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Old Apr 21, 2018, 09:05 PM
*Laurie* *Laurie* is offline
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Member Since: Jan 2015
Location: California Uber Alles
Posts: 9,150
Hi, Welcome to PC

I've been on Klonopin for over 20 years, so...yeah, I know a lot about the med - at least, I know how it works for me and in general.

.25 mgs is a tiny, tiny dose. Great that it's helping your sleep! Sleep, as you know, is so very important for physical and mental wellness.

You can most likely remain on .25 for at least 6 months before you will find that.....You need a higher dose to achieve the same results you were getting at .25. In other words, your body has built up a tolerance to the Klonopin.

Hopefully at that point, your pdoc will be amenable to prescribing a slighter higher dose. At a slightly higher dose you'll still be taking a very, very small amount of K-pin.

Your other option (and, in the long run, probably a wiser option), at the time you find you have developed a tolerance to the .25, is to cut the .25 down, bit by bit, over a period of about 2 to 3 weeks. You have to be patient and titrate down slowly. If you titrate down slowly over a few weeks from such a small dose, you will not likely have withdrawal symptoms. (Don't believe your pdoc if s/he tells you to just stop taking the K-pin. Even at .25 you can experience withdrawal that can be extremely difficult, painful, etc. Some of the worst aspects of K-pin withdrawal is a horrible sensation of the awareness that you are sleeping while you are sort-of asleep. In other words, you are not getting a restful sleep. The sensation is, frankly, absolutely horrible...heroin withdrawal is extremely similar).

So. At that point, after you have come off the .25 you'll want to find out how your sleep is. If you're sleeping well, terrific. If not, try taking some other kind of sleep aid - otc ZZZQuil or whatever - for at least 10 days. Then go back on the K-pin. Either the .25 will work again, just as it did before, or you will need a slightly higher dose.

But here's the thing. .25 is so tiny that even if you eventually wind up at 1 mg. every night you'll still be at a very low dose that you can maintain for a year or more...for some people, even 2 or more years.

The major problem with Klonopin happens when you've been on at least 2 mg./day (as I have been for over 2 decades), then you try to come off. Even titrating down very, very slowly (I'm talking months to a year), most people who have been on 2 mg. or more for more than a year will experience extreme withdrawal. Usually the withdrawal is so severe (anxiety, body pain/aching all over, feeling stressed out, feeling crazy, feeling sick, difficulty walking very much because of weakness and pain, inability to sleep, and so on) that...we end up right back on the Klonopin.

But, like I said, at .25 mg (and it's working for you)...get some good sleep and when the time comes, if it does, when you're no longer sleeping well...cross that bridge then.

I wish you the very best and continued rest.
(Hey, that rhymes. )

Last edited by *Laurie*; Apr 21, 2018 at 10:12 PM.
Hugs from:
Wild Coyote
Thanks for this!
healinginprogress, Wild Coyote