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Clonazepam, sold under the brand Klonopin among others, is a medication used to prevent and treat seizures, panic disorder, and the movement disorder known as akathisia. Common side effects include sleepiness, poor coordination, and agitation. Clonazepam was patented in and went on sale in in the United States from Roche. Clonazepam is prescribed for short term management of epilepsy and panic disorder with or without agoraphobia. Clonazepam, like other benzodiazepines, while being a first-line treatment for acute seizures, is not suitable for the long-term treatment of seizures due to the development of tolerance to the anticonvulsant effects. Clonazepam has been found effective in treating epilepsy in children, and the inhibition of seizure activity seemed to be achieved at low plasma levels of clonazepam. Clonazepam has been found to be effective in the acute control of non-convulsive status epilepticus ; however, the benefits tended to be transient in many people, and the addition of phenytoin for lasting control was required in these patients.

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Assuming you have advised Pete to make an appointment with his doctor to review his medication, when you next see him he tells you the doctor has increased the dose and told Pete to give the drug more time to have an effect. Given the increase in dose, what are the side effects Pete might experience. Several months later Pete is still taking amitriptyline, which seems to be having a positive effect but he is found to have signs of liver disease. Would you expect this to lead to a change in Petes drug therapy. Case study You are seeing the following patient, Mr Davies who is regular basis for treatment following an injury.

Glucagon is given intravenously. It is more effective than Buscopan and has a shorter duration of action. A disadvantage is that, because it is a protein, glucagon can provoke hypersensitivity reactions. Metoclopramide is a dopamine antagonist that stimulates gastric emptying and small intestine transit and is used to speed up transit time of barium follow-through examinations. Metoclopramide is also an antiemetic, which can be useful in radiological examinations and to counteract the effects of therapeutic radiography.

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