Emily Guarnotta, PsyD

Klonopin, which is the brand name for clonazepam, belongs to a family of drugs known as benzodiazepines.1 This medication acts similarly to other benzodiazepines like Valium (diazepam), Xanax (alprazolam), and Ativan (lorazepam). Klonopin is commonly prescribed to treat seizures and panic disorder. It works by increasing the activity of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that can slow abnormal electrical activity in the brain and is responsible for Klonopin’s calming effects.2,3 While Klonopin can be an effective and safe treatment for anxiety and seizure disorders if taken as prescribed, all benzodiazepines have a known potential for abuse, dependence, and addiction.2,3 Dependence may occur among regular prescription users, but those who abuse the drug (take more than prescribed or use it recreationally) may hasten the development of dependence and may also become addicted. Those addicted to Klonopin may find themselves unable to stop using despite being aware of the negative consequences that continued use brings. Withdrawal Signs and Symptoms Klonopin is a prescription drug with a high potential for abuse and dependence.1,2 Those who have developed some degree of dependence are likely to go through withdrawal when discontinuing the drug. Withdrawal refers to a set of symptoms that can develop when a person stops using or abruptly lowers the dose. Klonopin withdrawal symptoms can include anxiety, insomnia, shaking, and muscle aches and pains.2 Some people develop more serious symptoms, like seizures and delirium tremens.3,4 Because of these risks, Klonopin withdrawal can be dangerous if not properly treated. Detox and addiction treatment programs can help Klonopin users safely withdraw from the drug and minimize the chances of developing severe symptoms or complications. The severity of withdrawal may depend upon the length of use, the average dose being used, how abruptly the drug is discontinued, and personal factors, such as a person’s age and health. In order to minimize the risk of life-threatening symptoms like seizures, physicians usually recommend that people getting off benzodiazepines gradually lower their dose over an extended period of time, rather than stopping abruptly, in order to help their minds and bodies stable as they adjust to not having the drug. You'll find the most common symptoms of Klonopin withdrawal listed below2,4,5 Anxiety. Agitation. Panic attacks. Sensory hypersensitivity. Difficulty sleeping. Nightmares. Heart issues. Headaches. Muscle cramps. Sweating. Nausea. Stomach cramps. Tremors. Seizures. Delirium tremens. People undergoing Klonopin withdrawal may experience rebound anxiety or seizures since the drug is no longer available to inhibit abnormal excitatory activity in the brain.3,5 How Long Will It Klonopin Withdrawal Last? Klonopin withdrawal symptoms typically begin within 2 to 7 days of the last dose and can last for 2 to 8 weeks.6 While symptoms may resolve within 1 to 2 months, some people experience prolonged or protracted withdrawal symptoms, including anxiety, depressed mood, and insomnia.4,7 Protracted symptoms may fluctuate over time but typically resolve within a few months of complete abstinence.7 Withdrawal from benzodiazepines like Klonopin is considered dangerous because severe symptoms may develop quickly; in some cases, seizures may come on without being preceded by other symptoms of withdrawal.4,8 Klonopin-dependent individuals are advised to undergo a managed withdrawal, or detox with medical supervision,8 where a physician can monitor their health, perform a gradual taper if necessary, and manage symptoms. [self-assessment] Klonopin Withdrawal Treatment Options There are several options available to help you safely and comfortably get through withdrawal.  The first step in getting help is speaking with a doctor or other treatment professional who can assess your risk for developing dangerous withdrawal symptoms and discuss treatment options. It is important to disclose any other drugs or alcohol that you are using, since this may impact your withdrawal, as well as the treatment approach.3 Inpatient hospitals can provide intensive medical treatment 24 hours a day for the duration of your stay. Doctors, nurses, and other medical professionals will closely monitor your symptoms and gradually taper you off of the drug. They may also prescribe other medications to alleviate certain withdrawal symptoms. Similar to inpatient hospitals, many stand-alone detox facilities provide 24-hour monitoring in a treatment facility. Some detox centers, called "social detox programs," do not provide medical treatment and only offer therapy sessions and support groups. Given the risks of Klonopin withdrawal, it is safest to detox in a facility that offers professional medical care.8 Some inpatient rehab programs will offer medical detox, as well as therapy and recovery meetings, to help you address your addiction. Outpatient detox. Unlike inpatient or residential programs, outpatient facilities allow you to come and go from the facility several times per week. Not everyone will be a good candidate for outpatient detox efforts. Given the risk of sudden onset of severe medical events, you may feel safer in an inpatient environment during at least the first few days of withdrawal.  Inpatient and residential programs—whether they are in hospitals, rehabs, or stand-alone detox facilities—provide the most intensive monitoring and medical care and are therefore the safest option. Are There any Home Remedies for Getting Clean Safely?  There are serious dangers to seeking home remedies as a natural alternative for Klonopin withdrawal. Trying to relieve yourself of the pains of withdrawal on your own can pose serious medical risks.4,8 The safest way to detox from Klonopin is under the care of a doctor, who can help you gradually taper off of the drug and give you the relief that you need. How Long Does It Take to Detox from Klonopin? It can take 3-5 weeks to detox from Klonopin while on a taper.7 Your doctor may slowly reduce your dose each week during this time. In general, slowly tapering off of the drug ensures a safer and less painful withdrawal than an abrupt cessation of the substance.6 During your taper, your symptoms may come and go or vary in intensity. Even when your taper is over, you may continue to experience some protracted withdrawal symptoms for several months. With continued abstinence, these symptoms should abate over time. Klonopin withdrawal can be a risky and painful process, but you do not have to go through it on your own. There are many detox options and programs available in your local area. It is never too late to seek help. Does your insurance cover Klonopin detox treatment? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] Rehab and Therapy after Detox for Klonopin While detox is an important and necessary step to withdraw from Klonopin, it does not address all the factors that contribute to and perpetuate a person's addiction. Many people transition from detox to an addiction treatment program to continue working on their recovery. During treatment, addiction professionals will help you work on areas of your life that may be triggering continued substance use, such as a stressful living situation, difficulties with school or work, a traumatic upbringing, ineffective coping skills, and/or mental health issues. Levels of Care Similar to detox programs, addiction treatment programs are available at different levels of care: Inpatient and residential programs provide intensive therapy sessions focused on helping you better understand your addiction and learn new ways of coping. These programs also provide housing for the length of your stay and have support staff available 24 hours a day. Outpatient programs offer a specific number of therapy sessions each week. The frequency of therapy sessions will vary based on the program and your needs. Partial hospitalization programs usually offer 20 or more hours of treatment per week, which may be broken up into 4 or 5 days.10 Intensive outpatient programs typically offer between 6 and 9 hours of treatment per week.10 Types of Therapy Family therapy and group counseling for addictions are also typically provided in both inpatient and outpatient programs: Family therapy will help you to resolve conflicts that may be causing ongoing stress and serving as relapse triggers. Group counseling provides a safe and supportive environment for sharing concerns, practicing stress management techniques, and engaging in role-playing scenarios. Cognitive-behavioral therapy (CBT) is an effective therapy for treating addiction to benzodiazepines like Klonopin.8 CBT can help you change negative thinking patterns and develop tools to manage your thoughts and feelings so that you are less likely to engage in unhealthy behaviors, like drug use. Some people who are addicted to Klonopin may suffer from anxiety, depression, or other mental health conditions.6 People with mental health issues who are withdrawing from Klonopin may benefit from dual diagnosis treatment, which is provided by psychiatric hospitals and residential or outpatient treatment facilities. These programs provide therapy sessions and groups that are focused on coping with both addiction and mental health issues. A dual diagnosis program can help you manage your mental health symptoms at the same time as you address your recovery from substance abuse. Leaving mental health issues unaddressed may lead to a relapse, as you may reach for substances to cope with lingering symptoms. Toward the end of treatment, your therapists and counselors should help you create an aftercare plan, which is a detailed plan for how you will maintain your recovery when treatment is over. For some people, this may involve finding stable housing at a sober living facility, attending therapy each week, and reaching out to other sober people. Self-help groups can also be a part of an aftercare plan for people who are overcoming benzodiazepine dependence. These include 12-step groups, such as Narcotics Anonymous, and non-12-step groups, like SMART Recovery. While group counseling sessions are facilitated by treatment professionals, community-based support groups are conducted by other volunteers in recovery. Self-help groups can help you develop a sober support network and learn tools to maintain your sobriety. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Inpatient rehab Medication asssisted rehab Outpatient rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] Detox 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] More About Klonopin Klonopin Information at a Glance Medication Name, Costs Class of Medicine Generic Name: Clonazepam1 Brand Name: Klonopin1 Used to Treat Addiction? No. However, clonazepam is sometimes used to manage withdrawal from shorter-acting benzodiazepines and other sedative-hypnotic drugs.8 Function or Use at Low Dose: To treat panic disorder2 Function or Use at High Dose: To control epileptic seizures2 Chemical Makeup: Clonazepam C15H10ClN3O32 Duration of Action: Long4 Form, Intake and Dosage Interactions and Complications Drug Forms: Tablet, Disintegrating wafer1 Administration Routes: Oral1 Dosage: May vary depending upon diagnosis and age2 Overdose: Symptoms can include drowsiness, confusion, weakened reflexes, and coma2 Alcohol Interaction: Taking Klonopin with alcohol is not recommended.1 Prescription Medications: Tell your doctor if you are taking other prescription medications.1 Contraindications: Liver disease, acute narrow-angle glaucoma, history of sensitivity to benzodiazepines2 Effects and Adverse Reactions Substance Abuse Cardiovascular: Heart palpitations2 Gastrointestinal: Weight gain or loss, increased appetite, nausea, constipation, diarrhea, gastritis, dry mouth, sore gums, coated tongue2 Urinary: Painful or difficult urination, urinary retention, involuntary urination2 Other: Muscle weakness and pain, dehydration, fever, swelling of the lymph nodes, anemia, enlargement of the liver, lowered white blood cell or platelet count2 Risk of Substance Abuse: Yes4 Signs of Abuse: Misusing the drug by taking more than prescribed or taking it without a prescription Physiological Problem Signs and Symptoms Dependence and Addiction Issues Withdrawal Syndrome Onset: Within 2-7 days of the last dose6 Withdrawal Symptoms: Nausea, vomiting, shakiness, tremors, heart palpitations, dizziness, anxiety, tension, difficulty concentrating, panic attacks, depression, confusion, insomnia, sweating, muscle pain, stiffness, cramping, increased heart rate and blood pressure, hallucinations, seizures2,4,5 Tolerance: Over time, you may need more of the drug to continue to feel the same effects3 Cross-dependence: Cross-dependence may develop with alcohol, barbiturates, and other sedative-hypnotic medications.4 Physical Dependence: Your body may experience withdrawal symptoms upon cutting back or quitting3,4,6 Psychological Dependence: You may become dependent on Klonopin to manage anxiety and may experience rebound anxiety when the drug is stopped4 Legal Schedules and Ratings Controlled Substances Act Rating: Schedule IV2 [sources] U.S. National Library of Medicine. (2017). Clonazepam. Genentech, Inc. (2017). Klonopin tablets (clonazepam). National Institute on Drug Abuse. (2018). Misuse of prescription drugs. Longo, L. P., & Johnson, B. (2000). Addiction: Part I. Benzodiazepines- Side effects, abuse risk and alternatives. American Family Physician, 61(7), 2121-2128. Petursson, H. (1994). The benzodiazepine withdrawal syndrome. Addiction, 89(11), 1455-1459. Dolan, K. (2010). Clinical guidelines for withdrawal management and treatment of drug dependence in closed settings. Addiction, 105(7), 1318. Substance Abuse and Mental Health Services Administration. (2010). Substance abuse treatment advisory: Protracted withdrawal. Center for Substance Abuse Treatment. (2015). Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment. National Institute on Drug Abuse. (2018). Commonly abused drugs. Mee-Lee, D. (Ed.). (2013). The ASAM Criteria: Treatment for addictive, substance-related, and co-occurring conditions. Carson City, NV: The Change Companies. [/sources] ...

Valium, a brand name for diazepam, is a commonly abused benzodiazepine drug. Valium is a central nervous system depressant that slows certain types of brain activity. It is used to treat conditions involving overactive brain functions like anxiety, muscle spasms, and seizures. In addition to its physical risks, long-term Valium abuse is associated with emotional, interpersonal, and employment problems. While Valium can be an effective and safe drug when taken as prescribed, it can be dangerous when misused.3 Some people abuse the drug because it induces a pleasurable sense of peacefulness, calm, and relaxation. Others might abuse Valium to counter the effects of stimulants and ease the comedown, or to enhance the effects of other drugs like opioids (an extremely dangerous practice due to the fact that both opioids and benzodiazepines depress breathing).4 Chronic misuse of Valium can lead to the development of severe physical dependence and addiction. Valium users who abruptly stop taking the drug may also experience serious withdrawal symptoms, such as extreme anxiety or seizures.2 How Do I Know I'm Addicted to Valium? For many people, Valium addiction goes hand-in-hand with Valium dependence. Valium dependence develops when your body becomes physically reliant on the drug after using it for a period of time.3 People who become significantly dependent on sedative drugs such as Valium will experience withdrawal when they quit.5 A certain amount of physiological dependence is normal for people who aren’t misusing Valium; however, it is common to those abusing and/or addicted to it. For some long-term users of Valium, they may no longer even feel high from the drug but continue to use it to function normally or to ward off withdrawal symptoms, indicating a physical need for the drug to avoid getting sick or suffering potentially severe symptoms of withdrawal. Someone who is going through withdrawal may experience severe reactions to not having the drug in their system. Dependence is related to but distinct from addiction. If you are addicted to Valium, you may notice yourself continuing to use the drug despite its negative impact on your life.3 You might also find yourself doing things you never thought you’d do to gain access to Valium, such as stealing money from people you love. If your doctor will no longer prescribe you Valium, you might lie about your symptoms or start going to multiple doctors or pharmacies to obtain a prescription. Compulsive drug-seeking can lead to serious legal, work or school, and relationship problems. Symptoms of Valium Addiction You might be addicted to Valium if you meet 2 or more of the following diagnostic criteria for a substance use disorder:5 You use Valium in higher doses or more often than you set out to. You have attempted but failed to cut down in the past. You spend a great deal of time in seeking out, using, or recovering from Valium. You experience strong cravings for Valium. You avoid your responsibilities at home, work, or school because of your drug use. Your Valium use has caused interpersonal problems but you continue to use it. You don’t do things you used to enjoy (or you do them far less often) because you’re using Valium. You have used Valium in situations where the result could be hazardous, such as before driving. You continue to take the drug even though it has caused or worsened physical or psychological problems. You experience tolerance, where you need more of the drug to feel the same effects or you don’t feel as much of an effect with the same dose. You go through withdrawal during any attempt to cut back or stop completely. If you have begun experiencing or exhibiting some combination of these signs, symptoms, or behaviors, it may be an indication that it is time to get professional help. It is never too early or late to seek help for Valium addiction or dependence. Despite the harms of abusing Valium, many people are able to recover from addiction with proper help. Treatment usually begins with a period of professional detox to mitigate the very serious risks of benzodiazepine withdrawal. [self-assessment] Risks Associated with Valium Withdrawal If you have been using Valium for an extended period of time, you’re likely to experience some withdrawal symptoms when you stop or reduce your use. And these symptoms can be severe enough that inpatient medical detox is the safest course of treatment. Valium withdrawal symptoms can include:2,6 Increased heart rate and blood pressure. Sweating. Muscle spasm. Tremors. Abdominal cramps. Vomiting. Sensory hypersensitivity. Headaches. Irritability. Rebound anxiety. Delirium. Seizures. The severity and duration of Valium withdrawal depends upon the dose, length of use, how abruptly the drug is stopped, and personal factors like your health.6,7 Unmanaged Valium withdrawal can be dangerous. In some cases, users can develop seizures as well as delirium tremens, which is a condition commonly associated with alcohol withdrawal that involves severe confusion, shaking, and hallucinations.6,8 Abruptly stopping Valium, rather than slowly tapering from the drug, increases the likelihood of severe withdrawal and certain withdrawal complications.2,6 There is no way to predict which of these symptoms you may experience when you stop suddenly. You may experience some or all of them, and because some are life-threatening, you should not try to stop cold-turkey on your own. How Long Do Valium Withdrawals Last? The timelines for Valium withdrawal may be different depending on the person, dose, and length of use.6 The typical duration, however, is roughly 1-4 weeks, but prolonged withdrawal symptoms may persist for several months.7 Valium Detox Treatment Because of the risks associated with Valium withdrawal, it is safest to detox under the care of your doctor or a medically supervised detox program.3,8 Medical detox programs specialize in managing unpleasant withdrawal symptoms and can help you safely taper off of the drug. Detox programs may also provide counseling and therapy that can help you start learning tools to better manage your triggers and cravings when detox is complete. Valium withdrawal treatment programs closely monitor your withdrawal progress; staff doctors may prescribe certain medications to treat specific symptoms and reduce the likelihood of you developing life-threatening complications.8 Anticonvulsant drugs like carbamazepine and valproate may help manage any seizure activity, and clonidine or propranolol may be prescribed to manage blood pressure, heart rate, and tremors. Antidepressants like trazodone may also alleviate sleeping problems. Your doctor may wish to taper you off of the drug, which means giving you increasingly smaller doses over a period of weeks or months.3,8 In some cases, doctors may also substitute Valium with a longer-acting benzodiazepine, such as chlordiazepoxide (Librium), or a barbiturate like phenobarbital, to aid in detoxification.8 This technique helps minimize withdrawal symptoms and prevents more serious complications, like seizures, from developing as you withdraw. The amount of time it takes to taper off of Valium depends upon the amount you’ve been taking. Generally, it takes 3-5 weeks to taper off of Valium, but your doctor will determine the best taper for you.7 Once you are completely detoxed from Valium, you may want to consider further treatment. While withdrawal treatment rids the body of the drug, many people continue to experience cravings that, if left untreated, could lead to a relapse. The anxiety that may also have been treated by Valium may come back and contribute to relapse if left unmanaged. Developing a plan for continued recovery can help you maintain long-term sobriety and reduce your relapse risk. Can I detox from Valium Safely at Home? Withdrawal isn’t easy, but it is possible with medical assistance. Home remedies aren’t recommended for those detoxing from Valium because of the risk of developing serious medical complications.3,8 It is safest to detox in a medically supervised detox program that specializes in treating drug withdrawal. There are many rehab centers that can safely provide you with the relief that’s necessary when going through withdrawal. How Long Does it Take to Detox from Valium? It can take 1-4 weeks for Valium withdrawal symptoms to resolve on their own and up to 5 weeks to detox with a Valium taper under the supervision of a medical professional.7 Tapering off of Valium allows for a more comfortable and safe withdrawal. There are many treatment options and programs that can help you detox from Valium. Does your insurance cover valium detox treatment? We can help - check your coverage instantly or text us your questions to find out more. [vob-aktify-cta] Rehab Programs for Valium Addiction Substance abuse rehabilitation can help you develop tools to cope with urges and manage any prolonged withdrawal symptoms so that you can maintain your sobriety and stay on the road to recovery. Inpatient treatment programs provide intensive therapy sessions along with a drug-free residence for the length of your stay. Programs may differ in duration, which can range from a few weeks to several months. Inpatient rehab can be a good option when transitioning from inpatient or residential detox because they will continue to provide you 24-hour care in a highly structured environment. Outpatient treatment programs also offer therapy sessions but typically on a less frequent basis and without the ability to provide 24-hour support and housing. Unlike inpatient programs, you can come and go from an outpatient treatment facility and can continue to work, go to school, and live at home. Outpatient program types include partial hospitalization programs (PHP), which typically provide 20 hours of treatment per week, and intensive outpatient programs (IOP), which offer treatment for 6 to 9 hours per week.9 Some Valium users continue to experience anxiety after they stop taking the drug.5 Anxiety is excessive worry that is difficult to control and may also include restlessness, fatigue, sleeping problems, and difficulty concentrating.4 If anxiety is left untreated, it can increase the risk for a relapse. There are several alternative medications that may be prescribed by medical professionals to manage anxiety that have a much lower, if any, abuse potential.10 Anti-anxiety medications like BuSpar (buspirone) and beta-blockers such as propranolol are considered safe treatments for anxiety and carry a lower risk for dependence compared to benzodiazepines. Selective serotonin reuptake inhibitors (SSRIs), such as Prozac (fluoxetine) and Zoloft (sertraline), are a class of antidepressants that are also used to treat anxiety and carry a low risk for dependence.10 Valium is a commonly abused drug, so rehab and detox centers are accustomed to managing cases of Valium dependence and addiction. If you find that important parts of your life, such as your job and relationships, are taking a backseat to your Valium addiction, it is time to seek help. You can recover from your Valium addiction regardless of how long you have been using. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Rehab Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Inpatient rehab Medication asssisted rehab Outpatient rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] Detox 24/7 detox hotlines Inpatient detox Outpatient detox Medical detox Dangers of detoxing at home The cost of detox [/accordion] More Information about Valium: Valium Information at a Glance Medication Name, Costs Class of Medicine Generic Name: Diazepam1 Generic Name Variations: Diazepam Intensol Drug Class: Benzodiazepine2 Brand Name: Valium, Diastat1 Function or Use: Used to treat anxiety, seizure disorders, status epilepticus, skeletal muscle spasm, spasticity associated with cerebral palsy, and alcohol withdrawal.2 Chemical Makeup: C16H13CIN2O2 System: Sedative2 Duration of Action: Long2 Form, Intake, and Dosage Interactions and Complications Drug Forms: (for Valium brand) Tablet1 Administration Routes: Oral1 Dosage: 2mg, 5mg, 10mg2 Overdose: Symptoms can include drowsiness, confusion, coma, and death.2  The risk of overdose increases when taking Valium with other central nervous system depressants like alcohol. Alcohol Interaction: Taking Valium with alcohol can result in oversedation and life-threatening respiratory depression.1 Prescription Medications: Consult your doctor before taking other prescription medications. Contraindications: Glaucoma, sleep apnea, severe respiratory insufficiency, severe hepatic insufficiency, and myasthenia gravis.2 Effects and Adverse Reactions Substance Abuse Nervous system: Drowsiness, fatigue, confusion, headache, slurred speech, tremor, dizziness2 Gastrointestinal: Nausea, constipation2 Psychiatric: Anxiety, restlessness, agitation, irritability, aggression, hallucinations, delusions, psychosis, insomnia, nightmares2 Other: Low blood pressure, changes in libido, urinary retention, incontinence, changes in salivation2 Risk of Substance Abuse: Valium is a Schedule IV drug with known abuse potential.2 Signs of Abuse: Physical dependence and withdrawal, overdose, continuing to use the drug despite negative consequences Physiological Problem Signs and Symptoms Dependence and Addiction Issues Withdrawal Syndrome Onset: N/A Withdrawal Symptoms: Dizziness, confusion, sensitivity to light and sound, anxiety, numbness, vomiting, headache, muscle pain, cramps, hallucinations, seizures.2 Tolerance: After an extended amount of time, your body will build up a tolerance to the benzodiazepine, which can result in the need to take more of the drug to feel the same effects.1 Cross Dependence: Benzodiazepines like Valium act on the same receptors as alcohol and barbiturates, which can lead to developing cross-tolerance to these other drugs.6 Physical Dependence: High risk for developing dependence and withdrawal, especially when taking the drug in high doses and for long periods of time.6 Psychological Dependence: High risk for becoming reliant on the drug to reduce anxiety.6 Legal Schedules and Ratings Controlled Substances Act Rating: Schedule IV2 [sources] U.S. National Library of Medicine. (2017). MedlinePlus, Diazepam. Genentech, Inc. (2016). Valium brand of diazepam tablets. National Institute on Drug Abuse. (2018). Misuse of prescription drugs. National Institute on Drug Abuse. (2017). Prescription depressant medications. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Longo, L. P., & Johnson, B. (2000). Addiction: Part I. Benzodiazepines- Side effects, abuse risk and alternatives. American Family Physician, 61(7), 2121-2128. Substance Abuse and Mental Health Services Administration. (2010). Substance abuse treatment advisory: Protracted withdrawal. Center for Substance Abuse Treatment. (2015).  Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment. Mee-Lee, D. (Ed.). (2013). The ASAM Criteria: Treatment for addictive, substance-related, and co-occurring conditions. Carson City, NV: The Change Companies. National Institute of Mental Health. (2016). Mental health medications. [/sources] ...

What is Klonopin (Clonazepam)? Klonopin, which is the brand name for clonazepam, belongs to a family of drugs known as benzodiazepines.1 This medication acts similarly to other benzodiazepines like Valium (diazepam), Xanax (alprazolam), and Ativan (lorazepam). Klonopin is commonly prescribed to treat seizures and panic disorder. It works by increasing the activity of gamma-aminobutyric acid (GABA), an inhibitory neurotransmitter that can slow abnormal electrical activity in the brain and is responsible for Klonopin’s calming effects.2,3 While Klonopin can be an effective and safe treatment for anxiety and seizure disorders if taken as prescribed, all benzodiazepines have a known potential for abuse, dependence, and addiction.2,3 Dependence may occur among regular prescription users, but those who abuse the drug (take more than prescribed or use it recreationally) may hasten the development of dependence and may also become addicted. Those addicted to Klonopin may find themselves unable to stop using despite being aware of the negative consequences that continued use brings. [accordion title="Other Types of Benzodiazepines"] Valium Xanax Lorazepam [/accordion] Klonopin Withdrawal Klonopin is a prescription drug with a high potential for abuse and dependence.1,2 Those who have developed some degree of dependence are likely to go through withdrawal when discontinuing the drug. Withdrawal refers to a set of symptoms that can develop when a person stops using or abruptly lowers the dose. Klonopin withdrawal symptoms can include anxiety, insomnia, shaking, and muscle aches and pains.2 Some people develop more serious symptoms, like seizures and delirium tremens.3,4 Because of these risks, Klonopin withdrawal can be dangerous if not properly treated. Detox and addiction treatment programs can help Klonopin users safely withdraw from the drug and minimize the chances of developing severe symptoms or complications. The severity of withdrawal may depend upon the length of use, the average dose being used, how abruptly the drug is discontinued, and personal factors, such as a person’s age and health. In order to minimize the risk of life-threatening symptoms like seizures, physicians usually recommend that people getting off benzodiazepines gradually lower their dose over an extended period of time, rather than stopping abruptly, in order to help their minds and bodies stable as they adjust to not having the drug. Klonopin Withdrawal Symptoms Some common symptoms of Klonopin withdrawal may include:2,4,5 Anxiety. Agitation. Panic attacks. Sensory hypersensitivity. Difficulty sleeping. Nightmares. Heart issues. Headaches. Muscle cramps. Sweating. Nausea. Stomach cramps. Tremors. Seizures. Delirium tremens. People undergoing Klonopin withdrawal may experience rebound anxiety or seizures since the drug is no longer available to inhibit abnormal excitatory activity in the brain.3,5 [self-assessment] How Long Does Klonopin Withdrawal Last? Klonopin withdrawal symptoms typically begin within 2 to 7 days of the last dose and can last for 2 to 8 weeks.6 While symptoms may resolve within 1 to 2 months, some people experience prolonged or protracted withdrawal symptoms, including anxiety, depressed mood, and insomnia.4,7 Protracted symptoms may fluctuate over time but typically resolve within a few months of complete abstinence.7 Withdrawal from benzodiazepines like Klonopin is considered dangerous because severe symptoms may develop quickly; in some cases, seizures may come on without being preceded by other symptoms of withdrawal.4,8 Klonopin-dependent individuals are advised to undergo a managed withdrawal, or detox with medical supervision,8 where a physician can monitor their health, perform a gradual taper if necessary, and manage symptoms. How Long Does It Take to Detox from Klonopin? It can take 3-5 weeks to detox from Klonopin while on a taper.7 Your doctor may slowly reduce your dose each week during this time. In general, slowly tapering off of the drug ensures a safer and less painful withdrawal than an abrupt cessation of the substance.6 During your taper, your symptoms may come and go or vary in intensity. Even when your taper is over, you may continue to experience some protracted withdrawal symptoms for several months. With continued abstinence, these symptoms should abate over time. Klonopin withdrawal can be a risky and painful process, but you do not have to go through it on your own. There are many detox options and programs available in your local area. It is never too late to seek help. Are There any Home Remedies for Getting Clean Safely? There are serious dangers to seeking home remedies as a natural alternative for Klonopin withdrawal. Trying to relieve yourself of the pains of withdrawal on your own can pose serious medical risks.4,8 The safest way to detox from Klonopin is under the care of a doctor, who can help you gradually taper off of the drug and give you the relief that you need. [vob-aktify-cta title="Does your insurance cover Klonopin detox?" subtitle="Check your coverage online or text us your questions for more information"] Klonopin Detox and Withdrawal Treatment There are several options available to help you safely and comfortably get through withdrawal.  The first step in getting help is speaking with a doctor or other treatment professional who can assess your risk for developing dangerous withdrawal symptoms and discuss treatment options. It is important to disclose any other drugs or alcohol that you are using, since this may impact your withdrawal, as well as the treatment approach.3 Inpatient hospitals can provide intensive medical treatment 24 hours a day for the duration of your stay. Doctors, nurses, and other medical professionals will closely monitor your symptoms and gradually taper you off of the drug. They may also prescribe other medications to alleviate certain withdrawal symptoms. Similar to inpatient hospitals, many stand-alone detox facilities provide 24-hour monitoring in a treatment facility. Some detox centers, called "social detox programs," do not provide medical treatment and only offer therapy sessions and support groups. Given the risks of Klonopin withdrawal, it is safest to detox in a facility that offers professional medical care.8 Some inpatient rehab programs will offer medical detox, as well as therapy and recovery meetings, to help you address your addiction. Outpatient detox. Unlike inpatient or residential programs, outpatient facilities allow you to come and go from the facility several times per week. Not everyone will be a good candidate for outpatient detox efforts. Given the risk of sudden onset of severe medical events, you may feel safer in an inpatient environment during at least the first few days of withdrawal.  Inpatient and residential programs—whether they are in hospitals, rehab centers, or stand-alone detox facilities—provide the most intensive monitoring and medical care and are therefore the safest option. Treatment for Klonopin Addiction While detox is an important and necessary step to withdraw from Klonopin, it does not address all the factors that contribute to and perpetuate a person's addiction. Many people transition from detox to an addiction treatment program to continue working on their recovery. During treatment, addiction professionals will help you work on areas of your life that may be triggering continued substance use, such as a stressful living situation, difficulties with school or work, a traumatic upbringing, ineffective coping skills, and/or mental health issues. Levels of Care Similar to detox programs, addiction treatment programs are available at different levels of care: Inpatient and residential rehab programs provide intensive therapy sessions focused on helping you better understand your addiction and learn new ways of coping. These programs also provide housing for the length of your stay and have support staff available 24 hours a day. Outpatient rehab programs offer a specific number of therapy sessions each week. The frequency of therapy sessions will vary based on the program and your needs. Partial hospitalization programs usually offer 20 or more hours of treatment per week, which may be broken up into 4 or 5 days.10 Intensive outpatient programs typically offer between 6 and 9 hours of treatment per week.10 Types of Therapy Family therapy and group counseling for addictions are also typically provided in both inpatient and outpatient programs: Family therapy will help you to resolve conflicts that may be causing ongoing stress and serving as relapse triggers. Group counseling provides a safe and supportive environment for sharing concerns, practicing stress management techniques, and engaging in role-playing scenarios. Cognitive-behavioral therapy (CBT) is an effective therapy for treating addiction to benzodiazepines like Klonopin.8 CBT can help you change negative thinking patterns and develop tools to manage your thoughts and feelings so that you are less likely to engage in unhealthy behaviors, like drug use. Some people who are addicted to Klonopin may suffer from anxiety, depression, or other mental health conditions.6 People with mental health issues who are withdrawing from Klonopin may benefit from dual diagnosis treatment, which is provided by psychiatric hospitals and residential or outpatient treatment facilities. These programs provide therapy sessions and groups that are focused on coping with both addiction and mental health issues. A dual diagnosis program can help you manage your mental health symptoms at the same time as you address your recovery from substance abuse. Leaving mental health issues unaddressed may lead to a relapse, as you may reach for substances to cope with lingering symptoms. Aftercare for Klonopin Addiction Toward the end of treatment, your therapists and counselors should help you create an aftercare plan, which is a detailed plan for how you will maintain your recovery when treatment is over. For some people, this may involve finding stable housing at a sober living facility, attending therapy each week, and reaching out to other sober people. Self-help groups can also be a part of an aftercare plan for people who are overcoming benzodiazepine dependence. These include 12-step groups, such as Narcotics Anonymous, and non-12-step groups, like SMART Recovery. While group counseling sessions are facilitated by treatment professionals, community-based support groups are conducted by other volunteers in recovery. Self-help groups can help you develop a sober support network and learn tools to maintain your sobriety. [accordion title="Rehab at American Addiction Centers"] Laguna Treatment Hospital Adcare - Boston Sunrise House Desert Hope Greenhouse Oxford Treatment Center Recovery First River Oaks [/accordion][accordion title="Rehab insurance coverage"] Ambetter American Family Beacon BHO Blue Cross Blue Shield Cigna Connecticare Geisinger HCSC Harvard Pilgrim Highmark Kaiser Permanente Magellan Magnacare Meritain Health Medicare and Medicaid Optum Oxford Health Providence Qualcare Sierra Health Tricare Triwest Tufts United Healthcare UPMC Zelis [/accordion][accordion title="Rehab near me"] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming [/accordion][accordion title="Rehab"] Choosing a rehab center Couples rehab Court ordered rehab COVID-19 and rehab Dual-diagnosis rehab Deciding you need rehab Helping a loved one go to rehab Medication asssisted rehab Preparing for rehab Relapse prevention State-funded rehab Teen rehab Veterans rehab [/accordion][accordion title="Detox"] 24/7 detox hotlines Inpatient detox Dangers of detoxing at home The cost of detox [/accordion] [accordion title="More About Klonopin"] Klonopin Information at a Glance Medication Name, Costs Class of Medicine Generic Name: Clonazepam1 Brand Name: Klonopin1 Used to Treat Addiction? No. However, clonazepam is sometimes used to manage withdrawal from shorter-acting benzodiazepines and other sedative-hypnotic drugs.8 Function or Use at Low Dose: To treat panic disorder2 Function or Use at High Dose: To control epileptic seizures2 Chemical Makeup: Clonazepam C15H10ClN3O32 Duration of Action: Long4 Form, Intake and Dosage Interactions and Complications Drug Forms: Tablet, Disintegrating wafer1 Administration Routes: Oral1 Dosage: May vary depending upon diagnosis and age2 Overdose: Symptoms can include drowsiness, confusion, weakened reflexes, and coma2 Alcohol Interaction: Taking Klonopin with alcohol is not recommended.1 Prescription Medications: Tell your doctor if you are taking other prescription medications.1 Contraindications: Liver disease, acute narrow-angle glaucoma, history of sensitivity to benzodiazepines2 Effects and Adverse Reactions Substance Abuse Cardiovascular: Heart palpitations2 Gastrointestinal: Weight gain or loss, increased appetite, nausea, constipation, diarrhea, gastritis, dry mouth, sore gums, coated tongue2 Urinary: Painful or difficult urination, urinary retention, involuntary urination2 Other: Muscle weakness and pain, dehydration, fever, swelling of the lymph nodes, anemia, enlargement of the liver, lowered white blood cell or platelet count2 Risk of Substance Abuse: Yes4 Signs of Abuse: Misusing the drug by taking more than prescribed or taking it without a prescription Physiological Problem Signs and Symptoms Dependence and Addiction Issues Withdrawal Syndrome Onset: Within 2-7 days of the last dose6 Withdrawal Symptoms: Nausea, vomiting, shakiness, tremors, heart palpitations, dizziness, anxiety, tension, difficulty concentrating, panic attacks, depression, confusion, insomnia, sweating, muscle pain, stiffness, cramping, increased heart rate and blood pressure, hallucinations, seizures2,4,5 Tolerance: Over time, you may need more of the drug to continue to feel the same effects3 Cross-dependence: Cross-dependence may develop with alcohol, barbiturates, and other sedative-hypnotic medications.4 Physical Dependence: Your body may experience withdrawal symptoms upon cutting back or quitting3,4,6 Psychological Dependence: You may become dependent on Klonopin to manage anxiety and may experience rebound anxiety when the drug is stopped4 Legal Schedules and Ratings Controlled Substances Act Rating: Schedule IV2 [/accordion] [sources] U.S. National Library of Medicine. (2017). Clonazepam. Genentech, Inc. (2017). Klonopin tablets (clonazepam). National Institute on Drug Abuse. (2018). Misuse of prescription drugs. Longo, L. P., & Johnson, B. (2000). Addiction: Part I. Benzodiazepines- Side effects, abuse risk and alternatives. American Family Physician, 61(7), 2121-2128. Petursson, H. (1994). The benzodiazepine withdrawal syndrome. Addiction, 89(11), 1455-1459. Dolan, K. (2010). Clinical guidelines for withdrawal management and treatment of drug dependence in closed settings. Addiction, 105(7), 1318. Substance Abuse and Mental Health Services Administration. (2010). Substance abuse treatment advisory: Protracted withdrawal. Center for Substance Abuse Treatment. (2015). Detoxification and substance abuse treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment. National Institute on Drug Abuse. (2018). Commonly abused drugs. Mee-Lee, D. (Ed.). (2013). The ASAM Criteria: Treatment for addictive, substance-related, and co-occurring conditions. Carson City, NV: The Change Companies. [/sources] ...