A patient who has taken clonazepam daily for several months says, “I will stop it today because my anxiety is better.” Which teaching is most appropriate?
Correct answer: B. Reduce it only according to a supervised tapering plan
- A. Stop it suddenly to prevent further sedation
- B. Reduce it only according to a supervised tapering plan
- C. Take two doses tomorrow if anxiety returns
- D. Replace it with alcohol during the taper
Explanation
Long-term benzodiazepine use can produce physical dependence, and abrupt withdrawal may cause severe anxiety, insomnia, tremors, seizures, or delirium. A gradual, prescriber-guided taper reduces these risks.
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About Psychopharmacology
Psychopharmacology covers the actions, uses, adverse effects, and nursing responsibilities associated with antipsychotics, antidepressants, mood stabilizers, anxiolytics, sedatives, and stimulants. It includes extrapyramidal symptoms, tardive dyskinesia, neuroleptic malignant syndrome, serotonin syndrome, lithium toxicity, medication adherence, and monitoring of therapeutic response.
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