Can Rivotril and NORINA Be Safely Combined for Neurological Issues? - Neurology

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Rivotril and NORINA


Hello Doctor, I recently experienced involuntary muscle twitching and hand tremors.
A neurologist prescribed Rivotril 0.5 mg (21-day supply, 11 tablets, take half a tablet once).
However, due to personal reasons, I need to take NORINA tablets 5 mg to delay my period.
Can these two medications be used together? Many sources online indicate that Rivotril should not be stopped abruptly or requires a gradual tapering.
If I feel that Rivotril is not improving my symptoms, can I stop taking it on my own? I apologize for not asking my doctor during my appointment, but my next visit is three weeks away.
I would greatly appreciate your clarification.
Thank you, Doctor.

RR, 30~39 year old female. Ask Date: 2017/02/26

Dr. Jiang Junyi reply Neurology


Hello, based on your description, Rivotril is a long-acting sedative within the benzodiazepine (BZD) class, with a typical dosage range of 0.25-10 mg.
It is generally recommended to start with a low dose.
When using higher doses, it is important not to abruptly discontinue the medication.
You are currently on a low dose, and if the effects are not significant, you may consider adjusting the dosage.
It is safe to discontinue the medication at this dosage level.
I recommend consulting a neurologist for further evaluation and treatment.
Wishing you good health and peace.
Best regards, Dr.
Tao.

Reply Date: 2017/02/26

More Info


When considering the combination of Rivotril (Clonazepam) and NORINA (a medication containing progesterone), it's essential to understand the pharmacological profiles of both drugs and their potential interactions. Rivotril is a benzodiazepine primarily used for its anxiolytic, anticonvulsant, and muscle relaxant properties. It is often prescribed for conditions such as anxiety disorders, seizure disorders, and certain movement disorders. NORINA, on the other hand, is a hormonal medication that is typically used for menstrual regulation and may have effects on mood and physical symptoms related to hormonal fluctuations.

From the information provided, there are no direct contraindications for using Rivotril and NORINA together. However, it is crucial to monitor for any unusual side effects or changes in how you feel when combining these medications. While Rivotril is generally safe to use at low doses, it is important to be cautious, especially if you are considering stopping or adjusting the dosage without consulting your healthcare provider. Stopping Rivotril abruptly can lead to withdrawal symptoms, including increased anxiety, seizures, and other physical symptoms, particularly if you have been taking it regularly.

If you feel that Rivotril is not effectively managing your symptoms, it is advisable to discuss this with your neurologist or prescribing physician rather than stopping the medication on your own. They may suggest a dosage adjustment or an alternative treatment plan that could be more effective for your specific symptoms. Additionally, your doctor can provide guidance on how to safely taper off Rivotril if that is deemed necessary.

In terms of the hormonal effects of NORINA, it is important to consider how hormonal fluctuations can impact neurological symptoms. Hormones can influence mood, anxiety levels, and even muscle tension, which may interact with the effects of Rivotril. Therefore, any changes in your symptoms while taking these medications should be reported to your healthcare provider.

In summary, while Rivotril and NORINA can be used together, it is essential to maintain open communication with your healthcare provider regarding your treatment plan. They can help you navigate any potential interactions and adjust your medications as needed to ensure your safety and well-being. Always prioritize professional medical advice over online sources, as individual health situations can vary significantly. If you have concerns about your medications or experience any adverse effects, do not hesitate to reach out to your doctor for guidance.

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