Withdrawal from Klonopin: Physical and Psychological Effects

JORDYN L MASTRODOMENICO Counselor/Therapist Fair Lawn, NJ

Jordyn Mastrodomenico is a counselor in New Jersey. She evaluates patients using many different procedures, in order to determine what treatments must be carried out in order to properly assess their symptoms. Counselors provide consultation for each patient and their families.

What Is Klonopin?

Klonopin (Clonazepam) is a benzodiazepine medication with a long duration of action. It works by activating GABA-A receptors in the brain, which helps to reduce excessive neuronal activity. Klonopin is classified as a serotonergic drug, which can influence serotonin levels in the bloodstream. It is primarily prescribed for the treatment of several conditions, including:

How Does Its Dependence Affect Your Physical Health:

Clonazepam, commonly known by its brand name Klonopin, is a benzodiazepine medication with a long duration of action. It is prescribed for various therapeutic purposes. However, when individuals use this drug for an extended period and abruptly stop its usage, it can lead to withdrawal symptoms and indicate physical dependence.

Using clonazepam for a prolonged duration can cause the body to adapt and rely on its presence. When the drug is suddenly removed from the system, the body loses its equilibrium, resulting in the following symptoms:

Additional symptoms

  • Seizures

Psychological Affects of Klonopin Withdrawal:

Dependence on Klonopin can have significant effects on mental stability. It is crucial to gradually taper off the medication rather than abruptly stopping, as this can lead to the following psychological effects:

  • Cognitive Impairment
  • Insomnia
  • Aggression
  • Hallucinations
  • Irritability
  • Mood swings
  • Panic attacks
  • Heightened emotional sensitivity
  • Craving for drug
  • Lack of Motivation.

Among all these the most serious psychological side effect is suicidal ideation.

It is essential to work closely with a healthcare professional to develop a tapering plan that suits individual needs and minimizes the impact of these psychological effects. Proper medical supervision and support can help manage and alleviate these symptoms during the process of discontinuing Klonopin.

Stages Of Klonopin Withdrawal:

Klonopin withdrawal typically occurs in stages as the body adjusts to the absence of the medication. These stages can vary in duration and intensity depending on factors such as the individual's dosage, duration of usage, and metabolism. Here are the general stages of Klonopin withdrawal:

  • Early Withdrawal
  • Acute Withdrawal
  • Protracted withdrawal

Early Withdrawal

In the first stage, individuals may experience initial symptoms within 1-4 days after reducing or discontinuing Klonopin. Common early withdrawal symptoms include

 anxiety

  1.  Restlessness,
  2.  Insomnia
  3.  Irritability
  4.  and mood swings.

Acute Withdrawal:

After discontinuing Klonopin, the withdrawal period typically kicks in within 7 days, depending on the medication's half-life. If the benzodiazepine has a longer half-life, like Klonopin with 30-40 hours, acute withdrawal symptoms may appear a bit later compared to benzodiazepines with shorter half-lives. So, you might start experiencing noticeable withdrawal symptoms a day or two after stopping Klonopin. It's important to be aware of these timelines and seek support from a healthcare professional to manage any potential withdrawal effects effectively.

  1. Headache
  2. Sweating
  3. Tremors in hands
  4. Nausea and vomiting
  5. Abdominal cramps
  6. Confusion
  7. Irritability
  8. Mood swings
  9. Anxiety rebound syndrome(increased heart rate and palpitation)
  10. Tendency to develop seizure

Protracted Withdrawal

After going through the initial withdrawal phase, individuals who have been abusing Klonopin or taking high doses may face a longer and more challenging withdrawal period. This stage can bring about 

  • Discomfort
  •  Cravings
  • Anxiety
  •  Depressive symptoms

 and ongoing physical symptoms like nausea, lightheadedness, headaches, or even mild fever.

Interestingly, some research talks about a potential third phase called post-acute withdrawal syndrome (PAWS). During PAWS, individuals may experience psychological symptoms such as

  •  Mood swings,
  •  Irritability,
  •  Difficulty finding pleasure in things (anhedonia), 
  •  Intermittent periods of feeling down. 

It's worth mentioning that not all experts agree on recognizing PAWS as an official withdrawal stage, but it is acknowledged by some addiction specialists.

To support long-term recovery, it's crucial to address the symptoms of PAWS. Those who don't receive the necessary assistance during this stage may be at a higher risk of relapse. Seeking professional help, such as therapy or counseling, can make a significant difference in managing these psychological symptoms and reducing the likelihood of returning to substance use.

Gradual Reduction Of Kloponin Dosage:

Quitting Klonopin abruptly can be quite challenging. As it can cause unpleasant withdrawal symptoms that can test your commitment to quitting. That's why it's often recommended to taper off the dosage gradually. This allows your body to adjust to functioning without the drug in a more manageable way.

Let me share a story about Kelley McMillen, who had struggled with alcohol abuse and was prescribed Klonopin for her anxiety. Over time, she found herself becoming dependent on Klonopin, leading to addiction. This highlights the potential risks and challenges that can arise from prolonged use of the medication.

Remember, if you're considering quitting Klonopin or any other medication, it's important to consult with a healthcare professional who can guide you through a safe and appropriate tapering plan. They can help ensure a smoother transition and provide support throughout the process.

Key Influencing Factors in Klonopin Withdrawal

Factors Impacting Intensity and Duration of Klonopin Withdrawal Symptoms:

Age: The age of the individual can influence the severity and duration of withdrawal symptoms. Older individuals may experience more pronounced symptoms compared to younger individuals.

Duration of Consumption: The length of time a person has been taking Klonopin can affect the intensity of withdrawal symptoms. Prolonged usage can lead to more significant withdrawal effects.

Amount of Drug Consumed: The dosage and frequency of Klonopin use can impact the severity of withdrawal symptoms. Higher doses or long-term high dosage usage may result in more intense withdrawal.

History of Drug Abuse: Individuals with a history of substance abuse, including Klonopin or other drugs, may have a higher risk of experiencing severe withdrawal symptoms.

Co-occurring Mental Health Disorder: Having a co-occurring mental health condition, such as anxiety or depression, can influence the withdrawal process and exacerbate symptoms.

Genetics: Genetic factors can play a role in how an individual's body metabolizes and responds to Klonopin, potentially affecting the intensity and duration of withdrawal symptoms.