Many patients and even prescribers do not realize clonazepam can be tapered or stopped with 0.125 or 0.25 dissolvable wafers. Patients who have tried to decrease by breaking their 1 or 0.5 mg tablets into pieces, getting inconsistent doses and larger decreases than they can tolerate, may benefit from utilizing these wafers to make calculated and very small drops in dose. If a patient wants to make even smaller decreases, they can utilize a compounding pharmacy to create tablets with 0.05 or 0.1 mg exact adjustments.
Do not increase, decrease, start or stop a medication without speaking directly with your provider.
Dr. Pagnani is the Medical Director of Rittenhouse Psychiatric Associates in Philadelphia, an Instructor at The Johns Hopkins Hospital and he supervises psychiatric residents at Jefferson Hospital. www.RittenhousePA.com or visit @RittenhousePsych for 100's of educational mental health videos.
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