Designer Benzodiazepines: A Review of Toxicology and Public Health Risks

This registry collects information about the safety of antiepileptic medicines during pregnancy. Clonazepam may interact with other medicines and supplements. Tell your doctor if you have a history of seizures and about any medicines you take for seizures. Clonazepam may increase the risk of or worsen seizures in certain people who have seizures. Tell your healthcare provider if you have a history of a drug or alcohol disorder.

Why Do People Abuse Clonazolam?

  • According to the UNODC, the highest public health risk around the world is from etizolam, flualprazolam, flubromazolam and phenazepam 54,72.
  • Although they possess a high therapeutic index, BZD also come with several side effects, such as drowsiness, dizziness, fatigue, dysarthria, loss of coordination, headache and amnesia, and they have the potential of being addictive .
  • Users report deep sedation, memory loss, and blackouts even at low doses, making it significantly more dangerous.
  • For attributing the cause of death, each case must be assessed individually, taking into account the circumstances surrounding the death, drug tolerance and postmortem redistribution.
  • Eleven flubromazolam DUID cases were reported; in two, driving impairment was assessed by CTI, while in the remaining nine, a SFST was performed by officers.

Clinicians should be asking patients about substance abuse including NPS and DBZD during routine preventive care and ED visits. Only cases in which DBZD were the sole or a contributory cause of intoxication, impairment or death are included in Table 1, which evaluates global DBZD intake. However, for flualprazolam, phenazepam, flubromazolam and etizolam, enforcement was delayed two, five, seven and nine years, respectively, after formal notification .

International Patients

If you feel that the medicine is not working as well, do not use more than your prescribed dose. It is very important that your doctor check your progress at regular visits to see if the medicine is working properly and to allow for changes in the dose. Ask your healthcare professional how you should dispose of any medicine you do not use.

How is Clonazolam Addiction Treated?

Phenazepam, also known as “Bonsai”, “Zannie” or “Supersleep”, is a long-acting benzodiazepine developed in the 1970s and currently used as an anxiolytic, hypnotic and for the treatment of Alcohol Withdrawal Syndrome in the former USSR . Meclonazepam is structurally related to clonazepam and was reported for the first time to EMCDDA in August 2014 after identification in 145 seized capsules in Sweden . Abdul et al. reported two additional deaths in which flubromazolam was found in femoral blood at concentrations of 8 and 16 ng/mL . In 16 cases, flubromazolam was the sole drug detected, while in 2 cases subjects were also positive for meclonazepam. Three patients with psychiatric disorders presented at an outpatient department for etizolam detoxification after exhibiting tolerance and withdrawal.

Here are the main reasons why people abuse Clonazolam:

Clonazolam is another name for triazolobenzodiazepine. These chemicals tend to be dangerous, and clonazolam is no exception. This review was partially funded by the Italian Presidency of Ministers Council, Department of Antidrug Policy.

You need to inform your doctor if you have any health conditions, as clonazolam may worsen them. Alcohol and other sedatives, such as opioids and antihistamines, can aggravate the sedative effects of clonazolam and can result in deep sleep or coma. Furthermore, reducing the dose slowly before completely stopping the drug might also be helpful. Taking the drug for a short time can reduce the risk of dependency. Be very careful to remain within the recommended dosage range of clonazolam to avoid serious adverse effects. A dose of more than 0.5 mg has been found to cause severe sedation and is unsafe for use .

Other side effects not listed may also occur in some patients. Check with your doctor before taking any of these products while you are using this medicine. Call your doctor right away if you notice these symptoms. If you have been taking this medicine for a long time, do not stop taking it without checking first with your doctor. If you develop any unusual and strange thoughts or behavior while you are taking clonazepam, be sure to discuss it with your doctor.

The Dangers of Clonazolam Abuse

We offer individualized, extended-term treatment in an intimate setting. Addicts require medical detox and rehabilitation, but can recover and go back to their normal lives. Likely they will keep attending therapy sessions afterwards, which can help reduce the risk of a relapse.

Mixing Opioids and Benzodiazepines: A Dangerous Combination

Clonazolam addiction is dangerous, and quitting without medical help can lead to severe withdrawal symptoms, including seizures and panic attacks. With a high risk of blackouts, overdose, and dependence, Clonazolam is proving to be more than just another street drug—it’s a ticking time bomb in the world of substance abuse. In the ever-changing landscape of substance abuse, new and dangerous drugs continue to emerge—some flying under the radar until their effects become impossible to ignore.

Getting started with addiction treatment may feel intimidating at first. Detoxing from clonazolam can result in severe symptoms and life-threatening seizures, so you should never attempt to do so on your own. Studies have found that “benzodiazepines bind to a specific protein, the translocator protein (TSPO), on the surface of cell organelles of the microglia. If you suspect someone you love is overdosing on clonazolam, contact emergency medical services immediately.

Avenues Recovery is a community-based drug and alcohol rehabilitation center with locations across the United States. If you or a loved one is struggling with Clonazolam addiction, don’t wait—reach out today to start your path to recovery. Many users accidentally take too much because it kicks in quickly, leading to blackouts, respiratory depression, and overdose.

Find Help for Clonazolam Abuse and Addiction Today

Their use was recommended for a short treatment, i.e., 4–6 weeks for insomnia, but physicians prescribed BZD for months or years, with patients finding it difficult to stop taking these medications because of withdrawal symptoms 13,14,15,16. Benzodiazepines (BZD), important forensic and clinical toxicology drugs, are widely prescribed for neurological and psychiatric disorders and are also highly abused 1,2,3. DBZD toxicology, public health risks and adverse events are reported.

  • Benzodiazepines are central nervous system (CNS) depressants, which are medicines that slow down the nervous system.
  • Benzodiazepines (BZD), important forensic and clinical toxicology drugs, are widely prescribed for neurological and psychiatric disorders and are also highly abused 1,2,3.
  • These substances are illegally manufactured, sometimes mimic legal medicines’ appearance, and are purchased inexpensively on the underground drug market through online platforms that facilitate anonymous trading and bypass regulatory systems 45,46.
  • Because clonazolam withdrawal is so intense, many people will go back to taking the drug rather than go through it.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of clonazepam in the elderly.

Overdosing on clonazolam can lead to respiratory depression and death. This is a physical addiction as the body becomes dependent on the presence of the benzodiazepine to produce correct amounts of neurotransmitters. Even a small dose can produce intense sedation and induce amnesia. They are effective medication, but pose a significant risk of addiction.

An addiction to this drug can be life-threatening for several reasons, including accidental overdoses, poor judgment, severe withdrawal symptoms, and more. Acute intoxications and deaths related to DBZD, alone or in combination with other drugs of abuse, were reported in Finland, Germany, Japan, Norway, Poland, Sweden, UK and USA. The effects of a benzodiazepine overdose include sedation, confusion, amnesia, insufficient breathing, loss of consciousness, and death.

Originally created for research purposes, it was never approved for medical use but has surfaced in online markets and underground drug circles. Although little research has been done about its effects and metabolism, it is sold online as a designer what is clonazolam drug. It is advised to gradually reduce the dose of the drug before stopping it completely. Clonazolam is not approved by the FDA for clinical use and is classified as a Schedule I drug with the potential for abuse in certain states. Psychobiotics are food products containing bacteria that are beneficial for the treatment or prevention of mental health conditions. Gotu Kala (Centella asiatica) is an ancient Chinese herb that has been used for the treatment of anxiety, depression, stress, and other mental health conditions.

In five cases, etizolam was found in association with diclazepam, (one case), flubromazepam (one case), flubromazolam (two cases) and flualprazolam and flubromazolam in one case. Etizolam was found in blood at concentrations of 31 ng/mL and 120 ng/mL, respectively; however, impairment was impossible to determinate or not reported. Etizolam was prescribed or illegally obtained in one case and was taken at supratherapeutic doses. He had previously ingested a large quantity of etizolam tablets. He previously told a friend that at times he took etizolam. The patient reported having ingested two 30 mL vials of 4 mg/mL diclazepam (240 mg) purchased online.

Clonazepam can cause physical dependence, which means your body relies on the medicine to function properly. Take clonazepam exactly as prescribed. Misuse means taking a medicine in a way other than how it was prescribed. Clonazepam may cause suicidal thoughts or actions in a small number of people. In the U.S., you can report side effects to the FDA at /medwatch or by calling 800-FDA-1088. Clonazepam is available as Klonopin, Klonopin ODT, and generic clonazepam in the following dosage forms that are taken by mouth.

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