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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Prescribe The Dosage Of Clonazepam For Alchohol Withdrawal

HI I am currently in the first 24hrs of alcohol withdrawal I have been taking clonazepam to help I have taken 2mg today 1mg around 12 and another around 5pm. A friend of mine also gave me an herbal help called krampton Since taking it I have looked online trying to learn more i Took 5 grams with my clonazepam at 5 pm. I am no longer going to take any more of the krampton. would it be dangerous to take another .5-1mg of clonazepam around 10:30 pm
Sat, 10 Feb 2018
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Psychiatrist,  's  Response
hi sir

I have gone through your question and understand your concerns.As per the limited history you provided , i think your in alcohol dependence and presently in withdrawal state.

withdrawal state will have symptoms like tremors, sleep disturbances, mood swings, anger spells, palpitations. if not treated abruptly, you enter into complicated withdrawal features involving hallucinations, fit episodes and finally into delirium states.

if i were your treating psychiatrist, i would recommend you to start with benzodiazepines like chlordiazepoxide. Dose based on daily consumption of alcohol. It varies from 50mg to 150mg and gradually taperd in 2-3 weeks.You said that your using clonazepam. Its ok to use the drug but preferred choice is chlordiazepoxide.

At the same time, i also recommend you to investigate for liver function tests like S.BILIRUBIN, SGOT,SGPT,ALP. Because, in chronic alcoholics, liver is most commonly involved. If liver enzymes got raised, we should be cautious in dosing of benzodiazepines.
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Prescribe The Dosage Of Clonazepam For Alchohol Withdrawal

hi sir I have gone through your question and understand your concerns.As per the limited history you provided , i think your in alcohol dependence and presently in withdrawal state. withdrawal state will have symptoms like tremors, sleep disturbances, mood swings, anger spells, palpitations. if not treated abruptly, you enter into complicated withdrawal features involving hallucinations, fit episodes and finally into delirium states. if i were your treating psychiatrist, i would recommend you to start with benzodiazepines like chlordiazepoxide. Dose based on daily consumption of alcohol. It varies from 50mg to 150mg and gradually taperd in 2-3 weeks.You said that your using clonazepam. Its ok to use the drug but preferred choice is chlordiazepoxide. At the same time, i also recommend you to investigate for liver function tests like S.BILIRUBIN, SGOT,SGPT,ALP. Because, in chronic alcoholics, liver is most commonly involved. If liver enzymes got raised, we should be cautious in dosing of benzodiazepines.