Klonopin Withdrawal Timeline
By virtue of being a long-acting benzodiazepine, the onset of withdrawal symptoms generally occurs between 2-7 days after abstinence from Klonopin use. The symptoms generally peak two weeks after discontinuation of Klonopin and last until four weeks. However, due to the longer half-life of Klonopin, these withdrawal symptoms may last until eight weeks. Some symptoms, including anxiety and depression, may persist beyond this acute withdrawal phase.
Early Withdrawal
The early period lasting between 1-4 days after discontinuation of drug use is characterized by symptoms such as anxiety, insomnia, agitation, and restlessness. Clonazepam is used for treating symptoms of anxiety and insomnia and some have argued that during this early rebound phase, these symptoms tend to re-emerge. These rebound symptoms tend to be more severe relative to their levels before initiation of treatment with Klonopin.
Acute Withdrawal
The acute withdrawal generally occurs between 2-7 days and may last between 2-8 weeks. The symptoms experienced during this phase are due to the actual physical dependence on clonazepam. The symptoms observed during the rebound phase may be observed even after intake of Klonopin for a short duration and in the absence of physical dependence on the drug.
Related Topic: Benzo Withdrawal Symptoms
In most cases, the symptoms experienced during this phase cause significant discomfort but are not life-threatening. These include:
- Muscle cramps
- Headaches
- Severe sleep disturbances
- Difficulty concentrating
- Palpitations
However, there are instances where Klonopin withdrawal can result in life-threatening symptoms such as seizures and psychotic behavior. Delirium and agitation present during a psychotic episode may lead to harm to others or suicidal ideation and behaviors.
Post-Acute Withdrawal Syndrome (PAWS)
Some symptoms of Klonopin withdrawal may persist until months after the acute withdrawal phase. This post-acute or protracted withdrawal phase consists of symptoms of anxiety, tinnitus, headache, dizziness, paraesthesia, and depression.