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Re: The Question: Taper Klonopin or add WB to Effexor?

Posted by Geezer on February 2, 2002, at 19:19:37

In reply to The Question: Taper Klonopin or add WB to Effexor?, posted by AnneL on February 2, 2002, at 16:14:46

> Hi,
> I have been on Effexor XR and Klonopin 1 mg. as a "package deal" for one year now. (Effexor dose has been stable at 225 mg. for 6 months). Klonopin was prescribed for start-up anxiety due to SNRI activation
> and insomnia induced by Effexor. Problem: Daytime drowsiness/hypersomnia most notable on weekends when there is "time" to relax. Pdoc thinks although the Effexor may be part of the problem, that he feels the real culprit is the long-half life of the Klonopin.
>
> He has me on a taper schedule of 0.75 mg. of Klonopin
> (3/4 of a tablet of Klonopin, not entirely exact science here) for one week and then he wants me to taper the Klonopin down to 0.5 mg. to see if this helps.
>
> I have only tapered one evening and my sleep was restless and slightly anxious. Tapering off this med is going to be tough or so it seems. My GP suggested staying on the Klonopin since it works so well for my sleep and adding 150 mg. of Wellbutrin in the AM. Any comments or suggestions? Many, many thanks to all those who respond. :) Anne

Hi Anne,
My opinion only....OK? I was on Klonopin 1.5mg for about 6 mos. and found it caused extreme sleepyness (I am on other meds as well). My pdoc had me do a 10 day taper and I came off with no adverse effects at all. I take Ambien for sleep but that's only good for 4 or 5 hours. You might want to try the taper before adding anything else. I get in trouble when I have too many drugs going at once. I have a past history of Benzo abuse so klonopin was an important find for me - no euphoria - no abuse, did its job and I was glad to get rid of it.
Best regards,

Geezer


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