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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by glydin50 on December 6, 2010, at 18:04:25
I would like suggestions on how quickly one should wean to discontinuation from Clonazepam .5 mgs q hs regarding cutting dose and timing.
Thanks in advance
Posted by Lou Pilder on December 6, 2010, at 22:31:03
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
> I would like suggestions on how quickly one should wean to discontinuation from Clonazepam .5 mgs q hs regarding cutting dose and timing.
>
> Thanks in advanceglydin50,
You wrote,[...I would like..how quickly...].
Now to cut the dose one could cut 100% or a low percent such as 5% or 10%. The timing could be weekly, monthly or such, or all at once if the dose is cut 100%.
Now if one tapers, they still take the drug while they are tapering. This means that they could still be subject to the potential of the adverse reactions stated in the liturature. If they stop the drug 100%, there is the potential of seizures and other adverse reactions stated in the liturature. There is also the potential IMHO of one going into a state of mind so horrific that they would want to kill themselves.
So what is one to do that wants the drug out of their system? I know of two possibilities.
A. get the drug out by human achievment
B. be deliverd by divine accomplishment
Being deliverd from the addiction and withdrawal from my perspective is by entering a different realm and receiving the power to overcome by reducing the drug 100%. This involves a Jewish pers pective that I am not permitted by Mr. Hsiung's rules here to post here that I believe as that it has been revealed to me a commandment from the God that I give service and worship to that I (redacted by respondent), nor can I tell you where you can find the information in question.
Lou
Posted by Conundrum on December 6, 2010, at 23:37:06
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
> I would like suggestions on how quickly one should wean to discontinuation from Clonazepam .5 mgs q hs regarding cutting dose and timing.
>
> Thanks in advanceI don't know, but Lou is right about one thing, if you've been on the drug for a while and you stop 100%, you'll probably feel awful. I would get a pill cutter and try to cut the pill in 4ths some how and try taking 3/4s a pill for awhile and stabilize on that.
I don't know a lot about klonopin, did your prescribing doctor, give you any advice?
Posted by SLS on December 7, 2010, at 5:45:41
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
> I would like suggestions on how quickly one should wean to discontinuation from Clonazepam .5 mgs q hs regarding cutting dose and timing.
>
> Thanks in advanceAre you sure? This is hard to believe.
I did a few quick searches on Google and came up with nothing.
You may have nothing to worry about. I hope not.
- Scott
Posted by Glydin50 on December 7, 2010, at 5:55:45
In reply to Re: Clonazepam discontinuation » glydin50, posted by SLS on December 7, 2010, at 5:45:41
Hey Scott,
Am I sure about what?
Granted, It is low dose at 1/2 mg. but that's the med and the dose. Originally ordered for BID but take it qd at hs...
Posted by SLS on December 7, 2010, at 7:46:54
In reply to Re: Clonazepam discontinuation » SLS, posted by Glydin50 on December 7, 2010, at 5:55:45
> Hey Scott,
>
> Am I sure about what?
>
> Granted, It is low dose at 1/2 mg. but that's the med and the dose. Originally ordered for BID but take it qd at hs...
Gosh. I'm such a dummy. I misunderstood your question. I thought you meant that clonazepam was discontinued as a product.:-)
- Scott
Posted by Glydin50 on December 7, 2010, at 7:58:35
In reply to Re: Clonazepam discontinuation » Glydin50, posted by SLS on December 7, 2010, at 7:46:54
Oh... That's okay. AND, you are certainly no dummy ;)
Posted by Conundrum on December 7, 2010, at 10:15:19
In reply to Re: Clonazepam discontinuation » Glydin50, posted by SLS on December 7, 2010, at 7:46:54
> > Hey Scott,
> >
> > Am I sure about what?
> >
> > Granted, It is low dose at 1/2 mg. but that's the med and the dose. Originally ordered for BID but take it qd at hs...
>
>
> Gosh. I'm such a dummy. I misunderstood your question. I thought you meant that clonazepam was discontinued as a product.
>
> :-)
>
>
> - Scott
>
ROFL, brain f*rt ;-)
Posted by Phillipa on December 7, 2010, at 10:46:01
In reply to Re: Clonazepam discontinuation, posted by Conundrum on December 7, 2010, at 10:15:19
Are you sure this is the right time? Since it's low half or a quarter at a time. Maybe cut it in half and continue for a while? Phillipa
Posted by Glydin50 on December 7, 2010, at 11:19:58
In reply to Re: Clonazepam discontinuation, posted by Phillipa on December 7, 2010, at 10:46:01
I do think that is what I'll be doing... I have titrated according to status, circumstances etc for years, which is okay by my doc. I think it snowballs on me with the longer half life. The morning K hangover and daytime lethargy are the reasons I wanna pitch it.
Posted by ed_uk2010 on December 7, 2010, at 13:37:34
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
> I would like suggestions on how quickly one should wean to discontinuation from Clonazepam .5 mgs q hs regarding cutting dose and timing.
>
> Thanks in advance
So you have 0.5mg tablets? I'd probably reduce by 1/4 of a tablet every two weeks, but maybe once you reach 0.125mg stay on that dose for four weeks then stop. See how it goes though and adjust according to response. Maybe aim to stop completely in about two months. You might change your mind along the way though eg. reach 0.25mg and decide that it's perfect for you.
Posted by fachad on December 8, 2010, at 19:35:24
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
Discontinuation, just like iniation, is best done by the "start low, go slow" method.
Clonazapam is supplied in 0.25 mg tablets. I'd try to get those (#60 instead of #30 0.5mg tabs);
then I'd try to quarter them (that would give you 0.0625 chips);
then I'd reduce by one chip per 10 half lives...ok, clonazapam has a half life of 50 hours;
it takes 5 half-lives to reach a steady state concentration;
so after 10 days at 7 (seven) 0.0625 mg chips you are at steady state;
stay at steady state another 10 days to see if you have any problems;
then go down to 6 (six) 0.0625 mg chips for 10 days, wait 10 days...etc.
Since there are 8 increments, and 20 days at each incriment; thats 160 days or about 5 months.
If you do it this way, you won't likely feel ANYTHING in the way of unpleansentness.
The faster you decrease the dose, the more likely you are to suffer from severe rebound effects (insomnia, anxiety) and this may cause you to decide to stay on the drug to avoid this nastiness.
Which is why I think it's worth it to go very slow.
It reduces unpleasentness, AND it increases your chances of successfully quiting clonazapam forever.
Posted by glydin50 on December 8, 2010, at 21:30:11
In reply to Clonazepam discontinuation, posted by glydin50 on December 6, 2010, at 18:04:25
I appreciate you all taking the time to give input
This is the end of the thread.
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