Author Topic: Xanax to klonopin  (Read 1185 times)

[Buddie]

Xanax to klonopin
« on: December 15, 2021, 09:24:14 pm »
Looking to taper off 30 days of .5mg Xanax(I did .25mg in the AM and .25mg at bedtime).. Doc said it wasnít long enough to taper and advised klonopin .25mg twice a day as needed. I need a plan. I took .25mg of klonopin yesterday. Looking to take another .25mg tonight. I donít want to cold turkey it and make this as smooth as possible. I am also on day 24 of lexapro 10mg. Any advice would be super helpful. Thank you and God bless
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[Buddie]

Re: Xanax to klonopin
« Reply #1 on: December 15, 2021, 09:54:16 pm »
Many of our members have been able to successfully taper from Xanax, I'm not sure going to the trouble of crossing over to Klonopin is a good idea if you've only been on Xanax for 30 days.  To do this will involve getting used to a new drug, getting stable then beginning your taper.  I feel a better plan would be to continue your reductions of the Xanax.

I made a mistake in my comments on your introductory thread, I told you Klonopin users will notice symptoms by the third day but Xanax users will feel them sooner, do you feel any uncomfortable symptoms after only taking .25 yesterday?  The reason I ask is because a 50% reduction is pretty big and if you're uncomfortable you might want to consider making the next one smaller.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #2 on: December 15, 2021, 11:09:41 pm »
I had 4 Xanaxs left from a 30 day script. I didnít quite hit 30 days but pretty close. The psychiatrist Np told me I wouldnít have any withdrawals and to just take .25mg of klonopin twice a day as needed. They wouldnít refill my Xanax. So youíre saying I need to do .25 twice a day of the klonopin? My last dose of Xanax was Monday night. First .25mg klonopin was yesterday at noon. I took another .25mg klonopin at 5pm today. Im a little anxious bc I donít have a set taper plan. Im a little spaced out. Mild dizziness so far. I need a plan 😩
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #3 on: December 15, 2021, 11:32:07 pm »
I didn't fully understand your situation, now I do but I probably contributed to your anxiety, I'm sorry.  I agree with you, a taper, even if a rapid one is the best course of action. What concerns me is switching to a new drug and tapering it at the same time, I'm afraid you're going  to experience sensations from starting a new medication as well as withdrawal symptoms from your 50% cut.

Klonopin and Xanax are roughly the same in terms of equivalency, however they are different drugs so you may notice this.  If the different sensations are bothering you then you could go back to the .5mg a day for a few days, then begin to taper. However, if all you're feeling is some mild symptoms you may be okay to continue with taking the .25 mg a day for a few more days, then make another reduction.  We suggest tapering according to your symptoms to remain functional.

Does your doctor know you want to taper off the Klonopin?

Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #4 on: December 15, 2021, 11:42:02 pm »
I have an appointment with them Monday. I told them I wanted off all benzos and to just remain on an antidepressant. Not much feedback. ďJust take your klonopin as needed. You wonít have any withdrawal being on that low dose for a short timeĒ. Well thanks but this my body lol
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #5 on: December 16, 2021, 12:14:47 am »
I'm relieved to hear you're looking out for yourself, we have several members who are active on the forum right now who took the drug "as needed", not everyday in order to escape dependence, it happened anyway.

Benzo's weren't designed to be taken for weeks, months, years or decades, even short term use can cause dependence, for your doctor to dismiss this possibility seems irresponsible.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #6 on: December 16, 2021, 12:19:05 am »
I agree. My mom is going to help me with a plan through the Ashton manual tonight. Iím lucky I havenít been on it long thank goodness. Iím no doc but if it was me take .25mg for a week, cut it to .125mg another week then .075mg from there. I really just donít know and canít get guidance from the doc
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #7 on: December 16, 2021, 12:38:12 am »
Hi [...],

I only have a few minutes before bed, but perhaps this will be of some help to you. It's a pamphlet for prescribers (and patients IMO) on evidence-based practices for discontinuation of benzodiazepines.
https://benzoreform.org/wp-content/uploads/2020/11/Pamphlet-3-BZRA-Discontinuation-1-Getting-Started-v1.2.pdf

From the pamphlet:
Quote
Formulaic plans have low success rates. Taper plans need to be custom.

However you decide to taper, I suggest taking it one reduction at a time, especially in the beginning. If you're going to reduce by a large amount, like 50% as you outlined, I suggest holding at your new dose for 2 weeks or longer, until you've fully recovered all your previous functionality. Many buddies cannot tolerate this large of a reduction, and if your functionality is significantly impaired by the effects please consider updosing and taking a smaller reduction in the future.

IME neurology and neuroplasticity are complex, and it's impossible to predict what rate of reduction will be well-tolerated based on superficial details like duration of use, dosage or benzo. The only way that I know to implement a high-functioning benzo taper is to take a conservative reduction, hold for a period of time proportional to the half-life (elimination rate) of the drug or longer if symptomatic intensity persists, and then adapt following reductions (ideally by percent-base) to continue at a rate and frequency that is well-tolerated.

Unfortunately clonazepam tablets can be difficult to divide sufficiently and reliably to take enough reduction steps to get to a recommend slow taper quit dose of 0.025mg/day (the Ashton-equivalent of 0.5mg diazepam, and by no means a guaranteed symptom-free jump dose). I'm also tapering clonazepam and I've needed to use both tablets and a liquid form of the drug to take very small percent-based reductions, but the reward has been increasing functionality and well-being as I progress in my taper.

I hope the Ashton Manual is valuable for you in planning your next steps. Please keep in mind that Dr. Ashton had a single primary tapering method involving a step-wise crossover to diazepam and quantity-based reduction schedule. Her slow tapering schedules are valuable, but they're also formulaic and therefore could be problematic if applied as written.

Please let us know what you decide and how we can help.  :thumbsup:
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #8 on: December 16, 2021, 01:08:18 am »
Yeah Iím not sure what to do yet. I feel like Iím going in this blind and my Np thinks itís ok just taking klonopin as needed since I was only on .5mg for 27 days. I donít want a withdrawal. Itís our bodies and I feel these doctors donít care sometimes.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.

[Buddie]

Re: Xanax to klonopin
« Reply #9 on: December 16, 2021, 01:13:01 am »
Actually I just recounted. I was on .5mg Xanax consistently for 22 days. I did some some here and there before that. I only had a 30 day subscription and have 3.5 .5mgs left
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.