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How Effective Is Clonazepam for Insomnia?

By Alicia Sparks
Updated: Mar 03, 2024
References

The benzodiazepine clonazepam is an anti-anxiety medication that works to prevent the kind of excessive brain activity that can lead to anxiety, panic, and stress. It does this by boosting the results of gamma-aminobutyric acid (GABA), which is the neurotransmitter that slows down brain activity. Slowed brain activity, coupled with side effects like sedation, help make taking clonazepam for insomnia effective. Unfortunately, some people experience sleeplessness and sleep disturbances while taking clonazepam and therefore find it ineffective. Patients who experience adverse side effects, or side effects opposite what they and their doctors hoped to achieve, should contact their doctors as soon as possible.

Sedation is one of the most common side effects of clonazepam, thus making taking the drug for insomnia an effective treatment for many patients. The drowsiness and sleepiness that accompanies feelings of sedation, paired with the enhanced effects of GABA, help many patients fall asleep more quickly and stay asleep longer than usual. Note that some of the sedation-related side effects, such as dizziness, disorientation, and weakness, can be dangerous, especially if the patient takes the medication outside the home or while trying to complete any other kind of task.

Although sedation, drowsiness, and sleepiness are all common side effects of clonazepam, for some people, sleep disturbance is a side effect of the drug. Such sleep disturbances may be occasional or ongoing, although sometimes these disturbances go away after the patient uses clonazepam for a certain amount of time. Sleep disturbances while taking clonazepam can include the inability to fall asleep or waking after only a few hours, and some patients report waking due to vivid dreams or nightmares. Obviously, clonazepam for insomnia is not effective for people who experience ongoing sleep disturbances while taking the medicine. These patients should talk with their doctor about an alternative treatment.

Note that additional side effects a patient experiences while taking clonazepam for insomnia might require a doctor’s attention. For example, if the patient experiences difficulty breathing or swallowing, or develops rash, hives, or other sorts of skin irritations, he should seek medical attention. The same is true for any facial swelling, including the tongue and throat.

Insomnia is a serious problem that can quickly lead to other health problems. If the doctor decides clonazepam for the patient's insomnia is not the best course of action, he most likely will talk with the patient about alternative insomnia treatments. Before stopping the drug, the patient should make sure to talk with his doctor about any clonazepam withdrawal symptoms he may experience.

The Health Board is dedicated to providing accurate and trustworthy information. We carefully select reputable sources and employ a rigorous fact-checking process to maintain the highest standards. To learn more about our commitment to accuracy, read our editorial process.
Link to Sources
Discussion Comments
By burcinc — On Aug 30, 2013

@MikeMason-- What you're experiencing right now is the withdrawal affects of clonazepam. It can cause insomnia during withdrawal. This symptom will go away when you quit the medication. It might take a few weeks for your body to adjust.

Drugs do affect people differently though. You are right about that. Clonazepam helps some people sleep and doesn't make a difference for others. But from my experience, it doesn't cause insomnia except during withdrawal.

I did not have sleep problems while I was on the drug and had them only temporarily after I quit. Of course, the dose and the amount of time one has been on the drug is important too.

By stoneMason — On Aug 29, 2013

@turquoise-- I guess this drug affects everyone differently because clonazepam did not make me sleep better. It made me drowsy during the day but I didn't sleep faster or longer at night. It was very weird.

Now, I'm slowly quitting the medication. I've decreased my dose to half and guess what, I have terrible insomnia. I haven't slept properly for the past three days.

By turquoise — On Aug 29, 2013

I used to have sleep issues before I was put on this medication but it has regulated my sleep very well. I've noticed that I fall asleep much more quickly and I don't wake up during the night on this medication. I definitely feel more rested when I wake up. I'm taking it for anxiety but I'm very happy about it's affects on my sleep.

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