has anyone ever been tired from clonazepam?

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pokerchick1012
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   Posted 5/4/2007 12:04 PM (GMT -7)   
hi, my name i s Dawn, my doctor put me on prozac and clonazepam///clonazepam 2mg and prozac 40mg and the clonazepam makes me so tired, I can even keep my eyes open at work, has anyone else had this problem, any info would be helpful, thanks
 
 
 
Dawn

dbab
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   Posted 5/4/2007 12:32 PM (GMT -7)   
You know thinking about it, I don't really get tired from my clonazepam. I used to be on Xanax before switching and wasn't tired on that either. Actually what tired me is the panic attacks that I would get before starting my meds, they just seemed to drain the life right out of me. I suffer from fatigue but that's from another condition I have but the clonazepam itself hasn't caused any problems.

I'm sure you will find others that have your issues though since clonazapem is a sedative medication which typically causes drowsiness.
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harry4
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   Posted 5/4/2007 12:45 PM (GMT -7)   

the prozac will help even more, when and if it starts working which takes a few weeks, if you havent been on any antidepressants before,  any prioblems from it?

remember it helps to relax and let go of all excess muscle tension, get out and walk about during work breaks too, also when stressed, breathe deep and slow, avoid rapid shallow paanting

Harry .....I am always happy with your input and your advise but as you know they need to go to the Doc's to be told to cut med doses and such..Please do not tell them medical advice THEY need to get from their Doctor

Thanks  

 

Post Edited By Moderator (Howlyncat) : 5/9/2007 3:10:12 PM (GMT-6)


pokerchick1012
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   Posted 5/4/2007 12:54 PM (GMT -7)   
well thanks ill try and break it in half, as for the prozac ive only been on it for 3 days but no side effects, i do know that takes awhile before it kicks in, buts thanks for taking the time to share with me.

Dawn

debaser
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   Posted 5/4/2007 2:44 PM (GMT -7)   
How long have you been on the Clonazepam? Sedation will USUALLY subside in a couple weeks. I'm on .5mg bid and I find it harder to wake up in the mornings, but the morning dose usually doesn't seem to make me sleepy in the afternoon. It's weird and kind of inconsistent for me. But it's never a "I'm so tired I absolutely HAVE to sleep right now" sort of thing. Even in the beginning I didn't have that. I'm 6 or 7 weeks in, I think. Can't remember.

2 mg is a pretty high dose. As I said, I'm on 1 mg and it's very powerful. That's not to say that it alters moods or produces a high or whatever. It just works very well. I'm 5'9" and a muscular but sorta soft 190 pounds, too. I can imagine that 2mg would indeed make me extremely sleepy.

I've noticed that Clonazepam works a LOT better for me when I take it at very regular intervals. I'm not disagreeing with what Harry's saying, but at a dose that high you're definitely going to have a dependency and some regularity may help you stay even. You might try his method IF you haven't been taking 2mg for more than a week or so. It may help you find a routine that works for you, and if you do find that routine, stick with it. However, if you've been on 2mg for a while then I wouldn't mess around with the dose without talking to a doctor first.

dbab -

I know exactly what you mean about being extremely tired after a panic attack. Before I was diagnosed I remember being at work one day and getting extremely ill to my stomach (my panic is atypical). It lasted for about an hour, and sometime toward the end of that hour I thought I'd make a break for home. about a mile and half down the freeway, suddenly I wasn't sick anymore. The panic subsided. But then I became incredibly drowsy. I was so tired I nearly fell asleep at the wheel!

There were plenty of other instances of just being totally wiped out after an attack, too. That was just the most extreme example I could think of.
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Aussieangel
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   Posted 5/4/2007 4:48 PM (GMT -7)   
2mg isn't that high a dose, so don't worry about it. Studies have found 2mg taken with an anti-d is a good combination for anxiety/ depression.

I take my 2mg at night at first I'd crash within an hour of taking it now it doesn't effect me. Clonazepam is a long life drug, it stays in your body for long periods unlike valium or Xanax that's why you're doc gave it to you. It keeps you more level.

What time do you usually take it? If it's a daily part of your meds then nighttime (your pdoc should have told you that)

pokerchick1012
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Date Joined Apr 2007
Total Posts : 30
   Posted 5/4/2007 5:13 PM (GMT -7)   
I take 2 mg or clonazepam in the morning and at night and i have a really hard time getting up in the morning, i just started taking that and the prozac about 3 days ago, i use to take them noth about a year and half ago and then took myslef off of them cause i felt that i didnt need them, but now that im a single other with stress from work, my sons father and all that i needed something, but maybe i will try and break it up and see it that help. i love this sight, its grea that everyone helps everyone, i thank you all so much for ur support


Dawn

ChristianWithHope
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   Posted 5/4/2007 5:44 PM (GMT -7)   
I would avoid changing anything relative to your meds w/o consulting your doctor. If your prescription says to take something daily (like an anti-depressant) then take it daily at the prescribed dosage. If your prescription say take as needed, then take as needed. There's no reason to guess - and if nothing else, your pharmacist should be able to point you in the right direction if something isn't clear.

I take Xanax as needed - meaning there's flexibility and I can use my judgement within a certain range (1-3 tablets every 4 hours as needed - for example). The anti-depressant I take like clockwork. I visit my psychiatrist regularly during the "break in" phase - and based on the way I feel, he may adjust the antidepressant to find the right dosage for ME. But I DO NOT vary the anti-depressant myself - and don't EVER go off of it w/out first consulting your doc.

During periods of bad anxiety, I find myself extremely sleepy and tired as well. Anxiety seems to sap your energy at times.

porridge
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Date Joined Jan 2007
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   Posted 5/5/2007 10:51 PM (GMT -7)   
I agree with Christian.
Don't do anything simply by what you read on this forum!
Harry is the worst offender. Thinks he's a doctor. Your 2mg. is NOT a high dose. 40 mg. of Prozac is a midsize dose. Your doc knows best. Tell your doctor you are drowsy. It is different for everyone. My Pdoc said he has patients on 6 mgs of Klonopin. I've been on 80 mgs of Prozac, myself. For OCD 40 mgs. of prozac is a minimal dose.

Let your professional be your guide. Not people on here who think they have a duty to dispense dubious info.

debaser
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Date Joined Nov 2006
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   Posted 5/6/2007 11:04 AM (GMT -7)   
No matter what I've said in my previous post, I agree with everything you just said, porridge, except about the Prozac (because I don't know about it) and the Klonopin (for what she's being treated for it is a very high initial dose from FDA and Roache guidelines). I'll quickly explain my reasons for "not disagreeing with Harry".

I'm not a doctor but have done tons and tons and tons of research on benzodiazepines. What her doctor is doing seems unusual, and it's possible that he's the one dispensing dubious advice. Pokerchick went onto say she's been taking Klonopin three days, and has been taking 2mg in the morning AND at night. That's a LOT to start out with. If it were me I'd decrease my dose on my own since it's only been three days and contact my doctor first thing Monday. And if he can't explain why he's dosing her so far out of the guidelines then I'd very promptly find a new doctor.

But, yes, doctors should be included every step of the way whenever possible. I've always advocated that. When it comes to meds, nobody should ever take advice from here without speaking to a physician first. That really should be a given.

From what I've read, really high doses of Klonopin are not for treatment of anxiety/panic but for people who go into seizures a lot. That's what the drug was originally designed and marketed for. Since those days it's been proven over time to be very effective in treating panic, anxiety, agoraphobia, and social disorders, but usually at much lower doses than 6mg. There's also the problem that higher doses of any benzodiazepine can lead to tolerance. Ideally, one would want to keep their dose as low as possible, so starting high at 4mg/day is just plain weird. You don't have to be a doctor to see that.

It's entirely appropriate for her to call her doctor first thing in the morning and discuss this stuff with them. This forum isn't good for "medical advice" in a strict sense, but it is extremely valuable in helping people prepare to talk to their doctors (knowing what questions to ask, etc).

** Debaser I have edited Harry post as it is NOT up to us to tell ppl to cut doses in half

EVERYONE is different ........NO matter what anyone HAS read CONSULT your doctor PLEASE

Post Edited By Moderator (Howlyncat) : 5/9/2007 3:13:14 PM (GMT-6)


Boomer2uall
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Date Joined Apr 2007
Total Posts : 83
   Posted 5/6/2007 11:11 AM (GMT -7)   

Hi.  I am on 3 mg doses (1mgx3 a day) and I can't even tell if Clonazepam is even doing anything to me.  All I know is that if I stop taking it, about a week later I am going into withdrawl.  Then and only then after taking it, I can feel it work.  But no, it does not make me tired at all.  The only thing that I notice is that it stops me from shaking really bad.

Boomer2uall

 


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pokerchick1012
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Date Joined Apr 2007
Total Posts : 30
   Posted 5/6/2007 11:50 AM (GMT -7)   
well I have had panice attacks all my life, this isnt something that just came about, so i told my ref doctor, not a phy and he gave me the meds, but im going to see a phy this week and ill see what he says about my meds, cause i took a clon last night at 5pm and didnt wake up til 10 the next morning, so maybe cutting them up alittle would work for now, i dont know, ill see what the doctor says, i have taken 1 mg of clon 2 to3 times a day in the past and it never effected me like this, but I thank you all for taking the time to discuss this with me...ill keep you updated.

Thanks,
Dawn

porridge
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Date Joined Jan 2007
Total Posts : 119
   Posted 5/6/2007 9:02 PM (GMT -7)   
debaser
After rereading Dawn's second post I agree with your concern. 4 mgs a day? That is high to start ,even though as I have said, there are anxiety sufferers on higher doses. Notice this isn't Dawn's initial encounter with Klonopin. She's taken it in the past. My research is extensive, also. I would be concerned starting at that high a dose, but this doesn't seem to be her "start." She needs to talk to her doctor. It is also unusual to start out at 40 mgs. of Prozac. Usually want to start with 20 at the most.

My point is, it is wrong to advise people to change their dosages on this board. None of us are doctors as far as I know. She should ask her doc tough questions. But, it bothers me when people on here start telling people how to take their meds. We should walk a fine line between sharing info and prescribing dosages.

Everyone, is different. Your mileage may vary. Doctors should provide relief from these types of problems should they crop up. We can share experiences and even opinions, but not telling people to adjust their dosages without consulting their docs.

I think Harry is well meaning. I think he has come to distrust docs. I have seen him on here tell people if Prozac doesn't work other SSRIs won't work either. Essentially, all SSRIs are the same.That's simply BAD advice and can hurt people looking for help. This is nothing to trifle with.

I appreciate your response.

Post Edited (porridge) : 5/6/2007 10:01:39 PM (GMT-6)


debaser
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Date Joined Nov 2006
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   Posted 5/6/2007 9:33 PM (GMT -7)   
A doctor contacted me through my blog a little while ago and I brought this up with him. His take was that he will not prescribe more than 2 mg/day Klonopin. In his experience tolerance will occur at higher doses and even at 2 mg sometimes. In this situation he tapers the patient off and six months later starts them off and the recommended initial dose (.5 mg/day for three days, then 1 mg/day). He said at this dose it is extremely unlikely to develop a tolerance to the anxiotic properties. I also asked him about SSRI's but he started getting a little put off, I think, as if I were trying to get him to treat me for free or something.

I told him about Dawn's case...she'd been of K for 18 months and a doctor started her off at 2mg bid. He actually thought it was a pharmacy mistake.

You'll find almost as many opinions as you'll find doctors, though. I just thought that conversation was interesting because I worry that I'll someday have to increase my own dose and it'll be a slippery slope.

Anyway, I hate to "gang up" on Harry but I, too, feel like he steps over the line now and then. It's really the moderators' jobs to delete those types of posts. Maybe now that you've said something they will.

(the following is not advice) Still, if I were Dawn I would've stepped down my dose over the weekend and I'd contact the doctor first thing on Monday. That's just me. I mean, if I didn't yet have to worry about withdrawal but couldn't ever wake up, that's a temporary solution. Then, in my phone consultation, I'd have the Roche/FDA guidelines at my fingertips and would ask exactly why he's doing what he's doing. And he'd better have a good answer or I'd promptly seek out a second opinion. And I'd probably do that anyway.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


porridge
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Date Joined Jan 2007
Total Posts : 119
   Posted 5/6/2007 10:00 PM (GMT -7)   
debaser
That was quick.
I think the Doc's advice is pretty good. My Pdoc has prescribed .50-1.5 mgs per day as I adjust to 300 mgs f Luvox.
The goal is to get off the Klonopin as soon as the Luvox kicks in.

I Harry's defense I just noticed he put a disclaimer beneath his posts.

debaser
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   Posted 5/7/2007 6:46 AM (GMT -7)   
Back to the topic at hand --

Yeah, even my little .5 mg nighttime dose keeps me from waking up on time. The alarm clock did wake me up this morning, but I managed to go back to sleep and didn't wake up until 8:30! I was supposed to be at work 44 minutes ago...

Why am I posting here, then? Shaking out the cobwebs, smoking the morning cigarette, and eating a slice of bed for breakfast. All at the same time, haha.

Gotta go...have a great day everyone!
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


porridge
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Date Joined Jan 2007
Total Posts : 119
   Posted 5/7/2007 11:19 PM (GMT -7)   
debaser
Does the Klonopin ever act paradoxically for you? Every third, fourth evening I will take it and it will increase the agitation. I've read this is not uncommon. Usually things level out in an hour or two. However, Sunday night it never mellowed for hrs. The second .50 mg. worked just fine. Sometimes I think it's the breakthrough anxiety from the Luvox. I've been taking 300 mgs. (worked my way up from 100 mgs) for 10 days. Still in the break in period. SSRIs definitely increase my agitation thus the Klonopin. Can't wait for the Luvox to kick in. Tonight was very mellow. Hopefully...

debaser
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   Posted 5/8/2007 6:06 AM (GMT -7)   
I've never noticed it acting paradoxically in terms of an anxiotic. Often it does seem to heighten my awareness or give me a little pep, which I would consider paradoxical considering that it's a "minor tranquilizer", but I don't think I've noticed it making me more nervous.

Sometimes I do get breakthrough anxiety, though...there's no doubt about that. It's weird...it's seems like a lot of the discussions I have here I've already written on my blog. Yesterday at work at I had breakthrough anxiety for a while and have come to notice that it's not uncommon in the morning hours. Occasionally in the evenings, too. It was worse a few weeks ago. I can handle the anxiety as long as it doesn't turn into a panic attack. The breakthrough stuff certainly isn't pleasant but I can manage it.

They say SSRIs do increase anxiety at first. They weren't originally designed for treating anxiety, of course, and some of the studies I've read suggest that for a lot of people they simply do not work for that. But for some they do. A lot of times they prescribe small doses of valium for the first couple weeks.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


SarahP
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   Posted 5/8/2007 6:43 AM (GMT -7)   
When I take Klonopin, it only sedates me if I am really tired to begin with. I have never noticed a problem waking up in the morning from it. The most I've ever taken in 24 hrs. is 1mg, though..broken up into quarters, or halves.
In my opinion, the biggest danger of 4mg a day is the tolerance to it, and withdrawal when it is stopped. Does seem way high to be started out on, but in an extreme case of anxiety/panic, could be extreme measures are called for. I would be very wary of taking that much daily, but you have to do what you have to do to get quality of life back.
As for Harry... he's answered many of my questions. He's not a doctor, but he's done his research.
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I have no medical training, any medical opinions expressed in my posts are just that....opinions.

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hopeful82
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   Posted 5/8/2007 7:43 AM (GMT -7)   
Like Sarah, Klonopin only makes me drowsy when I am already tired. I take it only as needed, which usually ends up only being at night everynow and then before bed when I'm having trouble sleeping because of anxious thoughts. Since I'm already in a sleepy mood, the Klonopin just helps me get there quicker it seems. But if I take it during the day while being active, I don't notice a difference. BUT, I do only take .5mg at a time - I agree with the others that 4mg per day seems way too large a dose to start off. I can't imagine what taking 2mg at once would be like, I've only ever taken 1mg at a time when things get really bad. I would absoutely consult your doctor about this dosage - it seems that the large amount is probably whats making you so sleepy.
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pokerchick1012
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Date Joined Apr 2007
Total Posts : 30
   Posted 5/8/2007 8:24 AM (GMT -7)   
well im going to my pyc doc today, the one that gave me this high of a dose was my reg doctor, not sure if he didnt know what he was doing or not, but I even tryed taking half and i was out, so ill see what the pyc doc says today casue i need to be up, i work fulltime and I am a fulltime single mother so, yah i think he might have made a mistake with the dose, I will keep everyone updated, you guys are great.

Dawn

debaser
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Date Joined Nov 2006
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   Posted 5/8/2007 3:35 PM (GMT -7)   
Either he may have or the pharmacy may have made a mistake, but I'm REALLY interested to hear what a psychiatrist thinks about it! Please let us know!
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


pokerchick1012
Regular Member


Date Joined Apr 2007
Total Posts : 30
   Posted 5/8/2007 3:37 PM (GMT -7)   

well just got back from my pdoc, and she said the clon was way to high...she said to take .5, so ill do that and see how that works out, she said to keep the prozac at 40mg which is high but didnt really want to change that, but I thank you all again for your help and support...also question has anyone gained any wieght on prozac? cause it seems like i put on 2 or 3 pounds since i started taking them, just wondering if it is from the prozac....okay well thanks all

 

 

Dawn :-)


debaser
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   Posted 5/8/2007 3:59 PM (GMT -7)   
Well, that kind of pisses me off. The doctor that prescribed you 2mg bid should have some sort of disciplinary action taken against him. 4 mg's to start out? What on Earth was he thinking? It's not like it would've killed you or anything, but it most certainly didn't seem like a very good idea at all.

I'm really glad you had an appointment with a doctor who knows better. I think you'll find that the Klonopin won't make you that drowsy. Certainly no worse than it made you feel before when you were on it. I've mentioned I have a hard time getting up in the mornings, but that's a combination of the Klonopin, being a night owl, and having a job that's flexible about when I come in each morning. You'll do fine.

Weight gain from Prozac? I didn't find it listed in this very comprehensive list of side effects: http://www.rxlist.com/cgi/generic/fluoxetine_ad.htm
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorder
anxietypanicdisorder.blogspot.com/


grangerlou
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Date Joined Mar 2007
Total Posts : 14
   Posted 5/8/2007 6:18 PM (GMT -7)   
hey - i'm glad you checked with your doctor first! great move! i take .5 and after a while was great with staying awake. i take mine before bed - not sure when you are taking yours. it helps me sleep and is the perfect dose to not make me groggy! weight gain is very possible, and has happened to me probably because of my zoloft, yet of course very much worth the life i have gained back! best of luck to you!
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