Seeking Ayurvedic Alternatives to Clonazepam for Panic Attacks and Anxiety - #38195

Hello, 1. What is your age? 2. What is the strength of the clonazepam and since how long you are on the same?

The following will help you(based on the dosage and duration of clonazepam intake:(if you are on them for a long time, tapering the dose is ideal instead of sudden stopping). 1. Saraswatarishtam wit gold(vaidyaratnam) 15ml—0----15 ml aftr breakfast and dinner. 2. Manasamitra vatakam 2----0—2 with medicine no.1 Both for 0ne month, after which a follow up is advised to monitor the symptoms and to suggest the medications accordingly. In the meantime please learn pranayam to practice 20 minutes a day. Take care, Kind regards.

Ayurveda doesn’t have a 1:1 match for Clonazepam’s quick action, but herbs like Tagara and Jatamansi can kick in fast for acute calm by soothing the nervous system without the heavy sedation. We’ll layer in daily support for long-term balance (Vata-Pitta for anxiety). Start with- 1. Tagara Tablets : 1 tablet (250 mg) as needed for acute attacks (up to 2x/day); 2. Jatamansi Capsules : 1 capsule (250 mg) twice daily after meals 3. Saraswatarishta : 20 ml + equal water, twice daily after meals. 4. Ashwagandha Tablets : 1 tablet (500 mg) twice daily before meals

Diet Advice Include: Warm milk with nutmeg pinch at night, Brahmi tea (1 tsp leaves boiled), almonds (5-6 soaked), fresh fruits like pears/bananas. Avoid: Caffeine, spicy/oily foods, alcohol – they amp Vata and triggers. Hydration: 8 glasses warm water; sip chamomile or fennel tea 2x/day for gut-nerve calm.

Lifestyle advice Daily Routine: 10 mins pranayama (Anulom Vilom) morning; short walks in nature. For Attacks: Deep belly breathing (4-7-8 technique) + grounding (touch something cool). Go to Bed by 10 PM; avoid screens/social media pre-bed

Go for Panchakarma therapy which includes Shirodhara with Tila Tail for 10 days. In this continuous stream of oil is poured over the forehead for 40-45 minutes. It will help you in managing your symptoms.

Regards Dr Gursimran Jeet Singh MD Panchakarma

Hello I can understand your concern. No single Ayurvedic drug is a true pharmacological equivalent of clonazepam. But dont worry we are here to help you out😊

✅ IF YOU ARE HAVING A PANIC ATTACK- do this now

(These work quickly and are safe to use with medicines)

1. 4–4–8 breathing: inhale 4 sec — hold 4 sec — exhale 8 sec, repeat 6–10 times.

2. Splash cold water on face / put cold pack on the back of the neck (stimulates vagus).

3. Sit down, loosen clothing, focus on slow breathing until heart rate comes down.

4. If you have clonazepam and it’s prescribed PRN for panic, follow your psychiatrist’s dosing instructions — do not skip or double doses without guidance.

✅AYURVEDIC PLAN OD TREATMENT

✅INTERNAL MEDICATION

1 Jatamansi capsule —1-0-1 after food helps acute anxiety, calms mind.

2 Tagara capsule 1 at bed time — sedative, reduces acute hyperarousal.

3 Brahmi 2-0-2 after food — calms mind, improves anxiety and cognition

4 Stresscom 1-0-1 after food — adaptogen, reduces stress hormones.

✅ Safety, interactions & practical cautions

Do not abruptly stop clonazepam. Abrupt discontinuation can produce serious withdrawal (rebound anxiety, insomnia, seizures). Any taper must be supervised by your psychiatrist.

Many calming herbs are sedative — combining them with clonazepam can increase drowsiness, slow reflexes and breathing. If you take clonazepam, start herbs at the lowest dose and avoid driving/heavy machinery until you know how you respond.

✅ LIFESTYLE MODIFICATION

Daily 10–20 min pranayama (Anulom Vilom, Bhramari) — reduces panic & autonomic overdrive.

Progressive muscle relaxation (10 minutes) before bed.

Exercise: brisk walk 30 min most days — lowers baseline anxiety.

Sleep hygiene: fixed sleep time, reduce screens 1 hour before bed.

Limit caffeine & nicotine (they trigger panic).

✅Practical plan if you want to move away from clonazepam

1. Do not stop suddenly. Talk to your prescribing psychiatrist — request a gradual taper schedule.

2. Start supportive herbs & lifestyle while still on a low clonazepam dose: Ashwagandha + Brahmi + pranayama.

3. After 4–6 weeks of combined approach (herbs + therapy + breathing), review progress. If anxiety reduced, psychiatrist can continue tapering further.

Wishing you a good health😊

Warm Regards Dr Snehal Vidhate

HELLO,

When you have anxiety or a panic attack, your brain ad body go into “alarm mode”- even if there’s not real danger You may suddenly feel -rapid heartbeat -sweating or trembling -shortess of breath or chest tightness -A feeling that sometime terrible is about to happen

In Ayurveda, this is understood as an imbalanced of vata dosha mainly prana vata, which controls the mind, breath, and nervous system When Vata becomes aggravated (due to stress, fear, irregular routine, lack of rest or overthinknig), it causes chana guna- instability- in the mind and body

So In simple terms Your “air ad movement energy” (vata) becomes overactive-> mind becomes restless, fearful -> panic and anxiety occur

TREATMENT GOALS -pacify and stabilize vata dosha especially prana vata -strethens mind through medhya herbs -reestablish normal sleep, digestion and relaxation response -reduce dependence on fast acting sedatives like clonazepam safely under supervision -prevent recurrence through lifestyle , diet , yoga and regular ayurvedic support

INTERNAL MEDICATIONS

1) SARASWATARISHTA= 20 ml with equal water twice daily after meals for 3 months = classical medhya rasayana, stabilises nerves, relieves tremors and anxiety

2) MANASMITRA VATAKAM= 1 tab twice daily after meals with milk for 3 months = one of Ayurveda’s strongest nootropic calmatives, reduces panic, restlessness, improves sleep and memory

3) SMIRITI SAGAR RAS= 1 tab twice daily with ghee for 3 months =Balances Vata in mind Channels, enhances concentration, prevents pani

4) KALYANAK GHRITA= 2 tsp with warm milk at bedtime for 3 months =nourishes brain tissues, promotes sound sleep and calm mind

5) CHINTAMANI RAS (suvarna/mukta variant)= 1 tab twice daily after meals for 2 months with ghee = potent rejuvenate and antiaxiety Tonic

6) BRAHMA RASAYANA= 1 tsp twice daily after meals for 3 months =strneghten Ojas, nourishes nerves, reduces fatigue and weakness

EXTERNAL THERAPIES

1) OIL MASSAGE= WITH ASHWAGANDHA TAILA -warm oil massage whole body daily for 30-45 min for 15 days = calms vata, improves sleep, reduces muscles tension

2) STEAM= mild steam after oil massage

3) NASYA= instill 2 drops of Brahmi ghrita in each nostril daily mroning =nourishes brain , stabilise emotions

DIET -warm, freshly cooked meals (avoid dry, stale or cold food) -ghee, sesame oil, coconut oil- soothes nerves -milk boild with nutmeg , cardamom, or ashwagandha at bedtime -oats, rice, moong dal, root vegetables, sweet fruits, warm soups -spices like cumin, ginger, turmeric In moderation

AVOID -excess caffeine, alcohol, smoking -very spicy, sour or dry foods -skiping meals or fasting -excess screen time and mental stimulation late at night

LIFESTYLE

1) REGULAR ROUTINE -wake and sleep at the same time daily -massage your feet and scalp with sesame oil before bath -avoid excessive mental strain (social media, loud mucis, late nights)

2) RESTORATIVE ACTIVITIES -nature walks, gardening, speeding time in natural light -listen to calming music or chant “om” or "so-hum"slowly to focus breath and calm mind

3) SLEEP HYGIENE -avoid screens 1 hour before sleep -take warm milk with nutmeg or ashwagandha - keep room quite, slightly cool, dim lights

YOGA ASANAS -sukhasana, vajrasana, balasana -setu bandhasana -viparita karani -shavasana

PRANAYAM -Nadisodhana= balances both brain hemisphere, calms anxiety -Bhramari= reduces panic, relaxes nervous system= 10 times -Ujjayi= improves focus, self control -Deep abdominal breathing= activate parasympathetic system

Avoid kapalbhati or bhastrika if panic prone

HOME REMEDIES -warm milk with nutmeg and ghee at ight-> promotes deep sleep -Tulsi + brahmi tea-> mild natural anxiolytic -Massage feel and scalp with sesame oil before bed -Inhale lavender essential oil for calming effect -Keep a panic “rescue routine” :- sit, slow breathe, sip warm water, gently press between eyebrows (marma calming point)

DURATION OF THERAPY

1-2 WEEKS= adjust to medication, mild calming, better sleep= don’t expect full relief yet 4-6 WEEKS= less frequent panic attacks, improved focus- continue medication and yoga 8-12 WEEKS= stable mood, reduced clonazepam need (doctor supervised)- continue maintenance 3-6 MONTHS= mid body balance, relapse prevention- maintain diet, lifestyle and yoga

Do not abruptly stop Clonazepam- taper only under supervision Consistency is key- same wake up time, same meal timing same herbal routine Healing anxiety is about calming the body , disciplining mind, and nourishing spirit

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

Start with Mentat -DS Syrup 10ml twice daily after food with water, if panic attack you can take extra dose of Mentat-DS syrup Smritisagar ras 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with warm milk will help reduce stress and anxiety in natural way and calm you. Please don’t stop any allopathy medicine suddenly, it will have adverse effects. Continue allopathic+ayurvedic medicine parallely, as you start feeling better you can Ask your doctor to tapper, please don’t do any self treatment. Light massage on head with Brahmi oil Do Nasya with Brahmi grith 2 drops in both nostril once daily Do pranayam lom -vilom bhastrika bhamri 5-10mins daily twice Learn Rajyoga meditation and practice daily All these practices will help you become mentally strong .

There is no substitute for clonozopam drug in ayurveda we have medicine which will relax the head and help them get rid of anxiety issues for that u can start with Tagara tab 1-0-1 after food Saraswatarishta AVP company 5 ml with 10 ml of water after food twice a day Avipattikara churna half teaspoon with warm water twice a day before food Ashwaganda churna half teaspoon with warm milk during bedtime Do some yogasana and meditation to relax ur mind

There is no replacement for clonazepam But you can start on TAGARA tab 1-0-1 Brahmi vati 1-0-1 Saraswathi aristha 15-0-15 ml with equal quantity of water Practice pranayama meditation