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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Anxiety When On Klonopin?

I am experiencing sleeplessness. I am presently on zoloft 50mg and Klonopin 1.5 mg. My internist told me to increase the klonopin to 3mg. 1mg at breakfast, 1mg at lunch and 1mg at bedtime I feel that this is too much as I am experiencing anxiety and some shakiness. Also, I understand Klonopin can be addicting and loses its potency over time.
Fri, 21 Mar 2014
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Psychiatrist 's  Response
Welcome to hcm!

You are taking Zoloft for the anxiety and depression but I do t think it is well controlled with 50 mg and so, you have been advised to increase klonopin. I do not feel that this will be the correct way to handle the situation as increasing klonopin will not help the real purpose of handling the illness effectively.

What should be done in such case is -- that the dosage if sertraline should be increased to 75-100 mg and then if required to 150 mg daily. This will help to handle the illness and is also not addictive like klonopin. once the illness is well controlled for some time , we should plan to reduce the dosage of Zoloft.

moreover, once we increase the Zoloft, then need to take klonopin also reduces , or may even be not needed at all after some days.
Do get your blood test done, and check your blood pressure. Sleeplessness can be handled by taking zolpidem at night time in spite of klonopin , as this is non addictive in nature.

Hope this helps you,

Pelase feel free to ask more questions for further clarification
Dr. Manisha Gopal
MD Psychiatry


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What Is The Cause Of Anxiety When On Klonopin?

Welcome to hcm! You are taking Zoloft for the anxiety and depression but I do t think it is well controlled with 50 mg and so, you have been advised to increase klonopin. I do not feel that this will be the correct way to handle the situation as increasing klonopin will not help the real purpose of handling the illness effectively. What should be done in such case is -- that the dosage if sertraline should be increased to 75-100 mg and then if required to 150 mg daily. This will help to handle the illness and is also not addictive like klonopin. once the illness is well controlled for some time , we should plan to reduce the dosage of Zoloft. moreover, once we increase the Zoloft, then need to take klonopin also reduces , or may even be not needed at all after some days. Do get your blood test done, and check your blood pressure. Sleeplessness can be handled by taking zolpidem at night time in spite of klonopin , as this is non addictive in nature. Hope this helps you, Pelase feel free to ask more questions for further clarification Dr. Manisha Gopal MD Psychiatry