Posted by paulbwell on November 30, 2004, at 22:44:59
In reply to Re: HELP: DOC TAKES MY KLONO GIVES ME XANAX, posted by JACJ on November 30, 2004, at 22:13:59
> > Hi Babblers,
> > On my visit to my new PcDoc yesterday, he fails to renew my Clonazapam script. I have been on 2-6mgs a day for near 2 years. He started me on Imipramine 1 month ago (150mgs-now) for Depression and second line ADHD treatment, to replace the Ritalin I had been taking (dont PcDocs love to avoid SCH 2 meds)
> >
> > Now heres the problem, he perscribes me 250mcgs BID of Xanax! to replace my 2-6mgs BID TID of Clonaz for the past 2 years!
> > I asked this guy 3! times if the cross over, and dosage change would be ok, and 3 times he assures me it would.
> >
> > Now I know Alprazolam and Clonazepam are considered on many Benzo tables to be of equal strength, or in fact many conversion tables list Clonaz 250mcgs=500mcgs of Alpraz.
> >
> > Well one things for sure, he's given me 60 250mcg tabs of Alprazolam and I'll take what I require to control my symptoms, If I run out sooner than he's expecting me to, I'll be on that PH telling him so.
> >
> > Maybe it'll help my anxiety better than the Clono, that was becoming ineffective after 2 years, even at 6mgs taken a dose. But i worry about the low dose he's given me.
> >
> > Advice? feedback? on change of compounds and dosage please
> >
> > Cheers
>
>
>
> Hi,
> I am wondering why he switched you? Also, I feel you have reach tolerance with Klonopin. Tolerance is where you don't feel the effects anymore from the drug and you have to keep raising the doseage. Benzos are not meant to be given long term. The max. time is several weeks. It really makes me mad when docs just pull people off the drug or switch them overnight. This is a total shock to the CNS. Did he give you a switch over schedule to follow? Did he mention tolerence?
>Hi Jacj, he switched me because he received my notes from a PsyDoc I had seen earlier this year, who had me on 250mcgs of Xanax BID
I may have reached Tolerance. It was not really effective for me anymore, and I was really just taking it for maintaince maybe, or cause I *thought* it was still controlling, helping my symptoms, even thought It caused major over-secretion of Saliva, and I felt It nudged my mood to the low side.
You say Benzo's are not ment for long term use? I'm guessing you are from the UK? with their stronger anti-Benzo trend.
A swithoover schedule you ask?
He did not, I think he just though the Imipramine I have been on for 1 month would take care of my sever GAD, and the Alprazolam tabs he said "I'm happy to give you the xanax to take for Panic Attacks" cause that dose was in my Psy file.Tolerance?
Nope again. I think if I had been on 10mgs of Xanax a day he would think it would be ok to Cold-Turkey it, once an SSRI or AD kicked in.I really think I know more about meds than most of the Psy and Pc Docs I have seen, and often wish I lived in Thailand or Mexico where I could buy any Benzo or Stim or AD I wanted OTC, but no I live in a country where two drugs are available freely, Booze and Pot-both of which I can't tolerate unfortunatly, althought theres Codeine-which I did enjoy.
I hope he raises the Xanax or gives me or another benzo possibly, or I may be running to the ER one night-EEK.
I hope my CNS stands up to this.
Cheers
poster:paulbwell
thread:422585
URL: http://www.dr-bob.org/babble/20041128/msgs/422601.html