Can you take Klonopin while waiting for Zoloft to work? 

This brief article will talk about combination therapy using an antidepressant and a benzodiazepine to relieve the initial side effects of the antidepressant. 

Can you take Klonopin while waiting for Zoloft to work?

Yes, you can take Klonopin (Clonazepam) while waiting for Zoloft (Sertraline) to work, but only if prescribed by your healthcare provider (1). 

Both of these are prescription medications and should never be used without your doctor’s approval. Zoloft is a selective serotonin reuptake inhibitor (SSRI) that is frequently used in managing and treating depression, anxiety, and several other mental health conditions (2).

Klonopin is a Benzodiazepine, a well-known class of medications for managing anxiety, insomnia, and epilepsy (3).

Alternatives to Klonopin while waiting for Zoloft to work

There are some alternatives to taking Klonopin while waiting for Zoloft to work. These include:

  • Cognitive Behavioral Therapy (CBT): CBT is frequently used to cope with anxiety (4). CBT is a talk therapy to help manage anxiety and depression symptoms (5). It focuses on identifying and changing negative thought patterns and behaviours contributing to anxiety and depression (6). 
  • Relaxation techniques: Relaxation techniques such as deep breathing exercises, meditation, and yoga can help reduce anxiety and promote relaxation (7).
  • Regular exercise: Regular exercise has been shown to reduce symptoms of anxiety and depression by increasing endorphins and promoting relaxation (8). 

Although these techniques are quite effective, they may not work for severe anxiety, and medications are the only option people are left with. Make sure you talk to your doctor before taking any medication with Zoloft. 

What are the benefits of taking Klonopin until Zoloft starts to work?

Taking Klonopin while you’re waiting for your antidepressant to work can help you in a number of ways. Zoloft and other antidepressants are well known for their delayed-onset of action. 

They can take 4-6 weeks – or even longer in some cases – to start counteracting symptoms associated with your mental health illness. However, they do start to cause side effects right away. 

Zoloft is well known for causing early anxiety, agitation, and insomnia. Klonopin can help manage these early side effects of Zoloft and make the waiting period a little less problematic for you. 

When should you stop using Klonopin while taking Zoloft? 

You should stop using Klonopin while taking Zoloft when your doctor decides it’s time. 

However, Klonopin should not be used for a long period of time because it can cause an addiction, which becomes extremely difficult to get rid of (10). 

Who should not take Klonopin while waiting for Zoloft to work?

Klonopin should not be used by individuals who have: (11)

  • Had an allergic reaction to Klonopin in the past
  • Myasthenia gravis, a condition that causes muscle weakness
  • Sleep apnea, which is characterized by breathing difficulties during sleep
  • Lung problems
  • Liver problems
  • Kidney problems
  • Issues with alcohol or drug abuse
  • Thoughts of self-harm or suicide
  • A diagnosis of a personality disorder

It’s important to avoid Klonopin if any of these conditions apply to you, as it may not be safe or suitable for your specific situation. Always consult with your healthcare provider for guidance on medication use.

What are the drawbacks of taking Klonopin and Zoloft together?

Taking Klonopin and Zoloft together may have some drawbacks. One potential disadvantage is that Klonopin can cause irritability and agitation in certain individuals. 

These side effects can sometimes be mistaken for worsening symptoms of depression (4). Zoloft can also cause these side effects when combined with non-benzodiazepines, like Ambien. It’s important to be aware of these possible effects and to discuss any concerns with your healthcare provider. 

Conclusion

This article discussed various aspects of using both an antidepressant and a benzodiazepine. It provided insights on when it may be appropriate to stop taking Klonopin while using Zoloft and highlighted the potential drawbacks of combining these medications. 

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References

1.-

NHS. Taking clonazepam with other medicines and herbal supplements; [updated 2023 Jan 27; cited 2023 Jun 16]. Available from:https://www.nhs.uk/medicines/clonazepam/taking-clonazepam-with-other-medicines-and-herbal-supplements/

2.-

PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 68617, Sertraline; [cited 2023 Feb 2]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Sertraline

3.-

PubChem [Internet]. Bethesda (MD): National Library of Medicine (US), National Center for Biotechnology Information; 2004-. PubChem Compound Summary for CID 2802, Clonazepam; [cited 2023 Feb 2]. Available from: https://pubchem.ncbi.nlm.nih.gov/compound/Clonazepam

4.-

Dunlop BW, Davis PG. Combination treatment with benzodiazepines and SSRIs for comorbid anxiety and depression: a review. Prim Care Companion J Clin Psychiatry. 2008;10(3):222-8. doi: 10.4088/pcc.v10n0307. PMID: 18615162; PMCID: PMC2446479. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2446479/

5.-

​​InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Cognitive behavioral therapy. 2013 Aug 7 [Updated 2016 Sep 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279297/

6.-

​​InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Cognitive behavioral therapy. 2013 Aug 7 [Updated 2016 Sep 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279297/

7.-

National Center for Complementary and Integrative Health. Relaxation Techniques for Health [Internet]. Bethesda (MD): National Center for Complementary and Integrative Health; [updated 2021 May]. Available from: https://www.nccih.nih.gov/health/relaxation-techniques-for-health.

8.-

Xie Y, Wu Z, Sun L, Zhou L, Wang G, Xiao L, et al. The Effects and Mechanisms of Exercise on the Treatment of Depression. Front Psychiatry. 2021;12(November). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8602192/pdf/fpsyt-12-705559.pdf

9.-

MedlinePlus. Sertraline: MedlinePlus drug information [Internet]. Bethesda (MD): National Library of Medicine (US); [updated 2022 Feb 15; cited 2023 Jan 2]. Available from: https://medlineplus.gov/druginfo/meds/a697048.html

10.-

NHS. About clonazepam; [updated 2023 Jan 27; cited 2023 Jun 16]. Available from: https://www.nhs.uk/medicines/clonazepam/about-clonazepam/

11.-

NHS. Who can and cannot take clonazepam; [updated 2023 Jan 27; cited 2023 Jun 20]. Available from: https://www.nhs.uk/medicines/clonazepam/who-can-and-cannot-take-clonazepam/

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