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@5148branelly

Are you sure you were on 2-4 mg of clonazepam (Klonopin)? That is a huge dose! The usual starting dose for clonazepam is 0.25 mg. twice a day.
Clonazepam is in a drug category called “benzodiazepines,” which includes Valium, Ativan, Xanax and many others. These drugs can be very helpful in the treatment of anxiety. Anxious people, IMHO, tend to be “control freaks” which is not necessarily a bad thing. Yes, benzodiazepines can be mildly addictive, but from what I’ve observed, anxious people find the dose that works for them (usually a low dose) and stay on that dose that helps them. Oddly, from a chemical standpoint, anxious people don’t seem to reach tolerance on benzos. Tolerance is where a person takes a given dose, but in a short time, the drug is no longer effective and the dosage must be increased in order to get the same effect. Tolerance develops quickly with narcotics (=opiates).
An anxious person might need to be on a “their” dose of a benzo for years. If it is a reasonable and effective dose, I don’t see that as a problem.
With the help of a psychiatrist, find the dose that completely relieves the anxiety. Stay on that dose for 3-4 months (or forever if you like). Then start to taper slowly w/ the help of your psychiatrist. With say, Ativan, an anti-anxiety dose might be 1 mg three times a day. Once you’ve taken that for 3-4 months, begin a slow taper (about 0.25 mg a month) until you reach the dose at which the anxiety recurs. Increase the dose by 0.25 mg. That is “your” dose and you can stay on it indefinitely. A great deal of paranoia has developed about benzodiazepines. It is true that IN COMBINATION with other drugs, respiratory depression can occur. Even death might occur but chances are that it is caused by an opiate that was prescribed with a benzo.
On their own, benzos are among the safest of drugs. It is extremely hard to overdose on them and most cause virtually no side effects.
If you have had cancer (or some other major traumatic event) and believe that you are anxious about a recurrence, find a dr. that will work with you on this. During crises, you may find yourself needing to go back up a milligram or two, but when the crisis abates, taper (w/ a dr.) yourself back down to the minimal dose that works for you.
Gabapentin and Lyrica are drugs that can also be used for some types of anxiety.
But some of the substitutions for benzos that I’ve seen cause more trouble than they are worth—far more trouble than sticking with a low dose benzo might.
Some have been prescribing atypical anti-psychotics for anxiety and sleep. These drugs can help, but they can also cause EPS (extrapyramidal symptoms) which are disconcerting muscle movements that can be treated with Cogentin quickly and easily. Less pleasant side effects are tardive dyskinesia, which are involuntary muscle movements—like tapping a finger, twisting a hand, facial grimaces and tongue protrusion. Akathisia, which is involuntary foot tapping, may also occur. These can be helped somewhat with propranolol. Tardive dyskinesia is permanent though. I think few patients are told about the risks of using these drugs for any length of time, even as they are being excessively cautioned about benzos.
If you are anxious and/or depressed, individual psychotherapy can help. Group therapy and support can also be very helpful especially if you are taking the appropriate medication.

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Replies to "Are you sure you were on 2-4 mg of clonazepam (Klonopin)? That is a huge dose!..."

I don't think 2 to 4 mg of clonazepam is high dose. I have taken 2 mg before bedtime for several years and have dropped off of it several times with no withdrawal side effects. I do agree, the patient needs to evaluate themselves to see what the lowest dose is that gives the desired effect, according to their metabolism and how the patient's body breaks down that particular benzo. When I on rare occasion took an additional 2 mg clonazepam during the day and tried driving, my reaction times were quite a bit slower as a result. I have had general anxiety disorder (GAD) for practically my entire life (76 years old now), it isn't a horrible thing, but I hate it nonetheless.

You seem to be very knowledgeable in this area. I will be as brief as possible since I posted a speech a few moments ago, which you may find yourself stuck reading as well. I have been taking benzodiazepines for almost 5 years. I take .5 mg of Xanax in the morning and .25 mg of Halcion at night for sleep. Recently, I have felt the need on some days to take another .25 mg of Xanax midday. This has been concerning to me because I’m frightened this dependence will continue to increase. My doctor tells me I am on a very low-dose and if it’s working, I shouldn’t worry. I would like to be able to stop both medications but I’ve been taking them so long. I don’t know if the reasons I started taking them still exist. My schedule was all over the place when I worked, which is the reason I took Halcion for sleep. My anxiety has always been present, but was controllable for many years. Sadly, I am that control freak you speak of.☹️ so, now I’m retired and can sleep whenever I feel like it and I really have no reason to feel anxious. I was in a management position with 110 employees under me. That was pretty stressful, but that job no longer exists. So, what’s your opinion? I guess I’m hoping somebody else can tell me that the dosage I’m taking really is very low and should I try and stop taking it, it really won’t be that bad. Or should I go through the pains of step down withdrawal and pray at the end of that, I really don’t need it anymore??

The idea of taking Xanax for longer than a week scares the crap out of me. I take either half a .5 or .25 to sleep at most.

the problem with klonapin is i get tired and sleepy. i feel like no one cares everyone says your doing this wrong etc. right now i have stomach ache. don’t know if it’s from food or the meds or anxiety. yesterday i had no stomach ache. i ate i piece of duck with bun , wonton mein soup and 1/2 c sprite. this morning woke up at 230 am took carafet and nexium, couldn’t sleep took klonapin .125,
got stomach ache. took luvox, then tylenol 500.
i have mild gastritis. i don’t know if the stomach ache is from food, meds, anxiety. now im asking if there’d is a way i can track food drugs and symptoms on cell phone and have my providers check it so i can get better input cause i have not been able to figure it out myself. when i get stomach ache i think is it recurrence of something. anyone have similar problem and get better. i took tylenol 500 at 5 am and then again at 10. praying alot
thanks