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Clonazepam wean?

by Trayceemae, Sep 11, 2007 06:20PM
Can anyone share positive feedback on a clonazepam wean program with minimal symptoms.  I have been on the drug for less than 6 months but I do know that my brain is addicted to the chemical because when I tried to cut back I went nuts.  My doctor says to cut my pills into 1/4ths and wean that way.  I have heard horror stories.  Can anyone share a positive weaning process with me that worked.  I have looked at water titration but that will take at least a year for me to accomplish and I am so OVER this drug!
Please respond....I am feeling helpless.
Thanks
Member Comments (2)

by RCA7591, Sep 11, 2007 10:13PM
Forget about the horror stories, the water titration method, and other nonsense.
There's not one shred of evidence to support any of it. What those stories are is subjective observations, from the improper use and discontinuation of these drugs.

Klonopin is tapered by 0.125 mg (1/4 of a 0.5 mg tablet) every four weeks.

Why?

Klonopin carries a 50-hour half-life. The drug reaches steady-state in two weeks. In one month, Klonopin accumulates to 1.5 times that of the steady-state plasma value. This is assuming that the drug was taken twice daily over some "X" amount of time (X being greater than four months).

By reducing the dosage by 0.125 mg every month, the drug's plasma level declines very gradually, reaching a new accumulation and steady-state value. Klonopin is very predictable, and this taper method will avoid the vast majority of withdrawal phenomena.

As an example, assume that you were taking 0.5 mg, b.i.d for two years. The taper would begin with the morning dose. You would take 0.375 (3/4 of a 0.5 mg tablet) in the morning, and the full 0.5 mg dose at night.

Every four weeks, the morning and night doses are alternated between, removing 0.125 mg each time until the drug is discontinued.

For t.i.d dosing, you start with the afternoon (or center) dose. Every four weeks, 0.125 mg is removed, alternating between the afternoon, morning, and night doses until the drug is discontinued.

To perform the taper correctly, you must possess the 0.5 mg tablets. The others (1 mg, 2 mg) cannot be cut accurately unless you have elaborate equipment.

No taper plan should be initiated without the supervision of a medical doctor.

Ryan

by Polly anna , Sep 11, 2007 10:42PM
Why don't you have a look at this site, they are very helpful.

http://benzoisland.org/index.html

Polly anna
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