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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Been Taking Clonazepam For Depression, Anxiety And High BP. Should I Switch To Escitalopram Or Metoprolol?

Hi! I am depressed and anxious and have high blood pressure. I have been on clonazepam for two years it helps me sleep but I still do not feel right. Dr. switched me to Escitalopram and metoprolol. I am more anxious and feel like crap how should I ween off the Clonazepam to feel less effects?
Tue, 3 Dec 2013
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Psychiatrist,  's  Response
Greetings !

Well to wean off clonazepam you got to ask your doctor to reduce 0.25 mg dose every 5 days until you reach a total daily dose of 0.25 mg and then start taking the same 0.25 mg dose every alternate day for 1 week and thereafter taking the same 0.25 mg dose once in every 3 days for 15 days and then stop the drug completely.

Yes escitalopram and metoprolol is a better combination than clonazepam both in terms of efficacy against depression, anxiety and hypertension as well in terms of side effects.

I hope this helps.

Wish you all the best.

Regards.
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Have Been Taking Clonazepam For Depression, Anxiety And High BP. Should I Switch To Escitalopram Or Metoprolol?

Greetings ! Well to wean off clonazepam you got to ask your doctor to reduce 0.25 mg dose every 5 days until you reach a total daily dose of 0.25 mg and then start taking the same 0.25 mg dose every alternate day for 1 week and thereafter taking the same 0.25 mg dose once in every 3 days for 15 days and then stop the drug completely. Yes escitalopram and metoprolol is a better combination than clonazepam both in terms of efficacy against depression, anxiety and hypertension as well in terms of side effects. I hope this helps. Wish you all the best. Regards.