instruction: hello doctor I have been suffering from panic attacks and anxiety for several years and on top of that essential tremor affects my everyday life a couple of weeks ago my doctor prescribed klonopin clonazepam for me but there are some things I am worried about after googling a bit does klonopin increase the risk of it prolongation or other serious heart problems I just do not want to take any risk because I have been suffering form pics every day for over a year sometimes I have also bradycardia and every now and then short burst of an accelerated heartbeat with fluttering sensation they are still under investigation I have had lots of ecgs and at one my it etc was 412 47 at a heart rate of 71 bum and I would not like to make my it any longer I have also used oxazepam is it a safer option when it comes to the risk of it prolongation or can I continue taking klonopin
output: hello long term clonazepam as well as high dose clonazepam puts you at a risk for developing acquired long it having said that a etc of 47 sec is within the prescribed I 460 sec limit for women oxazepam is safer but if you combine either of these with another it prolonging drug the it may become dangerously prolonged also avoid a low potassium blood level and diuretics medications which promote urination your description of pics leads me to suggest a hotter and egg just to rule out any pause dependent arrhythmia do get an echo done to rule out structural heart disease