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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Old Aged. Taking Zapiz. Swelling In Toes. Side Effect Of Medicine? Sodium, Potassium Level Below Range

My father is taking zapiz 0.5mg as per doctors prescription. His age is 83 years and taking this medicine for the last 1 year. At present i noticed that for the last couple of weeks his toes are swelling and could not be recovered to normal shape . Now doctor i want to ask if its the side effect of the medicine or any other problem. Recently a blood test has been done which shows the level of potassium and sodium are both below the normal range.
Mon, 25 Feb 2013
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Psychiatrist 's  Response
Hello kishorebdb
Welcome to HCM
zapiz or clonazapam 0.5 mg is a mouth dissolving drug used in a number of cases like insomnia, in anxiety disorders, in depressive disorders and in a number of other diseases to induce sedation. It is of Benzodiazepine group and it is a comparatively safer drug with main risk is abuse potential which is very high in elderly. Over all risk of any adverse effect is higher in elderly, but so far at this doses clonazepam is least likely to cause development of swelling or edema on toes.
Cause of edema in him is probably relative inactivity which cause edema. Also his Sodium and Potassium levels are low, which might be due to fluid retention. So as per my advise kindly advise him to put one or two pillows below his feet while in lying down position. A brief walk under supervision will also fasten recovery. And get his kindness functions checked as edema may be a warning sign.
Hope I cleared your doubt.
Take Care
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Old Aged. Taking Zapiz. Swelling In Toes. Side Effect Of Medicine? Sodium, Potassium Level Below Range

Hello kishorebdb Welcome to HCM zapiz or clonazapam 0.5 mg is a mouth dissolving drug used in a number of cases like insomnia, in anxiety disorders, in depressive disorders and in a number of other diseases to induce sedation. It is of Benzodiazepine group and it is a comparatively safer drug with main risk is abuse potential which is very high in elderly. Over all risk of any adverse effect is higher in elderly, but so far at this doses clonazepam is least likely to cause development of swelling or edema on toes. Cause of edema in him is probably relative inactivity which cause edema. Also his Sodium and Potassium levels are low, which might be due to fluid retention. So as per my advise kindly advise him to put one or two pillows below his feet while in lying down position. A brief walk under supervision will also fasten recovery. And get his kindness functions checked as edema may be a warning sign. Hope I cleared your doubt. Take Care