Rivotril belongs to a class of drugs known as benzodiazepines.
Rivotril is prescribed alone or along with other drugs to treat convulsive disorders such as epilepsy.
Rivotril is prescribed for panic disorder-unexpected attacks of overwhelming panic accompanied by fear of recurrence.
Rivotril is contraindicated if you have any of the following conditions:
- if you have the eye condition known as acute narrow-angle glaucoma;
- if you have severe liver diseas;
- If you have several types of seizures;
- If you have an allergic reaction to Rivotril or similar drugs (Librium, Valium);
Do not take Rivotril with any of the following drugs:
- Antianxiety drugs such as Valium;
- Antidepressant drugs such as Elavil, Nardil, Parnate, and Tofranil;
- Barbiturates such as phenobarbital;
- Carbamazepine (Tegretol);
- Major Tranquilizers such as Haldol, Navane, and Thorazine;
- Narcotic pain relievers such as Demerol and Percocet;
- Oral Antifungal drugs such as Fungizone, Mycelex, and Mycostatin;
- Other Anticonvulsants such as Dilantin, Depakene, and Depakote;
- Sedatives such as Halcion;
Rivotril side effects that you should report to your health care professional or doctor as soon as possible:
- "glassy-eyed" appearance;
- Abdominal and muscle cramps;
- Abnormal eye movements;
- Allergic reaction;
- Bed wetting;
- Behavior disorders;
- Chest congestion;
- Coated tongue;
- Coordination problems;
- Depressed feeling;
- Double vision;
- Dry mouth;
- Excess hair;
- Fluttery or throbbing heartbeat;
- Hair loss;
- Inability to fall or stay asleep;
- Inability to urinate;
- Increased sex drive;
- Involuntary rapid movement of the eyeballs;
- Loss of or increased appetite;
- Loss of voice;
- Memory loss;
- Muscle and bone pain;
- Muscle weakness;
- Nighttime urination;
- Painful or difficult urination;
- Partial paralysis;
- Runny nose;
- Shortness of breath;
- Skin rash;
- Sleeping difficulties;
- Slowed breathing;
- Slurred speech;
- Sore gums;
- Speech difficulties;
- Stomach inflammation;
- Swelling of ankles and face;
- Uncontrolled body movement or twitching;
- Weight loss or gain;
Reported Rivotril overdose symptoms are:
- Slowed reaction time;
For panic disorder, safety and effectiveness have not been established in children under age 18.
The starting dose is 0.25 milligram twice a day. After 3 days, your doctor may increase the dose to 1 milligram daily. Some people need as much as 4 milligrams a day.
Rivotril tends to build up in the body if the kidneys are weak--a common problem among older adults. Higher doses of the drug also tend to cause more drowsiness and confusion in older patients. People over age 65 are therefore started on low doses of Rivotril and watched with extra care.
The starting dose for infants and children up to 10 years old or up to 66 pounds should be 0.01 to 0.03 milligram--no more than 0.05 milligram--per 2.2 pounds of body weight daily. The daily dosage should be given in 2 or 3 smaller doses. Your doctor may increase the dose by 0.25 to 0.5 milligram every 3 days until seizures are controlled or side effects become too bad. If the dose cannot be divided into 3 equal doses, the largest dose should be given at bedtime. The maximum maintenance dose is 0.1 to 0.2 milligram per 2.2 pounds daily.
The starting dose should be no more than 1.5 milligrams per day, divided into 3 doses. Your doctor may increase your daily dosage by 0.5 to 1 milligram every 3 days until your seizures are controlled or the side effects become too bothersome. The most you should take in 1 day is 20 milligrams.