Klonopin for social anxiety disorder: side effects and interactions

Klonopin (clonazepam) is a medicine used to treat panic disorder and epilepsy. It is also used in various other anxiety-related diseases and is sometimes prescribed as a second-line treatment for social anxiety disorder (SAD). It belongs to a class of drugs called benzodiazepines. Klonopin is available in tablet form and wafer form (oral disintegrant), available in strengths of 0.5 mg, 1 mg and 2 mg.

If your doctor prescribes Klonopin, you may have a lot of problems and may even have some concerns. It is important that you understand how the medicine works and how it becomes part of your treatment plan.

As with any medication, you also need to understand the risks of taking it, as well as more information about your diet, other medications that may affect its effects or cause health complications.

How Klonopin treats SAD

Social anxiety disorder, formerly known as social phobia, is a mental health disorder in which someone feels intense anxiety in social situations or situations related to social situations. This may cause the person to avoid these situations.

For example, when speaking to others, people with SAD may feel extreme anxiety or panic, which may cause sweating and rapid heartbeat or physical symptoms. People with SAD are excessively afraid of being judged, viewed negatively, embarrassed or humiliated.

Benzodiazepines, such as Klonopin, slow down the electrical activity in the brain. This is why they are often used to treat anxiety disorders. Klonopin acts quickly on social anxiety symptoms, but other potential benefits of the drug may take longer to appear.

It is not clear how Klonopin reduces panic, but it is thought to be related to the activation of an inhibitory neurotransmitter called gamma-aminobutyric acid (GABA). Benzodiazepines calm the brain by binding to GABA receptors.

In the treatment of SAD, benzodiazepines are usually taken together with antidepressants such as selective serotonin reuptake inhibitors (SSRI). These antidepressants are considered first-line treatments for SAD. If a person with SAD alone does not respond well to SSRI, Klonopin can be added.

Because it works quickly, Klonopin can be used when needed, such as when performance anxiety occurs—for example, before someone gives a big speech or meets many new friends. Since benzodiazepines and other anti-anxiety drugs have a risk of dependence, doctors may only prescribe them in a short period of time.


You should always discuss your medical history with your doctor and work with them to find a treatment that is right for you. People with certain diseases or in specific conditions that affect their health may not be able to take Klonopin or need to take preventive measures.

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You should not take Klonopin if you have:

  • History of allergies to benzodiazepines (such as Ativan, Xanax, or Valium)
  • Have obvious liver disease
  • Has been diagnosed as acute narrow-angle glaucoma

Talk to your doctor about Klonopin and any precautions you should know, especially if you:

  • Have respiratory diseases or any lung problems
  • Have depression or have a history of depression
  • Have or have had suicidal thoughts and behaviors
  • Are or plan to become pregnant; are or plan to start breastfeeding
  • Have any kidney or liver problems
  • Be diagnosed with porphyria
  • Younger than 18 years old or older than 64 years old

Klonopin can increase depression symptoms in some people. If you have a history of depression, you need to be closely monitored by the doctor who prescribes you.

side effect

The side effects associated with Klonopin are usually dose-dependent, which means that the more a person takes, the more likely they are to experience side effects. Minor side effects usually disappear after a few days or weeks.

Common side effects

The most common adverse reactions people encounter when taking Klonopin include:

  • Lethargy
  • Dizziness
  • Coordination and walking problems
  • Cognitive impairment
  • Frustrated

Other side effects of Klonopin include:

  • Blurred vision
  • Changes in libido or sexual performance
  • Frequent urination
  • Increased saliva production
  • Muscle or joint pain
  • Unstable
  • Sinus or respiratory problems

After you start using Klonopin, your doctor will follow up with you and ask how you feel since you started taking it. This conversation will help them determine the effectiveness of medications for your symptoms and give you the opportunity to tell them about any side effects. Then your doctor can decide if your dose needs to be adjusted.


Some of the potential side effects of Klonopin are serious and even life-threatening. If you take Klonopin with alcohol, illegal drugs, or certain other drugs (such as opioid pain relievers), it increases your risk of serious side effects. If a person taking Klonopin develops the following symptoms, seek immediate medical attention:

  • Extreme drowsiness, loss of consciousness, or unresponsiveness. These may be signs that someone has taken too much Klonopin or mixed it with another drug or substance that caused the reaction.
  • Difficulty breathing, skin rash, hives, and swelling of the face, throat, and eyes. These may be signs of an allergic reaction.

Although not common, Klonopin can also cause suicidal thoughts and thoughts. If there are any atypical changes in your behavior or mood, please contact your doctor immediately, such as:

  • Sleep problems or insomnia
  • New or worsening anxiety or depression
  • Thinking of death

Warning and interaction

When you take Klonopin, it is important to understand its risks. For example, it may be addictive and may be abused, which is why it is classified as a controlled substance.

In 2020, the FDA updated the black box warnings for benzodiazepines to indicate the possibility of addiction, dependence, abuse, and withdrawal.

In addition, if you take other medicines besides Klonopin, you should understand how these medicines affect each other. Interactions between drugs can be mild, moderate, or severe, and are not limited to prescription drugs.

You also need to be aware of any over-the-counter products, herbs, or supplements that are unsafe to take with Klonopin. If you are not sure whether it is safe to take Klonopin medicines or supplements, please consult your doctor or pharmacist.

Related risks

Klonopin has serious risks of abuse, abuse and addiction. This can lead to drug overdose and even death-especially when other substances are used at the same time, such as opioids or alcohol.

There is also a risk of physical and psychological dependence when taking Klonopin. Taking drugs daily for more than two weeks increases the risk of physical dependence.

Stopping Klonopin suddenly can cause withdrawal symptoms, such as seizures, which can be life-threatening. If you want to reduce or stop your dose, please consult your doctor. They can instruct you to slowly reduce your medications over time. This method is called tapering.

Even if you are experiencing side effects, don’t stop taking Klonopin suddenly without talking to your doctor.

Older people may be more prone to drug side effects, including side effects that are common when using benzodiazepines. The risk of falls and negative cognitive effects in the elderly is also increased.

When you start taking Klonopin, avoid activities that may be dangerous to you or others until you adjust to the medication. Wait until you know how it feels to take it and how it affects your body:

  • drive
  • Operating heavy machinery
  • Participate in any potentially dangerous activities


When combined with Klonopin, multiple types or categories of prescription drugs should be used with caution. These include:

Several specific prescription drugs are known to interact with Klonopin. These drugs can change the amount of Klonopin in your body and the effects of the drugs.Possible drugs Increase The levels and effects of Klonopin include:

Possible drugs reduce The levels and effects of Klonopin include:

  • Dilantin (phenytoin)
  • Phenobarbital
  • Ticagrelol (carbamazepine)

Some people with social anxiety disorder also take antidepressants.You should know that monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants (TCA) can improve The inhibitory or sedative effect of Klonopin.

If Klonopin is used in combination with other drugs or alcohol, their effects may be exacerbated. Make sure to tell your doctor about all the medicines you take and any substances you use—including any over-the-counter products, herbs, and supplements.

Over-the-counter drugs and supplements

Over-the-counter (OTC) medications or herbal supplements or remedies may interact with Klonopin. Examples include:

  • Antihistamines
  • Drugs that relieve cold, cough, and flu symptoms, especially those that contain certain ingredients, such as dextromethorphan
  • Kava kava
  • Magnesium Sulfate (Epsom Salt)
  • Proton Pump Inhibitor (PPI)
  • St. John’s Wort
  • Sleep aids, including alternative therapies containing valerian
  • Tagamet HB (Cimetidine)

In addition, grapefruit juice may pose risks. Grapefruit contains compounds that can change the way certain drugs work. You may not have to give up completely, but your doctor may recommend that you limit the amount you have. Contact them to see if you should avoid it while taking Klonopin.

Dispose of correctly

If you have medicine that you don’t need, make sure you know how to dispose of it properly. Prescription drugs do not have to be thrown in the trash can or flushed into the drain.

If medicines are not handled properly, they can harm people, animals and the environment. For example, drugs flushed into the toilet will eventually enter the local water supply system, and when the drugs are thrown into the trash can, they may find people who may be harmed by taking them or end up on the streets where they will be sold illegally.

To help prevent these results, many hospitals, clinics, pharmacies, and other community organizations provide recall programs for unused or expired drugs.

If your doctor does not tell you what to do with unused Klonopin, please consult your pharmacist. They can tell you how to dispose of medicines properly.

Very good sentence

If you have prescribed Klonopin for SAD, your doctor has determined that it may be an active part of your treatment plan. If you have any questions or concerns about medicines, please consult your doctor or pharmacist.

If you don’t think Klonopin is helpful for your symptoms, or if you experience unbearable side effects, you can try other medicines and treatment options.

In addition to medications, your doctor may recommend treatments, such as cognitive behavioral therapy (CBT), during which you will work with the therapist to learn how to monitor and change your thinking patterns and behaviors to help you better Deal with situations in an adaptive way. Cognitive behavioral therapy has been shown to be effective for some people with SAD and other mental health conditions.