AlsoTapered
Bluelighter
I'm still in the dark as to why doctors in the US appear to use clonazepam for so many indications. In the UK it's only indication is myoclonus.
BUT the PDR doesn't rule out clonazepam + hydrocodone:
Acetaminophen; Hydrocodone: (Major) Concomitant use of opiate agonists with benzodiazepines may cause respiratory depression, hypotension, profound sedation, and death. Limit the use of opiate pain medications with benzodiazepines to only patients for whom alternative treatment options are inadequate. If concurrent use is necessary, use the lowest effective doses and minimum treatment durations needed to achieve the desired clinical effect. If hydrocodone is initiated in a patient taking a benzodiazepine, reduce initial dosage and titrate to clinical response; for hydrocodone extended-release products, initiate hydrocodone at 20% to 30% of the usual dosage. If a benzodiazepine is prescribed for an indication other than epilepsy in a patient taking an opiate agonist, use a lower initial dose of the benzodiazepine and titrate to clinical response. Educate patients about the risks and symptoms of respiratory depression and sedation. Avoid opiate cough medications in patients taking benzodiazepines.
I believe that clobazam was introduced into the UK pharmacopeia because it has limited sedative side-effects (and a plateau in it's effects). Certainly it was ignored when I was first prescribed codeine and later oxycodone. But maybe my doctor was simply incompetent? Multiple subsequent mistakes makes me question their competence.
BUT the PDR doesn't rule out clonazepam + hydrocodone:
Acetaminophen; Hydrocodone: (Major) Concomitant use of opiate agonists with benzodiazepines may cause respiratory depression, hypotension, profound sedation, and death. Limit the use of opiate pain medications with benzodiazepines to only patients for whom alternative treatment options are inadequate. If concurrent use is necessary, use the lowest effective doses and minimum treatment durations needed to achieve the desired clinical effect. If hydrocodone is initiated in a patient taking a benzodiazepine, reduce initial dosage and titrate to clinical response; for hydrocodone extended-release products, initiate hydrocodone at 20% to 30% of the usual dosage. If a benzodiazepine is prescribed for an indication other than epilepsy in a patient taking an opiate agonist, use a lower initial dose of the benzodiazepine and titrate to clinical response. Educate patients about the risks and symptoms of respiratory depression and sedation. Avoid opiate cough medications in patients taking benzodiazepines.
I believe that clobazam was introduced into the UK pharmacopeia because it has limited sedative side-effects (and a plateau in it's effects). Certainly it was ignored when I was first prescribed codeine and later oxycodone. But maybe my doctor was simply incompetent? Multiple subsequent mistakes makes me question their competence.