Withdrawal Symptoms After Stopping Psychiatric Medications - Psychiatry

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Discontinuation of medication?


I have been off medication for three weeks after tapering down, and I often experience sudden dizziness and tingling sensations that then return to normal.
(I was taking Rifampicin and Clonazepam.) PS.
My doctor has approved the discontinuation of the medication.
Is this normal? How long might it last? Thank you for your response.

AE, 30~39 year old female. Ask Date: 2009/03/17

Dr. Zheng Jingming reply Psychiatry


Long-term use of Rifampicin may lead to withdrawal symptoms, and there is also a possibility of experiencing withdrawal symptoms with long-term use of Clonazepam.
Regarding your mention of "sudden dizziness and tingling sensations followed by a return to normal," I am uncertain if this is a withdrawal symptom.
I recommend returning to your original treating physician for a follow-up consultation.
Zheng Jingming

Reply Date: 2009/03/17

More Info


Withdrawal symptoms after stopping psychiatric medications can be a challenging experience, and it's important to understand what you might be going through. When you stop taking medications like Rifampicin (利福全) and Clonazepam (克憂服), your body may react in various ways as it adjusts to the absence of these drugs.
Both Rifampicin and Clonazepam have different mechanisms of action and potential withdrawal effects. Rifampicin is primarily an antibiotic used for tuberculosis and other bacterial infections, while Clonazepam is a benzodiazepine that is often prescribed for anxiety and seizure disorders. Stopping Clonazepam can lead to withdrawal symptoms because it affects the central nervous system and can create physical dependence, especially if taken for an extended period.

Common withdrawal symptoms from benzodiazepines like Clonazepam include:
1. Anxiety and Panic Attacks: As your body adjusts to the absence of the medication, you may experience increased anxiety or even panic attacks.

2. Dizziness and Lightheadedness: Many individuals report feelings of dizziness, lightheadedness, or a sensation of being off-balance.

3. Numbness or Tingling: Some people experience paresthesia, which is a tingling or numb sensation in various parts of the body.

4. Sleep Disturbances: Insomnia or disrupted sleep patterns are common after stopping benzodiazepines.

5. Physical Symptoms: You might also experience muscle aches, fatigue, or gastrointestinal issues.

The duration of withdrawal symptoms can vary significantly from person to person. Factors that influence this include the duration of medication use, the dosage, individual physiology, and whether the medication was tapered off gradually or stopped abruptly. Generally, withdrawal symptoms can last from a few days to several weeks, but in some cases, they may persist for months, especially if the medication was used for a long time.

Since you mentioned that your doctor has approved the cessation of these medications, it is crucial to maintain open communication with them regarding your symptoms. If the dizziness and tingling sensations persist or worsen, or if you experience any new or concerning symptoms, it is essential to reach out to your healthcare provider for further evaluation and support.

In the meantime, here are some strategies that may help alleviate withdrawal symptoms:
1. Stay Hydrated: Drink plenty of water to help your body flush out toxins and stay hydrated.

2. Balanced Diet: Eating a nutritious diet can support your overall health and may help mitigate some withdrawal symptoms.

3. Regular Exercise: Engaging in light physical activity can improve mood and reduce anxiety.

4. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, or yoga can help manage anxiety and promote relaxation.

5. Sleep Hygiene: Establishing a regular sleep routine can help improve sleep quality.

Remember, while experiencing withdrawal symptoms can be distressing, they are often temporary. With time and appropriate support, many individuals find that their symptoms gradually improve. If you have concerns about your symptoms or the duration of withdrawal, do not hesitate to consult your healthcare provider for guidance tailored to your specific situation.

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