A member asked:

I am on klonopin 1 mg and slowly titrating down, just went down 2 days ago from 0.375 mg to 0.25 mg. the 0.25 mg pills are the odt version. i am having terrible panic attacks- neck tightness/ pins/ needles / shaky, could this occur from that change?

2 doctors weighed in across 2 answers

You need a medicine to manage - really, prevent - panic attacks before reducing clonazepam.

Answered 1/20/2022

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Agree with Dr Smith, and would have your doctor use medication at this point to mitigate the emerging symptoms from the benzodiazepine taper. Once stabilized, would suggest aiming at long-term control. Start cognitive-behavioral therapy and biofeedback therapy, and learn techniques to enhance control and coping. At the least, with such skills, doses of medication can be far lower.

Answered 1/20/2022

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