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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 21295
Experience:  MD
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My sister was on 1 mg of Klonopin, .5 2x a day. Due to muscle

Resolved Question:

My sister was on 1 mg of Klonopin, .5 2x a day. Due to muscle weakness, her doctor decided to switch her to Valium, 10 ml, 2 in a.m., 2 p.m. and 4 at night to sleep.
These drugs are for Panic Attacks.

After 2 days on the valium, she is shaking uncontrollably in the afternoon, almost like a tremor, and she can't control it. Is this withdrawal from the Klonopin? Her doctor said she shouldn't have any withdrawal, but there seems to be no other way to explain this extreme shakiness.

What are your thoughts?
Submitted: 9 months ago.
Category: Health
Expert:  Dr Basu replied 9 months ago.

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

Muscular shaking can be due to the MS as well.

Dr. D.J. :

Klonopin withdrawal should not be present since your sister is on high dose of valium.

Dr. D.J. :

This can be due to the different issue from panic disorder.

Dr. D.J. :

Muscular disease from MS can cause this.

Dr. D.J. :

It is better to see her neurologist and discuss this issue.

Dr. D.J. :

If she is not drowsy during daytime, then the valium dose can be increased or a muscle relaxant like baclofen can be added to control her shakiness.

Dr. D.J. :

Best wishes,

Expert:  Dr Basu replied 9 months ago.
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Expert:  Dr Basu replied 9 months ago.
Dr. D.J. : The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Dr. D.J. : Hi there,
This is Dr. D.J., experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
Dr. D.J. : Muscular shaking can be due to the MS as well.
Dr. D.J. : Klonopin withdrawal should not be present since your sister is on high dose of valium.
Dr. D.J. : This can be due to the different issue from panic disorder.
Dr. D.J. : Muscular disease from MS can cause this.
Dr. D.J. : It is better to see her neurologist and discuss this issue.
Dr. D.J. : If she is not drowsy during daytime, then the valium dose can be increased or a muscle relaxant like baclofen can be added to control her shakiness.
Dr. D.J. : Best wishes
Customer: replied 9 months ago.


We wonder if it is just anxiety making her shake, phychological so to speak. It comes and goes. She was just at the neurologist in September who says she is doing good. She can really work herself up. We really don't want to increase the valium, she'll just need more and more, and the withdrawal is awful. I wish there was a way to reduce her panic attacks besides drugs.


 

Expert:  Dr Basu replied 9 months ago.
Ok.
That is possible if neurologist thinks she is doing well.
Panic disorder can be severe sometimes.
Yes, it is better to try without increasing the valium dose by psychotherapy and biofeedback mechanisms to control her shakiness.

Best wishes
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 21295
Experience: MD
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