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Dr. Vikas
Dr. Vikas, Doctor
Category: Medical
Satisfied Customers: 2239
Experience:  MBBS; MD
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Im withdrawing clonazepam. My psychiatrist prescribed gabapentin.

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I'm withdrawing clonazepam. My psychiatrist prescribed gabapentin. I'm taking 200mgs per day. It is'nt helping much. Further, I've read that it can cause chills which I have. Do I have to taper off this drug or can I just stop.

Dr Vikas :

Hello

Customer:

Hi

Dr Vikas :

Discontinuation symptoms / withdrawal symptoms are relatively uncommon with this medicine but it is always better to taper it down.

Dr Vikas :

Hi

Customer:

How would I taper down on 200mgs per day.

Dr Vikas :

A possible strategy to taper it down can be to start reducing the dose by 50 mg per 3-5 days till a patient is able to stop it completely.

Dr Vikas :

please take your doctor consent before doing this as he should be aware of your decision.

Customer:

I have 100mg tablets. Would you open the capsules?

Dr Vikas :

you have tablet or capsule?

Customer:

capsules

Dr Vikas :

ok, you must be having capsules

Customer:

yes

Dr Vikas :

in that case, another possible option could be to reduce the dose to 100 mg, take it for 4-5 days then start taking 100 mg on alternate days for another 3-5 days followed by discontinuation.

Customer:

Ok. Can gabapentin cause chills compounding the withdrawal from clonazepam?

Dr Vikas :

We sometimes add Gabapentin to augment the effect of Benzodiazepines like Clonazepam.

Customer:

Does this mean that the augmentation increase the potentcy of clonazepam?

Dr Vikas :

well not exactly because the mechanism of action of these two medicines are totally different. Gabapentin can be used as an additional medicine for controlling anxiety.

Customer:

In my case, it is being used to help with the side effects of clonazepam

Dr Vikas :

It depends on the personal experience of the treating doctor also.

Customer:

What does?

Dr Vikas :

may be your doctor has good experience of managing Clonazepam side effect by adding Gabapentin.

Customer:

When you recommend tasking gabapentin on alternate 3 to 5 days, does this taking the drug 3 to 5xs on alternate days?

Dr Vikas :

No, a patient who is taking 200 mg of Gabapentin can taper it down by reducing the dose to 100 mg per day, start taking 100 mg for 5 days followed by taking 100 mg on every alternate day for next 4 days followed by discontinuation.

Customer:

Have you ever used gabapentin to help with clonazepam withdrawal?

Dr Vikas :

not exactly for Clonazepam withdrawal but we have used it in combination with Clonazepam in patients who want to taper Clonazepam but still need an anti anxiety medicine.

Dr Vikas :

most patient respond well to this combination.

Customer:

Will withdrawal from gabapentin in conjunction with coming off clonazepam cause a complication

Dr Vikas :

I don't think so.

Dr Vikas :

As I mentioned before, discontinuation symptoms are relatively uncommon while tapering down Gabapentin and you will be tapering it down very slowly also.

Dr Vikas :

Just take your doctor consent before tapering it down please.

Customer:

Will do!

Dr Vikas :

Thanks

Customer:

Thank you for the help.

Dr Vikas :

You are most welcome.

Dr Vikas :

Thanks for coming to JA.

Dr Vikas :

Kind regards

Dr Vikas :

Vikas

Dr Vikas :

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