Tovir 0.5mg Tablet 10 ‘S

Tovir 0.5mg Tablet 10 ‘S is prescribed in patients with seizures and to treat panic attacks.

Tovir 0.5mg Tablet 10 ‘S contains Clonazepam as an active ingredient.

Tovir 0.5mg Tablet 10 ‘S is taken orally usually 2 or 3 times daily or as directed by your doctor.

Sudden withdrawal of Tovir 0.5mg Tablet 10 ‘S may result in severe side effects {such as muscle cramps, seizures etc).

Categories: , , ,
Type

Tablet

Feature

0.5mg

Unit

'S

Formula

Clonazepam

Composition

Clonazepam 0.5 mg

Brand

Adamjee Pharma Services

Prescription Required

Yes

How to use, Side effects, Uses, Formula & Composition

About 

Tovir 0.5mg Tablet 10 ‘S is an anti-epileptic drug belonging to the category of drugs known as Benzodiazepines which are used to treat epileptic seizures, involuntary muscle spasm, panic disorders, and sometimes restless legs syndrome. It soothes the brain by reducing the activeness of the nerve cells. It also prevents the brain from releasing chemicals into the body that cause restlessness, anxiety, difficulty sleeping, tiredness, irritability, and difficulty concentrating most of which are effects of an anxiety disorder. In turn, it increases the productivity and feeling of wellbeing in patients.

Tovir 0.5mg Tablet 10 ‘S should be taken at the same time daily so that a steady amount of medicine remains in the body at all times. The dose and frequency will need to be set by the doctor and treatment should always be completed even if you start feeling well as discontinuance can lead to adverse effects such as an escalation of the seizures, nausea, anxiety, and muscle pain. It may take a few weeks of treatment with Tovir 0.5mg Tablet 10 ‘S to start feeling its benefits.

Before starting treatment with Tovir 0.5mg Tablet 10 ‘S, inform your doctor about any ongoing treatment whether with a prescription or non-prescription medication. Side effects commonly include depression, fatigue, sleepiness, and impaired coordination, which is why any activity which needs focus such as driving should be avoided until the effects of the medication are known to you. Please inform your doctor if any unusual changes in mood occur like feeling depressed or suicidal.

Indications

Tovir 0.5mg Tablet 10 ‘S can be used to treat:

  • Epilepsy
  • Panic disorder
  • Restless leg syndrome

How does Tovir 0.5mg Tablet 10 ‘S work

Tovir 0.5mg Tablet 10 ‘S works by raising the activity level of (GABA) a chemical messenger which reduces the abnormal activity in the brain of nerve cells hence relaxing the patient and relieving them of spasms and stress.

How to use product

Tovir 0.5mg Tablet 10 ‘S is to be taken whole with or without a meal. The doctor will start with a lower dose and increase it over a period of 2-4 weeks until they are certain they have devised the right dose for you.

Dosage 

Tovir 0.5mg Tablet 10 ‘S can be given in 1 whole or 3 divided doses per day which is to be confirmed by your doctor.

Available Potency of Tovir 0.5mg Tablet 10 ‘S 

  • 0.5 mg – Tablet
  • 2 mg    – Tablet
  • 2.5 mg/ml – Drops

Adult dosage 

  • Epilepsy: treatment is usually started off with a lower dose of 1mg and increased over a period of 2-4 weeks to 4-8mg.
  • Panic disorder: 1-2mg per day
  • Restless leg syndrome: 500 micrograms to 2mg per day

Child dosage 

  • Epilepsy: Dosage depends on the child’s age and weight. Please refer to your doctor to set the dose.
  • Panic disorder: no clinical trial of the drug has been made for children below 18 years of age.

Elderly dosage

Elderly patients should be started off on a lower dose and observed closely for the effects especially those patients who are older than 65 and have kidney, liver, or breathing problems. 

Pregnancy use and lactation

Tovir 0.5mg Tablet 10 ‘S is not recommended for use in pregnancy however if the gain exceeds the risk then the treatment must be continued because the wellbeing of the patient is crucial during pregnancy hence it is important to keep the seizures under control. 

Tovir 0.5mg Tablet 10 ‘S is safe to use during breastfeeding as studies have shown that the drug does not pass into the breast milk in a worrisome amount; however, the patient must keep a check to see if the baby is unusually sleepy, drowsy, or seems to have breathing problems so that the doctor can immediately be informed.

Contraindications 

Please tell your doctor if you have a history of any of the following before using Tovir 0.5mg Tablet 10 ‘S:

  • Allergic reaction to the drug or any other drug in the past
  • Sleep apnea
  • Myasthenia gravis
  • Liver, lung, or kidney problems
  • Suicidal thoughts or depression
  • Narrow-angle glaucoma

Precautions

Caution must be exercised while taking Tovir 0.5mg Tablet 10 ‘S if you :

  • Have a history of alcohol use
  • Are pregnant or trying to conceive
  • Breastfeeding
  • While driving or being involved in other activities that require concentration as drugs could cause drowsiness
  • If you need to go under general anesthesia for any upcoming surgery

Interactions With Other Medications

Please tell your doctor about the use of the following before using Tovir 0.5mg Tablet 10 ‘S:

  • Anticonvulsants
  • Anti-psychotics
  • Antidepressants
  • Hypnotics
  • Muscle spasms medications (tizanidine, baclofen)
  • Blood pressure medication (enalapril, lisinopril)
  • Diuretics (indapamide, bendroflumethiazide) 
  • Calcium channel blockers (amlodipine, felodipine)
  • Sedatives (antihistamine, chlorpheniramine, promethazine)
  • Strong painkillers (codeine, methadone, morphine)
  • Cimetidine
  • Antibacterial (rifampicin)
  • Antifungal (fluconazole)

Adverse Effects

Like most medicines,Tovir 0.5mg Tablet 10 ‘S has certain side effects which include:

Common Adverse Effects

  • Unsteadiness
  • Dizziness
  • Drowsiness
  • Depression
  • Fatigue
  • Difficulty with coordination
  • Difficulty remembering
  • Muscle weakness
  • Body ache

Rare Adverse Effects

  • Decreased platelets
  • Anemia
  • Dehydration
  • Whites of your eyes or skin turning yellow indicate a problem with the liver
  • Suicidal behavior
  • Breathlessness or nose bleeds could be a sign of blood problems
  • Hallucinations

How To Cope With Some Of The Adverse Effects

  • Fatigue- Patients experiencing this adverse effect are advised to take deep breaths, intake tea or coffee, get a good night’s rest, and not overburden themselves for a few days.
  • Feeling dizzy (lightheaded) or weak –If the medication makes you feel dizzy or weak, stop what you’re doing and sit or lie down until you feel better and do not rise too fast or immediately from sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
  • Feeling drowsy -If the medication makes you feel drowsy or sleepy, stop what you’re doing and sit or lie down until you feel better and do not rise too fast or immediately from a sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
  • Muscle weakness- try to sit down if you suddenly feel weak. It should subside in about a week but if it does not subside or gets worse then please inform your doctor.
  • Muscular Aches And Pains- A hot or cold compress can be placed at the area of discomfort to bring relief; an over-the-counter pain reliever such as paracetamol or ibuprofen can be ingested to bring ease as well. Avoid high-intensity exercise while suffering from muscular pain.

Key Facts About Tovir 0.5mg Tablet 10 ‘S

  • If Tovir 0.5mg Tablet 10 ‘S is taken for more than 2-4 weeks then the dose will gradually need to be reduced before you can stop taking it
  • Consuming alcohol while taking Tovir 0.5mg Tablet 10 ‘S may lead to drowsiness and could result in a deep sleep which you would face difficulty in waking up from
  • Effects of Tovir 0.5mg Tablet 10 ‘S last 8-12 hours. It starts working within 1 hour and reaches peak levels in about 4 hours
  • Tovir 0.5mg Tablet 10 ‘S has a habit-forming/addictive potential hence its use should never be stopped abruptly or else you will face withdrawal symptoms

FAQ’s

#1. HOW LONG DOES IT TAKE FOR {{PRODUCT}} TO WORK

{{Product}} takes 20-60 minutes to start working and peak effects happen between 1-4 hours.

#2. WHICH FOOD AND DRINKS SHOULD BE AVOIDED

Caffeinated drinks such as coffee, tea, and soft drinks should be avoided as they are stimulants and could negate the calming effect of the medicine. Alcohol cannot be taken with Tovir 0.5mg Tablet 10 ‘S as it could induce very deep sleep and cause breathing problems too.

#3. CAN IT AFFECT MY CONTRACEPTION

No, it does not affect any method of contraception.

#4.WHAT IF I MISS A DOSE

Take the medicine as soon as you remember but if it is close to the time of the second dose, skip the previous dose and continue with the next dose. Do not double the dose.

#5. HOW WILL {{PRODUCT}} MAKE ME FEEL

Tovir 0.5mg Tablet 10 ‘S will aid you in feeling more relaxed and will reduce your anxiety. You could feel sleepier than usual and it may cause confusion but in a week or more your body will get used to the medicine and most effects will subside. During your experience with symptoms, do not drive or use any machinery which would require concentration or exertion. 

#6. HOW LONG WILL I HAVE TO TAKE IT

For epilepsy, the medication will need to be taken long-term but for any other condition your doctor will keep a check on the progress and see if you still need it or it can be stopped.

#7. WHICH LIFESTYLE CHANGES CAN HELP WITH MY CONDITION

To help with the panic disorder you may try incorporating the following into your routine:

  • Regular exercises like yoga, massage, pilates, or aromatherapy
  • Reading a self-help book on anxiety
  • Practicing breathing techniques

For restless leg syndrome:

  • Build good habits such as an appropriate bedtime so you get enough sleep
  • Healthy diet 
  • Regular exercise
  • Quit smoking

#8. IS IT SAFE TO HAVE PAINKILLERS WHILE TAKING Tovir 0.5mg Tablet 10 ‘S

Yes, Over-the-counter painkillers such as paracetamol are safe to be ingested along with Tovir 0.5mg Tablet 10 ‘S under the supervision of a doctor.

#9.HOW TO STORE Tovir 0.5mg Tablet 10 ‘S

Tovir 0.5mg Tablet 10 ‘S is to be kept away from the reach of children, in a cool dry place away from direct sunlight and humidity as that tends to ruin certain drugs.

#10. CAN Tovir 0.5mg Tablet 10 ‘S AFFECT MY SEXUAL ACTIVITY

Sexual dysfunction may occur with Tovir 0.5mg Tablet 10 ‘S in some patients. It may cause a decrease in libido or erection problems in some patients. You must discuss this with your consultant before starting.