Abstract
Abstract
Background
The adverse drug reactions (ADRs) related to clonazepam are mild, and only two cases of myotoxicity induced by clonazepam have been reported, with both patients recovering well. We present a unique case of a serious ADR outcome after taking clonazepam.
Case presentation
A 24-year-old woman with a long-standing history of polio and a 2-year history of epilepsy developed a serious ADR after repeated exposure to oral clonazepam combined with sodium valproate that manifested as myotoxicity and elevated levels of creatine phosphokinase. The patient is currently bedridden and unable to take care of herself.
Conclusion
Clinicians should be vigilant of the possibility of myotoxicity induced by clonazepam, especially in specific populations such as polio patients or when clonazepam is used in combination therapies.
Publisher
Springer Science and Business Media LLC
Subject
Pharmacology (medical),Pharmacology
Reference18 articles.
1. Kwan P, Schachter SC, Brodie MJ. Drug-resistant epilepsy. N Engl J Med. 2011;365:919–26.
2. National Institute for Health and Clinical Excellence. The epilepsies: the diagnosis and management ofthe epilepsies in adults and children in primary and secondary care. Pharmacological update of clinical guideline. London: Royal College of Physicians (UK); 2012. p. NBK247130.
3. Riss J, Cloyd J, Gates J, Collins S. Benzodiazepines in epilepsy: pharmacology and pharmacokinetics. Acta Neurol Scand. 2008;118:69–86.
4. US Food, Drug Administration. Klonopin tablets (clonazepam) Klonopin wafers (clonazepam orally disintegrating tablets). FDA. 2010.
www.accessdata.fda.gov/drugsatfda_docs/label/2010/017533s046s048,020813s006s007lbl.pdf
. Accessed 14 July 2015.
5. Gupta R. Myotoxicity induced by clonazepam_ a case report.pdf. Paediatr Perinat Drug Ther. 2003;5(4):214–6.
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1. Anti-epileptic medications;Side Effects of Drugs Annual;2020
2. Clonazepam/sodium-valproate;Reactions Weekly;2020-01