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How to wean off Bupropion, Oxetol and Clonazepam?

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Posted on Tue, 18 Jul 2017
Question: I wanted to check in about medication. Was diagnosed with Bipolar disorder a few years ago. Have been taking the following meds-
Bupropion- 150mg and Oxetol 300mg in the morning
Oxetol 600mg and Clonazepam .5 mg at night
I moved to a different country so could not get in touch with my doctor. Have been on these meds 4-5 years.
I did the recommend therapy and doc visits. Have been feeling quite alright in the past year. When should I taper off my medication? Should the meds be discontinued now?

Thanks.
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Answered by Dr. Seikhoo Bishnoi (1 hour later)
Brief Answer:
Yes, the doses can be tapered.

Detailed Answer:
Hello thanks for asking from HealthcareMagic,

I can understand your concern. If you are doing good and are functioning properly then I don't find any benefit in continuing medicines.

Usually, maintainence treatment is advised for 6 months to 2 years after remission of symptoms as per guidelines. You are on these medicines for 4-5 years and your symptoms are under control so in my opinion the drugs can be tapered gradually over 6-12 weeks.

Gradual dose reduction will prevent any withdrawal symptoms.

You can discuss with a local doctor there and reduce the doses by 20% every two weeks and stop the treatment completely at around 6-12 weeks.

Let me know if I could assist you further.
Thanks and Take care


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Seikhoo Bishnoi

Psychiatrist

Practicing since :2007

Answered : 5195 Questions

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How to wean off Bupropion, Oxetol and Clonazepam?

Brief Answer: Yes, the doses can be tapered. Detailed Answer: Hello thanks for asking from HealthcareMagic, I can understand your concern. If you are doing good and are functioning properly then I don't find any benefit in continuing medicines. Usually, maintainence treatment is advised for 6 months to 2 years after remission of symptoms as per guidelines. You are on these medicines for 4-5 years and your symptoms are under control so in my opinion the drugs can be tapered gradually over 6-12 weeks. Gradual dose reduction will prevent any withdrawal symptoms. You can discuss with a local doctor there and reduce the doses by 20% every two weeks and stop the treatment completely at around 6-12 weeks. Let me know if I could assist you further. Thanks and Take care