Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/12/2025

Tinnitus Management Following Clonazepam Dose Reduction

Patient Management and Tapering

  • Failure to take clonazepam can result in immediate relapse of symptoms, with rapid control restored after resumption of treatment, as recommended by the American Academy of Sleep Medicine 1, 2

Alternative Therapies

  • Melatonin (3-12 mg at bedtime) may be considered as an alternative to clonazepam with fewer side effects, according to the American Academy of Sleep Medicine 3, 4

Monitoring and Evaluation

  • Evaluate for other neurological symptoms that may accompany benzodiazepine withdrawal, as suggested by the American Academy of Sleep Medicine 1

REFERENCES

1

best practice guide for the treatment of rem sleep behavior disorder (rbd). [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2010

2

best practice guide for the treatment of rem sleep behavior disorder (rbd). [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2010

3

best practice guide for the treatment of rem sleep behavior disorder (rbd). [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2010

4

best practice guide for the treatment of rem sleep behavior disorder (rbd). [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2010