Rivotril 0.5 is a prescription medication containing Clonazepam, a potent benzodiazepine primarily used for the management of seizure disorders and panic attacks. It works as a central nervous system (CNS) depressant by enhancing the effects of GABA, a natural calming neurotransmitter in the brain. Produced by Radiant Pharmaceuticals Ltd. (under license from F. Hoffmann-La Roche Ltd.), here is a clear guide for early 2026.
What is Rivotril 0.5 Used For?
Rivotril 0.5 mg contains Clonazepam 0.5 mg and is prescribed mainly for:
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Panic Disorder: Treatment of panic disorder, with or without agoraphobia (fear of open spaces).
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Seizure Control: Management of Lennox-Gastaut syndrome, myoclonic, and akinetic seizures.
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Absence Seizures: Used in patients who have not responded to other anti-seizure medications.
Key Reminder: Rivotril 0.5 mg is a controlled substance and can lead to physical dependence if used long-term. It should never be used for “everyday stress.” For a technical breakdown of its clinical pharmacology, you can review Clonazepam on DrugBank.
Dosage
For adults treating panic disorder, the typical starting dose is 0.25 mg to 0.5 mg twice daily. For seizure disorders, the initial dose usually starts at 1.5 mg/day (split into three doses). Your physician will adjust the dosage gradually to reach the maintenance level that works best for you. It can be taken with or without food.
Common Side Effects
While highly effective, Rivotril can cause side effects as the body adjusts to the medication. Common side effects may include:
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Drowsiness or extreme sleepiness
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Ataxia (loss of coordination or unsteady walk)
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Fatigue or weakness
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Dizziness or lightheadedness
Important 2026 Safety Update: International health regulatory bodies continue to monitor benzodiazepines for their impact on cognitive function. Recent research published in StatPearls (NCBI) emphasizes that patients should be regularly screened for “emotional blunting” and memory impairment. If you experience severe mood changes or confusion, consult your doctor immediately.
Important Warnings & Precautions
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Avoid Alcohol: Alcohol significantly increases the risk of life-threatening respiratory depression when taken with Rivotril.
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No Sudden Stops: Stopping Rivotril abruptly can cause severe withdrawal symptoms, including seizures and extreme anxiety.
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Pregnancy Warning: Clinical studies show potential risks to the fetus. Use only if the benefits clearly outweigh the risks.
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Contraindications: Avoid if you have severe liver disease or acute narrow-angle glaucoma.
Rivotril 0.5 vs. Lexotanil 3: Key Differences and Usage
While both Rivotril (Clonazepam) and Lexotanil (Bromazepam) are benzodiazepines, they are used for different intensities and types of symptoms.
| Feature | Rivotril 0.5 (Clonazepam) | Lexotanil 3 (Bromazepam) |
| Drug Class | High-Potency Benzodiazepine | Intermediate Benzodiazepine |
| Primary Use | Seizures & Panic Disorders | Severe Anxiety & Tension |
| Duration | Long-acting (up to 30–40 hours) | Intermediate (up to 12–20 hours) |
| Common Dosage | Twice daily (usually) | Once or twice daily |
| Unit Price | ৳9.00 | ৳8.00 – ৳10.00 |
Rivotril 0.5 Price in Bangladesh (January 2026 Update)
The following table provides the updated pricing for Rivotril variants manufactured by Radiant Pharmaceuticals Ltd. This data reflects the latest market rates approved by the DGDA Bangladesh.
| Product Name | Strength | Unit Price (BDT) | Strip Price (10 Tablets) |
| Rivotril 0.25 | 0.25 mg | ৳4.00 | ৳40.00 |
| Rivotril 0.5 | 0.5 mg | ৳9.00 | ৳90.00 |
| Rivotril 1.0 | 1.0 mg | ৳11.00 | ৳110.00 |
| Rivotril 2.0 | 2.0 mg | ৳14.00 | ৳140.00 |
Rivotril 0.5 Alternative Brands & Prices
If you are looking for an alternative to Rivotril 0.5, here is a comparison of the top alternative brands for Clonazepam in Bangladesh as of January 2026.
| Brand Name | Company Name | Price per Unit (BDT) |
| Disopan 0.5 | Incepta Pharmaceuticals | ৳8.00 |
| Epitra 0.5 | Square Pharmaceuticals | ৳8.00 |
| Denixil 0.5 | Renata Limited | ৳6.00 |
| Xetril 0.5 | Beximco Pharmaceuticals | ৳6.00 |
| Clonatril 0.5 | Healthcare Pharmaceuticals | ৳7.00 |
| Pase 0.5 | Opsonin Pharma Limited | ৳6.20 |
| Pandura 0.5 | NIPRO JMI Pharma | ৳7.00 |
| Arotril 0.5 | Aristopharma Ltd. | ৳7.00 |
| Cloron 0.5 | Eskayef (SK+F) | ৳7.00 |
| Lonapam 0.5 | Delta Pharma | ৳5.00 |
Frequently Asked Questions (FAQ) About Rivotril 0.5
Q: What is the Rivotril 0.5 mg price in Bangladesh?
As of January 2026, the retail price for Rivotril 0.5 is ৳9.00 per tablet. A strip of 10 tablets typically costs ৳90.00.
Q: What are the Rivotril 0.5 side effects?
The most common side effects are drowsiness, dizziness, and muscle weakness. Because it is a strong sedative, it may also cause confusion or memory problems.
Q: What is Rivotril 0.5 used for?
It is primarily used to treat seizure disorders (epilepsy) and to manage symptoms of panic disorder and severe anxiety.
Q: What is the recommended Rivotril 0.5 dose?
For panic disorder, the initial dose is often 0.25 mg twice daily, which may be adjusted to 1 mg per day based on the patient’s response and doctor’s advice.
Q: Is Rivotril 0.5 good for a cough?
No, Rivotril is not a cough suppressant. It is a psychiatric and neurological medication. Using it for a cough could be dangerous as it may suppress breathing.
Q: What does Rivotril do?
Rivotril calms the brain and nerves by increasing the activity of GABA, an inhibitory neurotransmitter that slows down excessive electrical signals in the brain.
Q: Does Rivotril 0.5 make you sleepy?
Yes, Rivotril 0.5 causes significant drowsiness. You should not drive or operate machinery until you know exactly how this medication affects you.
Q: Is Clonazepam (Rivotril) high risk?
Yes, it is classified as a controlled substance due to its high potential for addiction, physical dependence, and severe withdrawal symptoms.
Q: Are there any alternatives to Rivotril 0.5 in Bangladesh?
Yes, high-quality alternatives include Epitra 0.5 (Square), Disopan 0.5 (Incepta), and Xetril 0.5 (Beximco).
Q: Is Rivotril 0.5 safe during pregnancy?
Rivotril is generally not recommended during pregnancy as it may cause fetal harm. It should only be used if the doctor determines the benefits clearly outweigh the risks.
Disclaimer: This is educational information only (updated January 2026). Not a substitute for professional medical advice. Always consult a qualified physician before starting/stopping any medication.
