Withdrawal | 4 min read
Medically Reviewed By
On August 28, 2024
Written By
On January 11, 2022
Klonopin, or clonazepam, is a benzodiazepine drug that’s used to treat anxiety disorders and seizures. Though generally safe when taken as prescribed for short periods, Klonopin has a high potential for dependence and addiction.
If you take Klonopin for extended periods, your body can become dependent on it. If you stop abruptly, potentially life-threatening withdrawal symptoms may occur. Learn more about Klonopin withdrawal symptoms, timeline, and treatment options.
Klonopin is the brand name for clonazepam, an anxiolytic drug in the benzodiazepine class. It’s used to treat anxiety disorders, panic disorders, and seizures. It works by increasing the presence of the neurotransmitter gamma-aminobutyric acid (GABA), producing calm feelings.[1]
While Klonopin can calm the nervous system to relieve anxiety and stress, it also may be misused or abused for its relaxing effects and to get high. Doing so increases the risks of developing dependence and addiction.
Klonopin can have side effects that range from mild to severe, including:[2]
Klonopin can cause physical dependence with regular use. This means the body has become accustomed to the presence of the drug to function. When you stop using it abruptly, serious withdrawal symptoms can occur, some of which may be life-threatening.
The symptoms of Klonopin withdrawal may include:[3]
Acute withdrawal symptoms usually peak about two weeks after stopping clonazepam use, but some symptoms may linger for longer periods.
Klonopin withdrawal can have potentially fatal complications. It’s crucial to monitor during the withdrawal period, including blood pressure, respiration levels, heart rate, and body temperature, all of which can spike to dangerous levels as the body readjusts to the absence of Klonopin.
Benzodiazepine withdrawal can also have severe psychological effects that may increase the risk of suicidal thoughts and actions, such as drastic mood swings, inability to feel pleasure, panic, anxiety, nightmares, depression, and anger.
Benzodiazepine withdrawal has three main phases: early, acute, and protracted. Withdrawal symptoms from Klonopin, due to its long half-life of approximately 30-40 hours, can sometimes take a few days to start after the last dose.[4]
Early withdrawal lasts 2-4 days and may include rebound symptoms, anxiety, insomnia, and other symptoms that were part of the condition Klonopin was intended to treat.[5] Acute withdrawal symptoms may peak within the first week and can last several weeks, varying widely among individuals.
Protracted withdrawal, also known as post-acute withdrawal syndrome (PAWS), includes psychological symptoms and cravings that can come and go for several months or years after stopping Klonopin.
Several factors influence the symptoms and length of withdrawal with Klonopin:
Withdrawal from a benzodiazepine like Klonopin can have life-threatening complications. It’s crucial to taper off Klonopin under the guidance of a doctor to reduce the risk of serious withdrawal symptoms.
Medical detox may be recommended in cases of Klonopin misuse and abuse, which may increase the severity of withdrawal symptoms and potential complications. This safe, medically supervised setting gives you medical support and monitoring while the drug clears your system, ensuring that you’re as safe and comfortable as possible.
Some medications can be used to help with benzodiazepine withdrawal, including:
If you have an addiction to Klonopin, detox is just the first step. Detox helps with the withdrawal period, but there’s more to addiction than physical dependence. Entering an addiction treatment program is crucial to address the social, emotional, and psychological aspects of addiction.
Addiction treatment may take place in an inpatient or outpatient setting with a combination of individual and group counseling, behavioral therapies, and other modalities tailored to your unique needs and history. This is an important part of any addiction program, but it may be more important with Klonopin and the protracted withdrawal syndrome that can cause intense psychological symptoms.
Klonopin can be safe when used as directed, but there’s a risk of dependence and abuse. If you’re struggling with Klonopin addiction, you shouldn’t try to quit on your own. Doing so can cause potentially life-threatening complications and prolonged withdrawal. Seek help with an addiction treatment program that addresses both the physical and mental symptoms of substance abuse.
Klonopin can cause chemical changes in the brain when it’s taken for long periods. This is how the drug works to reduce feelings of anxiety and panic and the overexcited brain activity that can contribute to seizures. During withdrawal, Klonopin can cause rebound symptoms that are similar to those the drug treats, such as anxiety, panic, and insomnia.
No, it’s not recommended to stop taking Klonopin at home. Even when taken as directed, Klonopin can cause dependence and severe withdrawal symptoms. You should always consult with your doctor about how to safely taper off Klonopin and manage withdrawal symptoms.
Klonopin is considered safe when used as prescribed for short periods. It’s not intended for long-term use, however, and there’s always a risk of dependence and addiction. It’s best to take Klonopin at the lowest dose that relieves your symptoms.
The symptoms of benzodiazepine withdrawal can vary based on several factors, but the most common symptoms are sleep disturbances and heightened anxiety.
Klonopin is safe and effective for short-term use, but negative effects like dependence, tolerance, and addiction can occur with long-term use. It’s possible to become physically dependent on Klonopin after just a few weeks of regular use.
If you feel that Klonopin is no longer working as it should, don’t increase your dose alone. Discuss your concerns with your doctor. You may need a higher, more frequent, or a different medication.
If you stop taking benzodiazepines, it can take some time for your body and brain to return to “normal.” The longer you take benzos, the longer it may take before feeling normal again. After long-term benzodiazepine use, it can take up to 6 months for cognitive function to improve. Cognitive deficits can sometimes be permanent or take years to return to normal.[6]
Benzo belly refers to gastrointestinal issues that may arise as a side effect of benzodiazepine medications. The drug impacts normal digestive processes, leading to multiple digestive symptoms.
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[1] MediLexicon International. (n.d.-b). Klonopin: Dosage, side effects, how it works, and more. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/drugs-klonopin#fa-qs on 2024, July 25.
[2] U.S. National Library of Medicine. (n.d.-a). Clonazepam: Medlineplus Drug Information. MedlinePlus. Retrieved from https://medlineplus.gov/druginfo/meds/a682279.html on 2024, July 25.
[3] MediLexicon International. (n.d.-b). Klonopin: Dosage, side effects, how it works, and more. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/drugs-klonopin#withdrawal-and-dependence on 2024, July 25.
[4] Basit, H. (2023, May 13). Clonazepam. StatPearls [Internet]. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK556010/ on 2024, July 25.
[5] MediLexicon International. (n.d.-a). Benzo withdrawal: Timeline and symptoms. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/benzo-withdrawal on 2024, July 25.
[6] Ritvo, A. D., Foster, D. E., Huff, C., Finlayson, A. J. R., Silvernail, B., & Martin, P. R. (2023, June 29). Long-term consequences of benzodiazepine-induced neurological dysfunction: A survey. PloS one. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309976/ on 2024, July 25.