Rivotril 2mg is a high-dose formulation of Clonazepam, a potent medication in the benzodiazepine class. It is primarily used to control seizures and manage panic disorder by enhancing the activity of GABA, a natural calming chemical in the brain that suppresses abnormal electrical activity. 
 
Key Medical Uses
 
Seizure Control: Effective for various types of epilepsy, including absence, myoclonic, and Lennox-Gastaut syndrome.
Panic Disorder: Helps reduce the frequency and intensity of panic attacks, with or without agoraphobia (fear of open spaces).
Muscle Spasms: Sometimes used for involuntary muscle movements and restless leg syndrome.
Off-label Uses: Occasionally prescribed for short-term relief of severe insomnia or acute anxiety. 
 
Critical Safety Warnings
 
High Addiction Potential: This medication can lead to physical and psychological dependence, especially if used for more than 2–4 weeks.
Severe Withdrawal: Never stop taking Rivotril 2mg abruptly. Sudden discontinuation can cause life-threatening seizures, extreme anxiety, and hallucinations.
Dangerous Interactions: Mixing Rivotril with alcohol or opioids (like codeine or tramadol) can lead to fatal respiratory depression, coma, or death.
Driving Warning: It significantly impairs alertness, coordination, and reaction time. Do not drive or operate machinery while taking it. 
 
Common Side Effects
 
Drowsiness and extreme fatigue.
Dizziness and loss of physical coordination (ataxia).
Memory impairment or confusion.
Mood changes, including depression or increased irritability. 
Administration Guidelines
 
Dosage: Must be taken exactly as prescribed by a doctor; 2mg is a significant dose often reached through gradual adjustment.
Timing: Should be taken at a fixed time daily to maintain steady blood levels.
Dietary Note: Avoid grapefruit juice, as it can dangerously increase the medication's levels in your blood.