くすりのしおり

Internal
Revised: 5/2019

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
Landsen Fine Granule 0.1%
 Active ingredient:
Clonazepam
 Dosage form:
white fine granule
 Print on wrapping:

Effects of this medicine

This medicine works on benzodiazepine receptors of central nervous system and enhances action of the GABA an inhibitory neurotransmitter, in order to control convulsive seizure caused by epilepsy.
It is usually used to treat minor motor/psychomotor/autonomic seizure.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
    If you are a patient with acute narrow-angle glaucoma, or myasthenia gravis.
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • For adults and children: In general, take 0.5 to 1 g (0.5 to 1 mg of the active ingredient) in 1 to 3 divided doses a day as an initial dose, and increase the dose gradually according to patient's symptoms. The maintenance dose is 2 to 6 g (2 to 6 mg) in 1 to 3 divided doses a day.
    For babies and toddlers: In general, take 0.025 g per kilogram of body weight (0.025 mg of the active ingredient) in 1 to 3 divided doses a day as an initial dose, and increase the dose gradually according to patient's symptoms. The maintenance dose is 0.1 g per kilogram of body weight (0.1 mg) in 1 to 3 divided doses a day.
    However, the dose may be adjusted according to patient's age and symptoms. 1.0 g of this medicine contains 1.0 mg of the active ingredient. Strictly follow the instructions.
  • If you miss a dose, take the missed dose as soon as possible. If it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. You should never take two doses at one time.
  • If you accidentally take more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop taking this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • This medicine may cause sleepiness, diminished attention, loss of concentration, decreased reflex motor capacity, etc. Therefore do not drive a car or operate dangerous machinery while taking it.
  • Alcohol causes this medicine to act excessively. Avoid taking alcohol while taking this medicine.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include sleepiness, lightheadedness, wheezing, hypersensitivity symptoms and rash. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • sudden stop of drug causes limb shaking, loss of sleep, anxiety, convulsions, or hallucinations [drug dependence]
  • breathing becomes shallow and rapid, breathing difficulty, breathing faster during sleep [respiratory depression, tachypnea during sleep]
  • confused consciousness, unable to have normal thoughts, difficulty in thinking, unable to recognise time or place, delusions [stimulated excitement, confusion]
  • general malaise, loss of appetite, nausea, vomiting, yellow discoloration of skin and/or conjunctiva [liver disorder, jaundice]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store at room temperature (1 to 30 degrees Celsius), away from light and moisture.
  • Discard the remainder. Do not store them. Ask the pharmacist or your healthcare facility how to discard them.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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