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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Nic on February 19, 2001, at 13:35:48
Just wondering if anyone uses a combo of Benzos to combat sever panic and Anxiety attacks. I am currently on Klonopin ( up tp 3mgs/day). But there at times of the day and situations where it does not seem to help at all.
Kind Regards,
Nic
Posted by judy1 on February 19, 2001, at 20:32:33
In reply to Anyone use a combination of Klonopin + Ativan, posted by Nic on February 19, 2001, at 13:35:48
Hi Nic,
I take 6mg of klonopin/day (2mg tid) and 2mg of xanax sublingual for breakthrough panic attacks. It takes the xanax 6 minutes to stop an attack that can last 20 minutes or more for me. This is the combo given to me by a panic specialist. Take care, Judy
Posted by Nic on February 21, 2001, at 11:21:48
In reply to Re: Anyone use a combination of Klonopin + Ativan » Nic, posted by judy1 on February 19, 2001, at 20:32:33
> Hi Nic,
> I take 6mg of klonopin/day (2mg tid) and 2mg of xanax sublingual for breakthrough panic attacks. It takes the xanax 6 minutes to stop an attack that can last 20 minutes or more for me. This is the combo given to me by a panic specialist. Take care, JudyJudy,
How long have you been on this combo, isn't the Klonopin dose too high. My P-doc told me not to take more than 3mg/day. It's your panic attacks usually wort int the evening and at night. They are for me. Thanks for your response.
Nic
Posted by judy1 on February 21, 2001, at 13:43:49
In reply to Re: Anyone use a combination of Klonopin + Ativan, posted by Nic on February 21, 2001, at 11:21:48
Hi,
I have heard my klonopin dose is fairly high, the normal dose being 3-5mgs/day. It is used as a secondary mood stabilizer for me though (I have bipolar disorder also). The bulk of my panic attacks occur at night- which is when the xanax is useful. I started out at 0.5mg tid three plus years ago, until arriving at this dose which keeps the panic attacks at bay unless I'm in an unusually stressful time, or in a dysphoric manic episode. Hope this helps- Judy
Posted by NIC on February 21, 2001, at 15:01:36
In reply to Re: Anyone use a combination of Klonopin + Ativan » Nic, posted by judy1 on February 21, 2001, at 13:43:49
> Hi,
> I have heard my klonopin dose is fairly high, the normal dose being 3-5mgs/day. It is used as a secondary mood stabilizer for me though (I have bipolar disorder also). The bulk of my panic attacks occur at night- which is when the xanax is useful. I started out at 0.5mg tid three plus years ago, until arriving at this dose which keeps the panic attacks at bay unless I'm in an unusually stressful time, or in a dysphoric manic episode. Hope this helps- JudyJudy,
I have also been diagnosed as Bipolar. Currently I am on Celexa 40mg/day and like I mentioned in the earlier note on Klonopin 3mg./day.
Does you dose make you real lethargic?Thanks,
Jorge
Posted by judy1 on February 21, 2001, at 16:59:03
In reply to Re: Anyone use a combination of Klonopin + Ativan, posted by NIC on February 21, 2001, at 15:01:36
The reason I ask is every AD I have taken has propelled me into a hypomanic or manic episode (prozac was the worst). If you are stable with this regime- great. Is klonopin the only mood stabilizer you use? If so, I'm jealous. No, I never get sedated from klonopin- I've been at this dose for about 3 years. Like I said, it doesn't work if I'm manic (although routinely it keeps panic attacks at bay). Because I am so tolerant of benzos, I have to take increased doses of antipsychotics when manic. Take care, Judy
Posted by NIC on February 21, 2001, at 18:39:09
In reply to Jorge- are you dxed bipolar 1 or 2?, posted by judy1 on February 21, 2001, at 16:59:03
> The reason I ask is every AD I have taken has propelled me into a hypomanic or manic episode (prozac was the worst). If you are stable with this regime- great. Is klonopin the only mood stabilizer you use? If so, I'm jealous. No, I never get sedated from klonopin- I've been at this dose for about 3 years. Like I said, it doesn't work if I'm manic (although routinely it keeps panic attacks at bay). Because I am so tolerant of benzos, I have to take increased doses of antipsychotics when manic. Take care, Judy
Judy,
Thanks so much for your responses. About six years ago is when I started taking any kind of medication. I was wanting to give up binge drinking, which seem to occur every couple of months. Back then I was put on Prozac for a couple of years. You are right, it always made me more panciky and anxious. Finnaly I had a manic episode, and it was then that I was diagnosed as been Bipolar. But fear, panic and anxiety it's what has always gotten to me the worst. I have been sober for six years now and that's great, I think that's where the AD's help.
I was put back on Prozac and Ativan later on and that seem to work ok, ecxept that I need more and more Ativan. I was finnally taken off of Prozac and put on Serzone + Ativan, but was way too lethargic. That's how I am now on Celexa + Klonopin, but nothing else. Sorry for the long story.Kind Regards,
Nic
Posted by jimmygold70 on February 26, 2001, at 17:14:18
In reply to Re: Anyone use a combination of Klonopin + Ativan, posted by NIC on February 21, 2001, at 15:01:36
Klonopin is known for its huge tolerance effect. I hape personally got to 6mg/day. The worst thing about klonopin is not getting on to whatever dose, but getting off it. It is extermely hard to taper.
Clinically, doses up to 20mg/day has been reported with no particular problems.
> > Hi,
> > I have heard my klonopin dose is fairly high, the normal dose being 3-5mgs/day. It is used as a secondary mood stabilizer for me though (I have bipolar disorder also). The bulk of my panic attacks occur at night- which is when the xanax is useful. I started out at 0.5mg tid three plus years ago, until arriving at this dose which keeps the panic attacks at bay unless I'm in an unusually stressful time, or in a dysphoric manic episode. Hope this helps- Judy
>
> Judy,
>
> I have also been diagnosed as Bipolar. Currently I am on Celexa 40mg/day and like I mentioned in the earlier note on Klonopin 3mg./day.
> Does you dose make you real lethargic?
>
> Thanks,
>
> Jorge
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