Klonopin is a prescription medication not recommended for long term use due to its potential to form dependence, addiction, and fatal withdrawal symptoms.
Klonopin is a prescription medication not recommended for long term use due to its potential to form dependence, addiction, and fatal withdrawal symptoms.
Klonopin is the brand name of the long-acting benzodiazepine Clonazepam. This drug functions by slowing down the user’s brain activity to make them feel more relaxed. Klonopin was originally formulated for helping people with epilepsy manage seizures and was later used for the treatment of anxiety, panic attacks, and withdrawal symptoms of substance abuse. The drug may also be prescribed for the treatment of short-term insomnia. Klonopin is available as a blue tablet to swallow or a quick-dissolve tablet to keep under the tongue. This medication is generally prescribed three times a day in most cases. Drowners, benzos, tranks, and k-pins are the slang terms for this potent drug.
Klonopin is not recommended for long-term use due to its addictive features and long half-life. The definition of half-life refers to the time required for the drug to decrease to half its initial potency.
Clonazepam is used primarily for the prevention and management of seizures. This medication is widely recognized as an anticonvulsant or an antiepileptic drug and is also used for the treatment of panic attacks. Clonazepam operates by calming down the brain and nerves.
Although Klonopin is an essential and effective drug for the treatment of severe medical conditions, its highly addictive feature makes this drug a potential for abuse. Consumption of Klonopin without a prescription or beyond what was prescribed is considered abuse. This medication consumed at a high dosage can significantly depress the central nervous system, resulting in a short-lived euphoria followed by an intoxicated, hazy stupor. Some users crush the pill and turn it into a powder for snorting. The effects caused by the drug are intense when consumed in this manner.
Here are a few symptoms of Klonopin abuse when consumed in high doses:
Some users take Klonopin in large doses to experience its hallucinatory effects. No matter the intention of the user, taking this potent drug in large doses can result in an overdose that can be fatal. Misusing it in high doses can lead to a decrease in heart rate and breathing impairments, which could quite easily result in a coma or death.
Signs of a Klonopin overdose include:
Risks of paradoxical reactions are another side effect of long-term abuse of this potent drug. These reactions are the exact opposite of what the medication was initially meant to treat.
Here are a few symptoms of prolonged Klonopin abuse:
Long term consumption of this medication can result in the formation of dependence and tolerance, and many patients get addicted to the drug despite adherence to their doctor’s prescription. This medication works by blocking the user’s brain receptors that govern relaxation, stress, and anxiety. Once the formation of dependence occurs, a patient can no longer function without the drug and may experience withdrawal when the drug is no longer consumed. Tolerance can result in the need for higher dosages as patients no longer feel its effect at lower doses.
As Klonopin dependence can develop within a month of consumption, patients are highly advised to seek medical assistance when planning to cease the consumption of Klonopin.
Klonopin (clonazepam) and Xanax (alprazolam) are benzodiazepines that are generally prescribed to treat anxiety disorders.
Clonazepam has the ability to soothe the body and alleviate physical symptoms when used appropriately. While most users initially experience mild euphoria when taking clonazepam, others report feeling relaxed and heavy while using the substance.
Most individuals will require Klonopin doses two or three times per day to attain the intended effect. Klonopin will reach its peak concentration levels within one to four hours of use, but the rate of absorption will vary from person to person. The effects of the drug may last for up to twelve hours.
Clonazepam can be taken daily at regular intervals or as needed. Generally, your health care provider will advise on the number of doses, dosage, and the method of consumption that is most appropriate based on your response.
Benzodiazepines such as Klonopin significantly decrease abnormal electrical activity in the brain, which is why they are often used to relieve and treat anxiety. Thus, you can take Klonopin one to three times a day for anxiety, with or without food.
Polydrug use is prevalent among Klonopin users. They use other drugs to either enhance or mask the effects of Klonopin. Some users combine potent stimulants, such as cocaine, to counteract the sedative impacts of Klonopin to experience an intense high or sleep better. Cocaine is a stimulant that suppresses the effects of Klonopin, making the user take more and more pills without realizing the risk of a potential overdose. The half-life of cocaine is shorter than that of Klonopin and thus requiring the user to take more cocaine to maintain the desired high.
Fatal overdose is the most dangerous outcome of combining Klonopin with other CNS depressants such as alcohol. The combined effects of alcohol and Klonopin can slow down the central nervous system of the user to a point where they are no longer breathing.
No matter the combination, lethal overdose and other serious side effects can result in dire consequences.
Gabapentin, pregabalin, and sustained-release melatonin can be used as alternatives to clonazepam for RBD treatment, as pointed out by Escribá and Hoyo. Even though clonazepam is the first-line treatment for RBD, it should be used with extreme care in some patient populations.
Klonopin slows down the central nervous system by impacting the GABA receptors, which in turn reduces nervousness and agitation while promoting a sense of calm and relaxation. This action also helps in diminishing the severity of anxiety and panic attacks.
The high availability of Klonopin in the market increases the risk of addictions. Some users who take the medication through a prescription don’t even realize that they have developed a dependency upon it.
Prolonged use of this drug can lead to alterations of the brain’s neurochemistry. These changes then result in physical and mental dependence. Nevertheless, not all who misuse the drug necessarily develop an addiction.
Signs of a Klonopin addiction include:
Recognizing an addiction to this drug is difficult, as the users who misuse it often know how to keep their medications hidden from others.
Symptoms of addictions to this drug can be physical, behavioral, and psychological:
Behavioral Symptoms may include:
Physical Symptoms may include:
Psychological Symptoms may include:
The adverse effects caused by this drug vary from seizures to fogginess. Though Klonopin is less potent when compared to other benzos, such as Halcon and Xanax, it is still an addictive substance.
Sudden suicidal thoughts or suicidal ideation is another severe side effect of misusing this medication. According to the Food and Drug Administration (FDA), about 1 in every 500 Klonopin users experience suicidal thoughts. However, these statistics don’t include users who misuse Klonopin without prescriptions.
Staging an intervention is the best way to help patients understand the negative consequences of their habit. The person who is misusing the drug may feel confused or foggy during the intervention. Some heavy users may even be drowsy or nodding off. Thus, It is important to conduct the intervention when the individual is not under the influence of the medication.
When an intervention is conducted correctly, it can have a positive and effective influence on the user, so seeking the help of a professional interventionist can be ideal. These experts know the right procedure, including the right tone, words, and timings to use when dealing with a patient.
Klonopin enhances the effects of gamma-aminobutyric acid (GABA,) which is a chemical created in the brain that causes calming effects. GABA slows certain nerve signals in the user’s brain and relaxes the body and mind. Prolonged use of Klonopin medication stops the brain from producing its own natural chemicals. The imbalance caused in the brain during the cessation of Klonopin causes the brain to overreact as it no longer has the chemical it requires to function as normal. This process is referred to as withdrawal. Individuals who have addictions to Klonopin go through withdrawal symptoms, such as anxiety and nausea, when they try to quit the drug on their own.
The patient can experience various withdrawal symptoms during cessation. The severity of these withdrawal symptoms depends on many factors, including:
Like other benzos, Klonopin lowers the brain activity to calm the user. The brain becomes hyperactive when the user quits the drug, leading to withdrawal symptoms.
Withdrawal symptoms include:
The drug suppresses some symptoms caused by certain health disorders, and stopping Klonopin can cause a sudden rebound or return of said symptoms. Rebound symptoms can occur even while the user is taking the substance or during the acute withdrawal phase. Many individuals have reported that they experience rebound symptoms as soon as they initiated the withdrawal process. Low-level nervousness, panic attacks, anxiety, and insomnia can last about 2-3 days before fading away.
Long-term use of Klonopin leads to build-ups of the drug in the body and can take 18-50 hours to leave the body completely. Withdrawal symptoms caused by Klonopin can last up to 90 days, depending on the severity of the addiction.
Klonopin withdrawal can be divided into two main phases, such as acute withdrawal and post-acute withdrawal. Though acute withdrawal symptoms only last 2-4 weeks, post-acute symptoms may last up to 18-24 months.
Post-acute withdrawal symptoms include:
Initial withdrawal symptoms can appear within this period. Mild anxiety, mood changes, and difficulty falling asleep are the early withdrawal symptoms caused by Klonopin.
Withdrawal symptoms can become intense after 1-2 weeks since the last dose. Irritability and anxiety are common during this time of withdrawal. Seizures, hallucinations, and body tremors are the adverse symptoms experienced by those who stop the drug cold turkey.
During this period, most withdrawal symptoms start to fade while anxiety still remains. Although some days are better than others, the worst of it has passed by this time.
Patients with severe addictions to Klonopin may experience some apparent withdrawal symptoms during this stage, while others may experience some mild forms.
The tapering down method involves the patient gradually decreasing their Klonopin dosage during a certain period. Safely tapering down Klonopin consumption generally takes 2-3 weeks. Patients may experience withdrawal symptoms during this process. Due to the intensity of Klonopin withdrawal, patients are highly advised to attend a medically assisted detox program during this time. Medically-assisted detox is essential as withdrawal symptoms caused by Klonopin can be fatal. Doctors monitor the patient during this process and may prescribe medications, such as Propranolol, Keppra, and Clonidine, to help lower the intensity of withdrawal symptoms. The combination of tapering down detox and medical detox increases the chance of safe and successful detoxification treatment.
Overcoming an addiction to Klonopin may require many types of treatments. The severity of the addiction and the general health of the patient determine the right treatment plan for the patient. Some treatment elements help the patient manage the physical aspects of addiction, while others help with the psychological aspect.
A study conducted in 2010, using 73 long-term Klonopin users revealed that tapering down was highly effective. Researchers lowered their daily use by 0.5 milligrams every two weeks. When the daily dose reached 1 milligram per day, doctors lowered the dose once again by 0.25 milligrams every week. The process continued until the doses were stopped altogether.
“The improvement in panic disorder and general wellbeing was maintained during both the taper and follow-up phases. [Klonopin] can be successfully discontinued without any major withdrawal symptoms if the dose is reduced gradually.”
It is vital that all patients of substance abuse initially meet with a trained addiction professional for an evaluation of their addiction. Depending on the severity of their addiction and other medical conditions, the evaluation helps patients determine the right treatment plan for them. Finding the right treatment center for Klonopin addiction that provides various levels of care can help each individual receive the care and treatment they need.
This is the best option for patients with severe Klonopin addiction. Inpatient rehabs provide a safe and secure residential facility to help patients focus on recovery while eliminating all distractions and temptations. The around-the-clock support offered through the medical team helps patients with polydrug abuse and co-occurring mental health disorders receive the care they require. The duration of treatment at an inpatient rehab may differ from patient to patient.
A few standard treatments used at inpatient rehabs include:
Outpatient rehab is a solid choice for individuals with mild addictions to Klonopin. Whether you choose inpatient or outpatient treatment, medical detox is a part of both options. Outpatient treatment centers provide patients the possibility to continue with their treatment while also being able to take care of responsibilities and obligations at home and work.
Outpatient treatment is also an ideal choice for those who just completed treatment at an inpatient treatment center. It provides a patient who once suffered a severe addiction to receive additional care and support they require to maintain a long term recovery. Patients with severe addictions to substances shouldn’t choose outpatient rehab unless they have a valid reason for doing so.
After the completion of inpatient or outpatient rehab, patients must continue with group therapy and counseling for a few more months. The chances of relapse are considerably high once the patient ventures off into the real world. As they encounter the same environment, individuals, and situations that once led them towards addiction, and may be tempted to relapse. Continuing with treatment, therapy, and attending support groups provide patients with the additional support they need.
Some relapse prevention advice for former Klonopin patients include:
Life goals keep you on track and keeps your mind occupied. Professional, financial, and spiritual goals are useful elements to help focus on the positive sides of life. Practicing healthy habits can keep you away from Klonopin use in the long run.
It is important to make your health and wellbeing your priority. A healthy lifestyle that includes regular exercise, healthy diets, and good sleeping patterns can help alleviate stress, which is the most common reason for Klonopin abuse.
Patients who maintain healthy relationships with family and friends have a higher chance of achieving long-term sobriety. It is also vital that patients avoid maintaining relationships with individuals who once supported and encouraged your addiction.
Attending support groups and therapy is necessary for maintaining long-term sobriety. Meeting counselors and support groups a few times a month helps the patient focus on recovery and manage cravings.
Understanding and identifying triggers that make you want to use Klonopin can help you manage your cravings better. While some triggers are avoidable, some may not be. During such instances, therapy and counseling will help guide you to deal with such triggers in a positive manner.
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