Psycho-Babble Medication Thread 336741

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Benzo cross taper??

Posted by snapper on April 15, 2004, at 20:41:06

My doc and I decided for various reasons to do a switch over from K to xanax....transition to be as follows......1mg xanax plus .5mg K> t.i.d.
previously have been taking 1mg of K t.i.d.--to do crossover he is reccomending ,starting today that I go from 1mg of K to.5 then add 1mg of Xanax...do this for 5 days then d/c the K does this sound like a proper and smooth transiton?
Day 6 I will be taking 1mg of Xanax t.i.d. and no more K. Been on K for years and just want to make sure that this is corrrect. I trust my pdoc but just wanted to know if anyone else out there has made this kind of transition- thanks
snapper

Re: Benzo cross taper?? » snapper

Posted by chemist on April 16, 2004, at 2:49:03

In reply to Benzo cross taper??, posted by snapper on April 15, 2004, at 20:41:06

> My doc and I decided for various reasons to do a switch over from K to xanax....transition to be as follows......1mg xanax plus .5mg K> t.i.d.
> previously have been taking 1mg of K t.i.d.--to do crossover he is reccomending ,starting today that I go from 1mg of K to.5 then add 1mg of Xanax...do this for 5 days then d/c the K does this sound like a proper and smooth transiton?
> Day 6 I will be taking 1mg of Xanax t.i.d. and no more K. Been on K for years and just want to make sure that this is corrrect. I trust my pdoc but just wanted to know if anyone else out there has made this kind of transition- thanks
> snapper

hi snapper, chemist here. klonopin is a typical 1,4-benzodiazepine, while xanax is a derivative, namely a triazolobenzodiazepine. every doctor seems to think that xanax fits into the same class as the 1,4-benzos (lorazepam, diazepam, etc.). not true. xanax- in addition to anxiolytic effects - has antidepressant qualities. given the length of time you have been on klonopin, a slower taper on that med and a more aggresive titration of xanax is called for. the two drugs are *not* hitting the same receptors with the same binding affinities. take it slow, let me know how it goes....best, chemist

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