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Q: Klonipin Withdrawl Help ( Answered,   0 Comments )
Question  
Subject: Klonipin Withdrawl Help
Category: Health > Medicine
Asked by: foodjs-ga
List Price: $50.00
Posted: 20 Oct 2006 11:57 PDT
Expires: 19 Nov 2006 10:57 PST
Question ID: 775411
I have been on Klonipin for four years and I am trying to taper off
due to side effects such as drowsiness and other sleep problems. I am
at the point of no Klonipin being taken since the last 4 days and I
feel like I am still having withdrawls (muscle tention, don't want to
be in crowds, and sleepiness. What can I do to lessen the symptoms
(other medications, exercise, diet)? How long will this last before I
will begin to feel better? I want to feel better!
John
Answer  
Subject: Re: Klonopin Withdrawl Help
Answered By: sublime1-ga on 20 Oct 2006 14:46 PDT
 
foodjs...

I worked in the field of mental health for 25+ years, and it's
fairly common knowledge amongst those who work in the field
that, if the person has been receiving a high level dose of
klonopin for an extended period, the proper way to discontinue
the drug is through a medically supervised gradual tapering of
the dosage in order to preclude or minimize withdrawal symptoms.

This fact is mirrored on the DrugInfoNet page on klonopin, under
the section, 'DRUG ABUSE AND DEPENDENCE':

"Withdrawal symptoms, similar in character to those noted with
 barbiturates and alcohol (e.g., convulsions, psychosis,
 hallucinations, behavioral disorder, tremor, abdominal and
 muscle cramps) have occurred following abrupt discontinuance
 of clonazepam. The more severe withdrawal symptoms have
 usually been limited to those patients who received excessive
 doses over an extended period of time. Generally milder
 withdrawal symptoms (e.g., dysphoria and insomnia) have been
 reported following abrupt discontinuance of benzodiazepines
 taken continuously at therapeutic levels for several months.
 Consequently, after extended therapy, abrupt discontinuation
 should generally be avoided and a gradual dosage tapering
 schedule followed. Addiction-prone individuals (such as drug
 addicts or alcoholics) should be under careful surveillance
 when receiving clonazepam or other psychotropic agents because
 of the predisposition of such patients to habituation and
 dependence."
http://www.druginfonet.com/index.php?pageID=klonopin.htm

Therefore, my strongest recommendation is to make an appointment
with the provider who prescribed klonopin for you and arrange
for a gradual tapering of the dosage. The provider may also
supplement the tapered dosage with other medications which can
offset both the symptoms for which the klonopin was originally
prescribed and the side effects associated with the tapered
dosage of klonopin.


If you are, for some reason, determined to accomplish this 
without the assistance of a medical provider, please realize
that you are taking an unnecessary risk, and you should, at
the least, arrange for friends and/or relatives to check in
on your status on a regular basis, and be prepared to summon
emergency medical services if necessary.

Given that basic level of support, there are some online
resources you should find quite helpful.

Heather Ashton, Professor of Neurology, Neurobiology and
Psychiatry at the University of Newcastle is renowned among
those aspiring to quit klonopin use on their own for a work
titled, 'BENZODIAZEPINES: HOW THEY WORK AND HOW TO WITHDRAW',
and better known as The Ashton Manual. It is currently not
available at her website, here:
http://www.benzo.org.uk/manual/index.htm

But you can find the Manual in its entirety courtesy of the
archived website at the Internet Archives, also known as the
Wayback Machine:
http://web.archive.org/web/20050317042325/http://www.benzo.org.uk/manual/index.htm

The archived Contents page lists topics covered, including:

"Individual symptoms, their causes and how to deal with them
    Insomnia, nightmares, sleep disturbance
    Intrusive memories
    Panic attacks
    Generalised anxiety, panics and phobias
    Psychological techniques
    Complementary medicine techniques
    Exercise and other techniques
    Sensory hypersensitivity
    Depersonalisation, derealisation
    Hallucinations, illusions, perceptual distortions
    Depression, aggression, obsessions
    Muscle symptoms
    Bodily sensations
    Heart and lungs
    Problems with balance
    Digestive problems
    Immune system
    Endocrine problems
    Fits, convulsions"
http://web.archive.org/web/20050308195726/www.benzo.org.uk/manual/contents.htm


See the reassuring advice on the page on Muscle Symptoms, e.g.:

"None of these symptoms is harmful, and they need not be a
 cause of worry once they are understood. The muscle pain and
 stiffness is actually little different from what is regarded
 as normal after an unaccustomed bout of exercise, and would
 be positively expected, even by a well-trained athlete, after
 running a marathon.

 There are many measures that will alleviate these symptoms,
 such as muscle stretching exercises as taught in most gyms,
 moderate exercise, hot baths, massage and general relaxation
 exercises. Such measures may give only temporary relief at
 first, but if practised regularly can speed the recovery of
 normal muscle tone - which will eventually occur spontaneously."
http://web.archive.org/web/20050308194406/www.benzo.org.uk/manual/bzcha03.htm#7a

Please explore the suggestions for the other symptoms you are or
may experience from withdrawal. For instance, not wanting to be
in crowds would fall under Generalized Anxiety or Phobias, or 
possibly Panic Attacks, if your symptoms are severe enough.


I'm sure you'll find this extensive document to be indispensible,
as have many others who have attempted withdrawal on their own.
You'll see it recommended by support sites specifically for this
purpose, such as:

Benzos Aren't Us - Liberty Chat
http://www.benzoliberty.com/main.php

A Better Way to Health - Benzodiazepine Dependency Resource page:
http://www.betterway2health.com/Benzo.htm

Prodigy guidance on Benzodiazepine and z drug withdrawal:
http://www.prodigy.nhs.uk/benzodiazepine_and_z_drug_withdrawal

The Addiction and Recovery Forum at SteadyHealth:
http://www.steadyhealth.com/Addiction_and_Recovery-f4.html

Questions and Answers from MedHelp International's Ask the
Doctor Forums:
http://www.medhelp.org/mhli/search7x.exe?jstart=1&SearchArea=1&keywords=klonopin&Submit=Search%21


Best wishes in your recovery...

sublime1-ga


Additional information may be found from further exploration
of the links provided above, as well as those resulting from
the Google searches outlined below.

Searches done, via Google:

klonopin withdrawal
://www.google.com/search?q=klonopin+withdrawal

"Ashton manual"
://www.google.com/search?q=%22Ashton+manual%22

Clarification of Answer by sublime1-ga on 20 Oct 2006 14:59 PDT
John...

You may also find this previous, related Google Answers question
to be of interest:

Klonopin withdrawl
http://answers.google.com/answers/threadview?id=470195


Also, with regard to how long you can expect the symptoms of
withdrawal to go on, this thread on the SteadyHealth forum I
referred to earlier may be of particular interest. See the
post by i_made_it_you_can_too, in which they note that it 
took a couple of months, using a slow tapering protocol, and
another Guest says it took about 2 weeks, without using a 
tapering of dosages:
http://www.steadyhealth.com/Bad_withdrawal_from_klonopin_t73504.html

sublime1-ga

Clarification of Answer by sublime1-ga on 20 Oct 2006 15:12 PDT
John...

Here's one more previous Google Answers question that duplicates
some of the results I found, but has some unique links, as well:
http://answers.google.com/answers/threadview?id=485272

sublime1-ga
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