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Clonazepam

Clonazepam molecule structureClonazepam molecule structure
5-(2-chlorophenyl)-7-nitro-1,3-dihydro-2H-1,4-benzodiazepin-2-one
Klonopin, Rivotril, K-Pin, K, Pin

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.

Threshold~0.25 mg
Light0.25-0.5 mg
Moderate0.5-1 mg
Strong1-2 mg
Heavy2+ mg
Bioavailability
~90%

Duration

Onset20-60 minutes
Peak2-4 hours
Offset3-6 hours
After Effects8-48 hours
Total8-12 hours
Half-life
19-60 hours

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.

Forked from Subjective Effect Documentation byJosie Kins September 2015.

Reagent Testing

Expected colorimetric results for common reagent tests. Colors show reaction change over 1–2 minutes.

Zimm(ZI)
white → yellow2 → brown2
Powered by PROtestkit.eu

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.

Interactions

Dangerous

Highest risk

These 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.

AlcoholGHB/GBLOpioidsTramadol

Unsafe

Avoid

There is considerable risk of physical harm when taking these combinations, they should be avoided where possible.

Caution

Use caution

These 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.

DXMKetamineMXE
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Tolerance

Tolerance timelines are rules of thumb, not exact schedules, and vary widely between individuals and use patterns.

Full Tolerance
Tolerance to sedative-hypnotic effects can emerge quickly, often after only several days of uninterrupted use. Tolerance to anticonvulsant effects may also develop with prolonged administration.
Baseline Reset
Typically returns to baseline within 7-14 days following cessation, although individuals with extended histories of regular use may require considerably longer periods for complete tolerance reset.
Half Tolerance
7-14 days after cessation of use, though this may take significantly longer in cases of prolonged or intensive use.
Cross Tolerance

All benzodiazepines, Other GABAergic depressants (barbiturates, alcohol)

Harm Potential

Addiction & Dependence

Psychological

Extremely High

Extremely 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 High

Physical 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

Controlled / restricted3
New Zealand flagNew ZealandSchedule 3 (Class C)
Norway flagNorwayRestricted
Switzerland flagSwitzerlandRestricted
Prescription12
United States flagUnited StatesPrescription only
Australia flagAustraliaPrescription only
Brazil flagBrazilPrescription only
Canada flagCanadaPrescription only
Czech Republic flagCzech RepublicPrescription only
Germany flagGermanyPrescription only
India flagIndiaPrescription only
Israel flagIsraelPrescription only
Netherlands flagNetherlandsPrescription only
Russia flagRussiaPrescription only
Turkey flagTurkeyPrescription only
United Kingdom flagUnited KingdomPrescription only

References

Source Pages

  1. DrugBank
  2. DrugBank Article: Clonazepam as Anticonvulsant
  3. Erowid
  4. Isomer Design (TiHKAL/PiHKAL)
  5. PsychonautWiki
  6. The Drug Classroom
  7. TripSit Factsheets
  8. TripSit: Drug Combination Chart
  9. Wikipedia

Citations

  1. Hajira Basit, & Chadi I. Kahwaji. (n.d.). Clonazepam. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK556010/1
  2. Clonazepam Tablets USP — Watson Laboratories. Watson Laboratories, Inc. (n.d.). https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=acbce0e8-5098-4785-943b-8bdb5ff17fab1
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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

  1. Nutt et al. 2007 - Rational Scale for Drug Harm

Article Status

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Recent changes8 human edits · latest

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19 August 2026

  1. Lyrea · Changed a word in Dosage & DurationRoutes 1 › Dose ranges › Threshold

24 January 2026

  1. Josie Kins · Updated the article · also 1,4-Butanediol, 1B-LSD, 1cP-AL-LAD and 573 more

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