not give Paxam to anyone depression, anxiety, irritation, else, even if they have the same nervousness, hostility, condition as you. If you take too much (overdose) aggression or agitation hyper activity Do not take Paxam for a longer time than your doctor has Immediately contact your doctor inappropriate behaviour.
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