Hello,
Lonapam is
clonazepam, it is a
benzodiazepine. This medicine is prescribed for:
• Jerky movements
• A seizure-like episode
• Muscle tightness
• Anxiety-related symptoms that trigger body jerks
It is not medication we keep people on for years without a clear diagnosis. The most frequent side effects of Lonapam that are commonly seen are:
• Slowness or feelings of sleepiness
• Daytime fatigue
• Poor concentration
• Dizziness
• Balance problems
• Memory problems
• Dependence if taken long term
•
Withdrawal symptoms if stopped suddenly
This is why Clonazepam needs careful monitoring. It is a psychotropic medicine and cannot be stopped on your own. About your "jerks/fits once" after bike riding. One episode of jerks does not necessarily signify epilepsy. It can occur because of:
• Neck-strain irritating nerves after an accident
• Anxiety and muscle spasm
• For one isolated seizure-like event
To say "weak nerve in the neck" is not a proper
medical diagnosis. That is too vague. If you have been taking Lonapam for 3 years based on that explanation alone, you really need a proper review now. You should not continue depending on Lonapam without a new neurological assessment. Three years on this medicine is a very long time, especially when the original episode happened only once.
A
neurologist will decide on whether you actually have
seizure disorder, or this was a one-time event related to
neck strain. Also whether the dose of Lonapam is adequate, and whether Lonapam can be tapered slowly. Do not stop the medicine abruptly-it may provoke more jerks.
For now, get a check-up with a neurologist. They may order an EEG and, possibly, a neck or brain scan depending upon your symptoms. Discuss the possibility of gradually reducing the medication. This would facilitate a proper diagnosis instead of simply continuing a strong medicine in a blind way.
Take care. Hope I have answered your question. If you have any further query I will be happy to help. Wish you good health.
Regards,
Dr. Usaid Yousuf, General and Family Physician