WARNINGMIXING OR WITHDRAWAL CAN BE DANGEROUS
Ordinary doses in combination with other depressants can fatally stop breathing. After prolonged dependency, stopping suddenly can also cause seizures or delirium; seek medical help.
Clonazepam
Clonazepam is a long-acting benzodiazepine1 that produces primarily anxiolytic effects alongside anticonvulsantcitation needed, sedative, muscle relaxant, and hypnotic properties. Patented in 1960 and first marketed in the United States by Roche in 1975, it is widely prescribed for the treatment of panic disorder, anxiety disorders, and seizures. Now available as a generic medication, it remains one of the most commonly prescribed benzodiazepines, with millions of prescriptions written internationally each year.
Dosage & Duration
Dosage
Doses are population estimates that vary widely between individuals.
Duration
Subjective Effects
Legacy content. A statistically backed ontology from Mindstate Design Labs is coming soon.
Effects vary widely by individual, dose, and context.
Physical
The physical effects of clonazepam can be broken down into several components which progressively intensify proportional to dosage.
Cognitive
The cognitive effects of clonazepam can be broken down into several components which progressively intensify proportional to dosage. The general head space of clonazepam is described by many as one of intense relaxation, anxiety suppression and decreased inhibition. It contains a large number of typical depressant cognitive effects. Paradoxical reactions to benzodiazepines such as increased seizures (in epileptics), aggression, increased anxiety, violent behavior, loss of impulse control, irritability and suicidal behavior sometimes occur (although they are rare in the general population, with an incidence rate below 1%). These paradoxical effects occur with greater frequency in recreational abusers, individuals with mental disorders, children, and patients on high-dosage regimes.
Pharmacology
Pharmacodynamics
Clonazepam acts as a positive allosteric modulator at the benzodiazepine binding site on GABA-A receptors, enhancing GABAergic inhibition by increasing the opening frequency of chloride ion channels.citation needed This produces hyperpolarization of neuronal cell membranes and reduces excitability. Clonazepam has also been shown to decrease serotonin utilization by neurons and to inhibit depolarization-sensitive calcium uptake via micromolar benzodiazepine binding sites.
Pharmacokinetics
Clonazepam is absorbed rapidly after oral administration with an absolute bioavailability of approximately 90%.2 It is metabolized extensively in the liver, primarily through nitroreduction catalyzed by CYP3A4.citation needed The major metabolic pathways include reduction of the nitro group to an amine, N-acetylation, and hydroxylation at the C-3 position. The resulting metabolites are pharmacologically inactive. The elimination half-life ranges from 19 to 60 hours.
Dangerous
Highest riskThese combinations are considered extremely harmful and should always be avoided. Reactions to these drugs taken in combination are highly unpredictable and have a potential to cause death.
Unsafe
AvoidThere is considerable risk of physical harm when taking these combinations, they should be avoided where possible.
Caution
Use cautionThese combinations are not usually physically harmful, but may produce undesirable effects, such as physical discomfort or overstimulation. Extreme use may cause physical health issues. Synergistic effects may be unpredictable. Care should be taken when choosing to use this combination.
Tolerance
Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.
All benzodiazepines, Other GABAergic depressants (barbiturates, alcohol)
Harm Potential
Addiction & Dependence
Psychological
Extremely HighExtremely high psychological addiction potential. Dependence develops in approximately one-third of individuals who take benzodiazepines for longer than four weeks.citation needed The U.S. FDA mandates boxed warnings describing risks of abuse, misuse, and addiction for all benzodiazepine medications.
Physical
Extremely HighPhysical dependence develops readily with regular use, and discontinuation can be life-threatening.citation needed Withdrawal symptoms include anxiety, irritability, insomnia, tremors, sweating, confusion, and hallucinations. Severe withdrawal may cause seizures comparable to delirium tremens.3 Gradual tapering over weeks to months is essential for safe discontinuation.citation needed
Psychosis Risk
Psychosis is a rare adverse effect during use, with paradoxical reactions including hallucinations occurring in less than 1% of the general population.citation needed Risk is elevated in recreational abusers, individuals with mental disorders, children, and those on high-dosage regimens. Psychosis can also occur during severe withdrawal, characterized by dysphoric manifestations, aggressiveness, anxiety, and hallucinations.
Seizure Risk
Although clonazepam is an anticonvulsant, paradoxical increases in seizure frequency can occur at supratherapeutic plasma concentrations. Critically, abrupt discontinuation after regular use can induce potentially life-threatening seizures including status epilepticus.4 Gradual dose tapering is essential to prevent withdrawal-related seizures.citation needed
History & Culture
Clonazepam was patented in 1960 and first marketed in 1964 before being released for sale in the United States by Roche in 1975.citation needed The medication was subsequently approved as a generic drug in the United States in 1997 and is now manufactured and marketed by multiple pharmaceutical…
Legality
International
1961 Single Convention: clonazepam is not scheduled.
1971 Convention on Psychotropic Substances: Schedule IV.
1988 Convention: clonazepam is not listed in precursor Tables I or II.
By Country
References
Source Pages
Citations
- Hajira Basit, & Chadi I. Kahwaji. (n.d.). Clonazepam. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK556010/1
- Clonazepam Tablets USP — Watson Laboratories. Watson Laboratories, Inc. (n.d.). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=acbce0e8-5098-4785-943b-8bdb5ff17fab1
- L P Longo, & B Johnson. (April 2000). Addiction: Part I. Benzodiazepines--side effects, abuse risk and alternatives. American Family Physician, 61(7), 2121–2128. https://www.aafp.org/pubs/afp/issues/2000/0401/p2121.html1
- Label: CLONAZEPAM tablet. DailyMed, U.S. National Library of Medicine (n.d.). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=b9309a1a-a794-2f62-e053-2a95a90a7c341
- Benzodiazepine Drug Class: Drug Safety Communication - Boxed Warning Updated to Improve Safe Use. FDA Drug Safety and Availability (2020-09-23). https://www.fda.gov/safety/medical-product-safety-information/benzodiazepine-drug-class-drug-safety-communication-boxed-warning-updated-improve-safe-use1
- Therapeutic Goods (Poisons Standard—June 2026) Instrument 2026. legislation.gov.au (n.d.). https://www.legislation.gov.au/F2026L00633/asmade/2026-05-28/text/original/epub/OEBPS/document_1/document_1.html1
- Portaria SVS/MS nº 344, de 12 de maio de 1998 (current consolidated text). anvisalegis.datalegis.net (n.d.). https://anvisalegis.datalegis.net/action/ActionDatalegis.php?acao=abrirTextoAto&tipo=POR&numeroAto=00000344&seqAto=000&valorAno=1998&orgao=SVS/MS&codTipo=&desItem=&desItemFim=&cod_menu=1696&cod_modulo=134&pesquisa=true1
- Lista de substâncias sujeitas a controle especial no Brasil. gov.br (n.d.). https://www.gov.br/anvisa/pt-br/assuntos/medicamentos/controlados/lista-substancias1
- Resolução da Diretoria Colegiada Anvisa nº 1.036, de 09/07/2026. anvisalegis.datalegis.net (n.d.). https://anvisalegis.datalegis.net/action/ActionDatalegis.php?acao=abrirTextoAto&tipo=RDC&numeroAto=00001036&seqAto=000&valorAno=2026&orgao=RDC/DC/ANVISA/MS&codTipo=&desItem=&desItemFim=&cod_menu=1696&cod_modulo=134&pesquisa=true1
- Controlled Drugs and Substances Act, Schedule IV. laws-lois.justice.gc.ca (n.d.). https://laws-lois.justice.gc.ca/eng/acts/C-38.8/FullText.html1
Further Reading
Article Status
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Recent changes8 human edits · latest
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19 August 2026
Lyrea · Changed a word in Dosage & Duration › Routes 1 › Dose ranges › Threshold
24 January 2026
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more
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