I was using clonazepam for about 6 months in "as needed" fashion approx. 0,2-0,4 mg daily. Several months ago I decided to stop using it, but some mild to medium withdrawal symptoms occurred after several days of stopping. Previous to this I was long time clonazepam user used it for about 15 years in doses from 2 mg daily (first years of usage) to 0.5 mg daily (all the remaining time except first years). I remember I was quite difficult for me to withdraw the drug, the first panic attacks occurred during this time, but I was able to stop the drug during very slow water titration in about a year.
I want to add my daily dosage of a drug. Again, I am using it as needed, sometimes I am able to be with no drug a day or even two days, but after this mild to medium symptoms of anxiety, some derealization, dissociation and pre-panic state hit me. In this paper you see my daily dosages of clonazepam. I am stuck at about 0,15-0,25 mg/day average, with average dose in last days tending to be <0,15 mg/day.
According to Ashton benzo taper manual and converting clonazepam to diazepam as 1 mg to 20 mg, it seems I am using an equivalent dose of 3-5 mg of diazepam. Ashton recommends tapering low doses of diazepam reducing its dose by 1 mg every 1-2 weeks. According to this in worst case (2 weeks for 1 mg diazepam reduce) I need to taper about 0,05 mg of clonazepam in 2 weeks or 0,1 mg in a month.
Most users think 0,1-0,2 mg of a clonazepam is very small amount (maybe due to it is a fraction of a huge 2 mg tablet, almost impossible to be properly cut). My question is about the threshold dose of clonazepam, what is the smallest dose of a drug which produces any noticeable effect? Is <0,15 mg dose noticeable (for non tolerant user)?
Also, what do you think, maybe there is no need to withdraw using the drug on "as needed" basis, maybe just to take the same amount every day and reduce the dose after week-two? "As needed" method allows me to achieve lower daily dosages, but also decreases stability in plasma concentration. Every day usage will slightly increase the amount of drug, but the plasma concentration will be more stable.
Also I need to add I am on 60 mg a day duloxetine now for about a year.
Any advices?
I want to add my daily dosage of a drug. Again, I am using it as needed, sometimes I am able to be with no drug a day or even two days, but after this mild to medium symptoms of anxiety, some derealization, dissociation and pre-panic state hit me. In this paper you see my daily dosages of clonazepam. I am stuck at about 0,15-0,25 mg/day average, with average dose in last days tending to be <0,15 mg/day.
According to Ashton benzo taper manual and converting clonazepam to diazepam as 1 mg to 20 mg, it seems I am using an equivalent dose of 3-5 mg of diazepam. Ashton recommends tapering low doses of diazepam reducing its dose by 1 mg every 1-2 weeks. According to this in worst case (2 weeks for 1 mg diazepam reduce) I need to taper about 0,05 mg of clonazepam in 2 weeks or 0,1 mg in a month.
Most users think 0,1-0,2 mg of a clonazepam is very small amount (maybe due to it is a fraction of a huge 2 mg tablet, almost impossible to be properly cut). My question is about the threshold dose of clonazepam, what is the smallest dose of a drug which produces any noticeable effect? Is <0,15 mg dose noticeable (for non tolerant user)?
Also, what do you think, maybe there is no need to withdraw using the drug on "as needed" basis, maybe just to take the same amount every day and reduce the dose after week-two? "As needed" method allows me to achieve lower daily dosages, but also decreases stability in plasma concentration. Every day usage will slightly increase the amount of drug, but the plasma concentration will be more stable.
Also I need to add I am on 60 mg a day duloxetine now for about a year.
Any advices?
