My psychiatrist wants to switch me from Ativan 1 mg to clonazepam .5 .

Posted by ddscal1958 @ddscal1958, Jul 24, 2025

Has anyone psychiatrist switched them from Ativan to clonazepam to taper off? I have been on Ativan since February and I’m worried about side effects so I want to take a walk. He says it would be easier for me to take off if I switch to the clonazepam. Has anyone ever had this experience? How did it work out?

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Profile picture for Jim, Volunteer Mentor @jimhd

@gunshy I've been taking Clonazepam 1mg twice a day for 20+ years. I've never increased it from the original prescription. I spoke recently with my psychiatrist about tapering off it, and she was going to speak with the pharmacist about the best way, probably switching to Valium, which is easier to titrate from. I'm considering a treatment that requires no benzodiazepine for 36 days. It also requires that I stop Buproprion, which I've been taking for 20 years @ 450mg. I'm concerned about stopping both of them because I don't want to regress to the depth of depression I was in 20 years ago. We'll see what I end up doing about the meds, wondering if I can replace them with something else temporarily. Clonazepam is very difficult and slooow to taper off, though maybe not so difficult at .25mg. Good luck with the transition.

Jim

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@jimhd
Dear Jim,
Praying for you that you find just the right way for you to taper off those meds and have no return of the depression. I think what I have been having is paradoxical response where the meds make the situation worse. I don't feel calm on them just shaky and sick to my stomach three hours after taking them at night. Still have not found a tapering plan I am comfortable with.
I am super sensitive and am concerned that switching to Valium may throw things off kilter as I'm 81 and my metabolism is slower. This is the Ashton method which has been successful for many. You can find the document on line. I printed the whole thing out. On the other hand getting off clon. is difficult because it is hard to get smaller doses which may require shaving off bits and weighing them or going to a liquid. If anyone out there has done either one, please let me know how it went.

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Profile picture for Jim, Volunteer Mentor @jimhd

@gunshy I've been taking Clonazepam 1mg twice a day for 20+ years. I've never increased it from the original prescription. I spoke recently with my psychiatrist about tapering off it, and she was going to speak with the pharmacist about the best way, probably switching to Valium, which is easier to titrate from. I'm considering a treatment that requires no benzodiazepine for 36 days. It also requires that I stop Buproprion, which I've been taking for 20 years @ 450mg. I'm concerned about stopping both of them because I don't want to regress to the depth of depression I was in 20 years ago. We'll see what I end up doing about the meds, wondering if I can replace them with something else temporarily. Clonazepam is very difficult and slooow to taper off, though maybe not so difficult at .25mg. Good luck with the transition.

Jim

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@jimhd I have posted before that much like you I have been taking 1mg twice a day of clonazepam for over 30 years. That along with Sertraline, Buspar and Wellbutrin has enabled me to have a very successful sales career and a nice retirement.
Every time I get my yearly physical I talk with my PCP about my use of Clonazepam. The answer is always the same. It is a big “ Why” I tell her about this site and she says to stop reading the horror stories. Everyone is different. I don’t drink or smoke and exercise six days a week. Her practice is entirely senior citizens and there are people she has to take off clonazepam because they refuse to quit drinking or because they start to increase their dosage.
I am speaking only for myself when I say depression is something you are born with and all the talk therapy is not going to make it go away. It is inherited from someone in your family. In my case it was my mother and she chose to self medicate with alcohol. She lived a very troubled and sad life and I chose not to do that once depression started to rear its ugly head. Find what combination of medications work and stick with them. My first psychiatrist always told me “ If it isn’t broke don’t fix it” Every time try to fix it I realized how terrible it was falling back in that black hole of depression. I still have some bad days as everyone does but overall I am very happy with my life.
Just realize you suffer from depression or anxiety like others suffer from other diseases and rather than curse big pharma think what it must have been like before they made all their breakthroughs.
I also struggle with hearing loss and I am so grateful for all the advances in hearing aid technology.
Things could be so much worse.
Good luck to everyone and listen to your PCP. There are good ones out there. You just have to find the right one. I will be 75 years old soon and just want to enjoy the time I have and live in the moment. I hope you all do as well.

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I’m in agreement that depression is never cured, it’s a life long illness and the best we can hope for is to find helpful therapy to cope but also the right medication, that makes all the difference for a better life. I realize from my own experiences as well as reading about others that it’s not always easy to find what works best for you but you keep trying because it’s really all you can do, I don’t want to read stories about the dangers that our medications can cause because it’s very damaging to our survival, everything comes with positive sides and also negative side but this is how it works in our lives, until someone finds a better solution to help us live our lives better we must do whatever it takes to keep moving forward.

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Profile picture for nannybb @nannybb

@shauna1 I had the same problem with percocet. After I got married I went on birth control. I already had a history of migraines. Birth control pills magnified my headaches unbearably. So after trying several different birth control pills, the doctors thought trying to find a "fix" for the migraines would be better. Problem was, the headache were almost every day. I was working for Kaiser in OBGYN at the time, and narcotics were not viewed as harshly as today. I knew I was in trouble when I was at the point of taking three in one dose. I was very close to my chiropractor. He was able to help me go off of them, but he did the cold turkey trick. I caught pneumonia from the ordeal. Not sure how that happened, but that was my body's reaction. So, I know how horrible it can be coming off of most any scheduled drug. I love your view on healing. That puts you way ahead of the process for sure. You go!

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@nannybb
Thank you.
I have a great affection of sorts for people that have suffered like this.
We tend to be sensitive souls, and so to be kind and supportive is so important. 🩷

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Profile picture for frouke @frouke

Hi, I understand that your doctor wants to take you off Ativan 1 mg. and switch you to Clonazepam 0.5 mg., I’m not very successful with this option because I know that Clonazepam stays in your system longer than Ativan but you are reducing the dose by half and that’s the reason I didn’t succeed with this option. I also think that there’s a risk of experiencing withdrawal symptoms even though they are both benzodiazepines because they work differently. If you want to get off this medication, there are many options available, i.e., a book called The Ashton Manuals which is available online and YouTube is also amazing with many helpful resources. I noticed that you have only been using the medication since February, this is very helpful for your success because there is a big difference with long term usage. Always remember to go very slowly when reducing and if your doctor has experience with this it would be beneficial to listen and see what they suggest, good luck.

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@frouke Sadly 😥 I am a professional Peer Recovery Advocate due to the fact I have first and second hand experience in addiction and mental health. There are so many different keys to chemical dependency.. First and foremost it depends on why your stopping the Benzo whether your doing it on your own choosing/Want to Stop taking it or being forced too.. Also matters why ur taking it in the first place is it just to get high or do you need it for severe CPTSD and Panic disorder like myself I take a .5 mgclonazapam and break it in half which makes it a .25 mg only when im having a actual panic attack its better than the equivalent of Ativan I believe anyways and the best thing u can do if u actually need them is to get put on prazosin

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Profile picture for daveshaw @daveshaw

@jimhd I have posted before that much like you I have been taking 1mg twice a day of clonazepam for over 30 years. That along with Sertraline, Buspar and Wellbutrin has enabled me to have a very successful sales career and a nice retirement.
Every time I get my yearly physical I talk with my PCP about my use of Clonazepam. The answer is always the same. It is a big “ Why” I tell her about this site and she says to stop reading the horror stories. Everyone is different. I don’t drink or smoke and exercise six days a week. Her practice is entirely senior citizens and there are people she has to take off clonazepam because they refuse to quit drinking or because they start to increase their dosage.
I am speaking only for myself when I say depression is something you are born with and all the talk therapy is not going to make it go away. It is inherited from someone in your family. In my case it was my mother and she chose to self medicate with alcohol. She lived a very troubled and sad life and I chose not to do that once depression started to rear its ugly head. Find what combination of medications work and stick with them. My first psychiatrist always told me “ If it isn’t broke don’t fix it” Every time try to fix it I realized how terrible it was falling back in that black hole of depression. I still have some bad days as everyone does but overall I am very happy with my life.
Just realize you suffer from depression or anxiety like others suffer from other diseases and rather than curse big pharma think what it must have been like before they made all their breakthroughs.
I also struggle with hearing loss and I am so grateful for all the advances in hearing aid technology.
Things could be so much worse.
Good luck to everyone and listen to your PCP. There are good ones out there. You just have to find the right one. I will be 75 years old soon and just want to enjoy the time I have and live in the moment. I hope you all do as well.

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@daveshaw I dont think you understand that 90% of doctors now are pulling people off because its a narcotic and its not like people can just go find the doctor that will give it to them they will get flagged

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I just saw someone post klonopin (clonazepam) is a narcotic. As far as I know, from research, it is a scheduled IV drug and thus not a narcotic. Has something changed recently? It CAN be addictive, that is for sure. Please correct me if I am wrong.

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Profile picture for britneydoeseverythin @britneydoeseverythin

@daveshaw I dont think you understand that 90% of doctors now are pulling people off because its a narcotic and its not like people can just go find the doctor that will give it to them they will get flagged

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@britneydoeseverythin My PCP has an entirely 55 plus practice and she is never worried about getting flagged.
Opioids are the problem not Benzo’s. I have not heard anyone overdosing on benzo’s. Have you.

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Profile picture for britneydoeseverythin @britneydoeseverythin

@daveshaw I dont think you understand that 90% of doctors now are pulling people off because its a narcotic and its not like people can just go find the doctor that will give it to them they will get flagged

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@britneydoeseverythin I'm sorry. Is it you that is stating clonazepam is a narcotic? Looking it up, I find it to be a scheduled IV and thus not a narcotic. Has something recently changed? I know it is difficult to find a doctor who will prescribe it. I take a low dose for the sleep problem I have from fibromyalgia. Can you clarify here you got your information? Thank you.

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Profile picture for nannybb @nannybb

I just saw someone post klonopin (clonazepam) is a narcotic. As far as I know, from research, it is a scheduled IV drug and thus not a narcotic. Has something changed recently? It CAN be addictive, that is for sure. Please correct me if I am wrong.

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@nannybb, you are correct, benzodiazepines are not a narcotic, pain killers like opioids or fentanyl are narcotics. The problem is that the people who are addicted to pain meds are in serious danger when they mix their medication with benzodiazepines, it’s proven to be a lethal combination, in my opinion this one of the main reasons why they started going after benzodiazepines, there’s so many drugs that are addictive and used for hundreds of ailments, it’s all a manipulation by the pharmaceutical industry.

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