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What to assess before giving an elderly patient clonazepam for insomnia?


What are some concerns about the use of benzodiazepines in the elderly for the treatment of anxiety?

Benzodiazepines can impair cognition, mobility, and driving skills in older people, as well as increase the risk of falls. A recent study also found an association between benzodiazepine use in older people and increased risk of Alzheimer’s disease.

What major side effects should all elderly patients avoid while taking benzodiazepines?

Benzodiazepines should be used with extreme caution in the elderly due to the risk for excessive sedation, confusion, falls and fractures.

Should seniors take clonazepam?

Geriatric. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of clonazepam in the elderly.

What do I need to know before taking Klonopin?

Klonopin is potentially addictive and can cause physical and psychological dependence. Take only as directed by your doctor. Do not increase or decrease the dosage without his or her permission. The smallest effective dose for the shortest possible time should be used.

What are the side effects for Klonopin?

Common side effects of Klonopin include:

  • drowsiness,
  • dizziness,
  • weakness,
  • unsteadiness,
  • depression,
  • loss of orientation,
  • headache,
  • sleep disturbances,

Which benzo to use in elderly?

Short-half-life benzodiazepines, such as oxazepam, alprazolam, and triazolam, are usually recommended for older adults, because these agents do not accumulate in the blood, are rapidly cleared from circulation, and offer greater dosage flexibility.

What are nursing considerations when giving benzodiazepines?

Maintain patients who receive parenteral benzodiazepines in bed for at least 3 hours to ensure patient safety. Monitor patient response to drugs through vital signs, weight, serum electrolytes and hydration to evaluate effectiveness of drug therapy.

What are the most common side effects of benzodiazepines?

The most common side effects of benzodiazepines include:

  • drowsiness.
  • light-headedness.
  • confusion.
  • unsteadiness (especially in older people, who may fall and experience injuries)
  • dizziness.
  • slurred speech.
  • muscle weakness.
  • memory problems.

What contraindications are associated with benzodiazepines?

Contraindications. Because of their muscle relaxant action, benzodiazepines may cause respiratory depression in susceptible individuals. For that reason, they are contraindicated in people with myasthenia gravis, sleep apnea, bronchitis, and COPD.

What are the contraindications of clonazepam?

You should not take clonazepam if you have: narrow-angle glaucoma; severe liver disease; or. a history of allergic reaction to any benzodiazepine (clonazepam, alprazolam, diazepam, lorazepam, Valium, Xanax, Versed, and others).

When should I take Klonopin for sleep?

The Klonopin for sleep dosage is typically 0.25-2.0 mg, 30 minutes before you go to bed; total daily Klonopin dosage should not exceed 4 mg per day. If you’ve been prescribed Klonopin for reasons other than sleep, you can take Klonopin two to three times per day, if that is how your healthcare provider prescribed it.

Can clonazepam be used for sleep?

What Is Clonazepam And What Does It Treat? Clonazepam is a benzodiazepine. It is approved for the treatment of panic disorder (with or without agoraphobia), as well as certain types of seizure disorders. However, benzodiazepines are also commonly used to treat difficulty sleeping and alcohol withdrawal.

Does clonazepam cause insomnia?

Users of Klonopin may feel extremely fatigued and unable to keep up with daily life. They might be struggling with insomnia that keeps them up all night, tossing and turning. Likewise, it’s hard to keep their eyes open during daylight hours.

Does clonazepam lower blood pressure?

Results: Clonazepam significantly reduced fluctuations of BP in 82.0% of patients with LHE: the fluctuation range of systolic BP was reduced 2 times, diastolic BP–1.6.

Does clonazepam reduce heart rate?

Compared with placebo, patients receiving clonazepam showed a significant decrease in HRV for all time (SDANN, SDNN) and frequency (LF, HF) measures from baseline to 4 weeks (all ps < 0.05).

Can clonazepam cause bradycardia?

Benzodiazepines, including clonazepam, may cause severe bradycardia. Benzodiazepines may have calcium channel-blocking properties, which may explain the observed bradyarrhythmia.

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