Klonopin & Gabapentin for sleep

Posted by weijamin @weijamin, Jan 30, 2023

Hi, I am 78, almost 79 & have been taking klonopin, .5 - 1mg for almost 30 yrs. Now it isn’t working so well, so Dr added gabapentin, 2-300mg.
It is working, but I understand the dependence w/ klonopin & in the past have tried to quit, but it has been too hard. Just would like to hear from others if anyone else is taking both of these meds, & what people think about their safety.

Interested in more discussions like this? Go to the Sleep Health Support Group.

@franz33n

Hi hope you’re well. According to the drug interactions on drugs.com it’s shows moderate risks because both are sedating. However my doctor said it’s relatively safe. I had suffered from anxiety so calming down was the end goal. (.5mg of Kolonipin and 300mg of Gabapentin.) Kolonipin is habit forming; the only option would be to tapper off slowly. This particular benzodiazepine has a long half life so addiction is less than Xanax or other stronger versions. However, it’s still a possibility especially if the effects aren’t the same after awhile. It’s good your doctor prescribed something else instead of increasing the dose because that’s would cause higher dependency. If that’s not something you’re interested in doing I understand. I take klonopin as well and it helps. I have taken gabapentin as well. Together a few times. Gabapentin is for nerve pain by accessing the receptors in the brain and klonopin increases gaba in the brain. If you’re taking it at bedtime it should be safer, but just keep in mind it has sedating effects so be careful and monitor any symptoms the first few days. Make sure to eat healthy and drink lots of water.

FOUND THIS: Using clonazePAM together with gabapentin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination.
Drugs.com

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All true I believe. However, in my experience .5 mg of Klonopin is a very low dose and is quite unlikely to be addictive. Years ago I was taking 6 times that much and had no issues. Of course that's only my experience.

They used to hand it out like candy (or sugary cerial). My psychiatrist called it "Captain K").

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@ekelks

why do you need to stop klonopin? it's a safe drug, in my experience has no side effects, gabapentin has few side effects. If you must get off it, cut it in small pieces, smaller and smaller every day, & ask your doctor to help you. gabapentin's side effect that may be bad for both of you, me too, as we age, is its affect on balance. taking it at night only should be fine, though, so long as the dose is low, which it is, so low i doubt it alone will help you sleep. If clonazepam is not helping you sleep anymore, ask your doctor if it's safe to increase to 1.5 mg. Don't increase the gabapentin. Balance problems even just getting out of bed and taking showers can be scary.

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Hi @ekelks, Just an FYI. I had severe side effects of Gabapentin. Believe it or not I began to lose vision (shakey, over sleeping, bad balance like you had), so I stopped it. My Dr said Gabapentin can't do that, so I restarted it. Then came the side effects again.

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@timbrownfl

Hi @ekelks, Just an FYI. I had severe side effects of Gabapentin. Believe it or not I began to lose vision (shakey, over sleeping, bad balance like you had), so I stopped it. My Dr said Gabapentin can't do that, so I restarted it. Then came the side effects again.

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My sleep disorder doctor prescribed Klonopin for me 8 months ago at a dose of .5 mg prior to sleep. No question, it helped me sleep, however, I developed tremors while sleeping within 1 to 2 months of beginning this med. I thought it had something to do with Covid/Vaccine but I was WRONG! I asked my sleep doctor (twice) if these new tremors (never had these before in my 65 years) could be result of Klonopin, he said NO! Not only did I develop night tremors but last few months I developed body buzzing during the daytime as well. I decided I needed to see if Klonopin might be the issue as I recently read tremors is a potential side effect, although considered "rare". I stopped taking my .5mg dosage cold turkey a few weeks ago. Even at .5mg which some feel is a low dose, the withdrawal was not good. That said, my trmors have disappeared so there is no question, Klonopin was the culprit. I still have minor body buzzing but seems to be slowly improving as well, almost unnoticeable now. This to me is a very dangerous drug and my sleep doctor is an idiot. My primary had questioned why he gave me this med. and he was right to do so. He said he would never write a script for this but he also had no idea why I developed these tremors. I actually see him today and will fill him in. For me, KLONOPIN is a NEVER drug.

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@ekelks

why do you need to stop klonopin? it's a safe drug, in my experience has no side effects, gabapentin has few side effects. If you must get off it, cut it in small pieces, smaller and smaller every day, & ask your doctor to help you. gabapentin's side effect that may be bad for both of you, me too, as we age, is its affect on balance. taking it at night only should be fine, though, so long as the dose is low, which it is, so low i doubt it alone will help you sleep. If clonazepam is not helping you sleep anymore, ask your doctor if it's safe to increase to 1.5 mg. Don't increase the gabapentin. Balance problems even just getting out of bed and taking showers can be scary.

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You my friend, no not what you are talking about, may be safe for you but it DOES have side effects, what planet are you from? Just google the side effects, some aren't even listed I guarantee you.

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I was put on Gabapentin for pain and fibromyalgia in my twenties. At the same time I found out other people I knew in there 50's and 60's were on it. When I talked to those people about it, what they had to say wasn't good. They were completely miserable from the medication, physically and mentally. So was I. I witnessed my best friends father struggle to get off it and how his Dr.'s said he may never be able to get off it. Luckily he did eventually. You see the side effects from the medication can be bad the higher the dose but when you want to stop taking it, it's like trying to go off other addictive medications. It was extremely hard for me to get off gabapentin. I've been on opioids for broken bones and that was easier to stop for me. It was so hard for many people back then to get off of gabapentin. The lucky ones who finally were able to stop taking it refuse to ever take it again. I was one of the lucky ones and I refuse to take it ever again. Now everyone is different and handles medications differently. At the age of 78 the benefits in small doses may be worth it compared to any other side effects of aging or medical conditions you may have. Plus Dr.'s may know more about how to prescribe and dose it better now then back then. I'm 44 now so I was on it 15 or so years ago. For me however it will always be a no based on my experience with it.

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@johnbishop

Hello @weijamin, Welcome to Connect. While we wait for others to share their experience with klonopin and gabapentin, there are two other discussions you might find helpful for answering your questions.

-- What is the best way to taper off Klonopin?: https://connect.mayoclinic.org/discussion/klonopin-2/
-- Gabapentin for sleep: https://connect.mayoclinic.org/discussion/gabapentin-for-sleep/.

Also, these user reviews from Drugs.com might be helpful:
-- User Reviews for Gabapentin to treat Insomnia: https://www.drugs.com/comments/gabapentin/for-insomnia.html.

Did your doctor provide any suggestions or directions for tapering off of klonopin?

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Klonopin worked for several years as a sleep aid (0.5 - 1mg bedtime). I'm post menopausal now and no longer able to sleep through the night. Increasing the dose causes restless sleep. I take an antidepressant and a mood stabilizer. Many years ago an excellent Psychiatrist treated my adolescent daughter. He now directs and oversees Nurse practioners in his practice. I'll be meeting one on april 4th to partner with in this journey....

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@barrington16

Klonopin worked for several years as a sleep aid (0.5 - 1mg bedtime). I'm post menopausal now and no longer able to sleep through the night. Increasing the dose causes restless sleep. I take an antidepressant and a mood stabilizer. Many years ago an excellent Psychiatrist treated my adolescent daughter. He now directs and oversees Nurse practioners in his practice. I'll be meeting one on april 4th to partner with in this journey....

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Welcome @barrington16, Thanks for sharing your experience. It's good to hear you have a care plan in place to help with your journey. Can you let us know how your upcoming appointment goes if you learn anything new that helps?

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@johnbishop

Welcome @barrington16, Thanks for sharing your experience. It's good to hear you have a care plan in place to help with your journey. Can you let us know how your upcoming appointment goes if you learn anything new that helps?

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I sure will.

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Just wanted to comment in this thread, because I may have Klonopin induced insomnia, oddly enough. It’s given to me by trained staff at 6 PM and 7 AM daily, 1mg each time. The problem with getting it at 6 PM is I do fall asleep, before 8 PM, and I usually wake up around 1 or 2 AM. Getting back to sleep after that is hard. Last night I just stayed up all the way from 2 AM until daylight.

Unfortunately, in my living situation staff goes home at 6:30 PM, and they don’t trust me to keep my own Klonopin. We’ve yet to work out a solution to this.

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