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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 19 to 43 of 52. Go back in thread:
Posted by g_g_g_unit on December 10, 2011, at 7:25:05
In reply to Re: So valium is saving my life, but .., posted by Agomelatinehope on December 9, 2011, at 1:00:13
I've dropped my dose back to 5mg three times a day because I would instantly fall asleep after taking 10mg. I'm experiencing a lot of anxiety though due to recently increasing my Lexapro dose, so maybe once things settle down, I won't need the Valium at all.
Posted by ed_uk2010 on December 10, 2011, at 9:51:19
In reply to Re: So valium is saving my life, but .., posted by g_g_g_unit on December 10, 2011, at 7:25:05
> I've dropped my dose back to 5mg three times a day because I would instantly fall asleep after taking 10mg. I'm experiencing a lot of anxiety though due to recently increasing my Lexapro dose, so maybe once things settle down, I won't need the Valium at all.
Diazepam accumulates due to its long half life. You may have needed a high dose initially but you should be able to keep reducing now.
Isolated, occasional doses of diazepam often have a very short duration of action because it is rapidly redistributed to fat and muscle. In an acute crisis, diazepam may need to be given every few hours. After regular dosing, the duration of action is long due to the long elimination half life and active metabolites, it can then be given once or twice a day.
Posted by Phidippus on December 10, 2011, at 18:03:25
In reply to Re: So valium is saving my life, but .., posted by Agomelatinehope on December 9, 2011, at 1:00:13
Just a tidbit...Clonazepam has been shown inn some studies to reduce OCD.
Eric
Posted by Phidippus on December 10, 2011, at 18:15:03
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by Phillipa on December 8, 2011, at 17:58:40
Have you ever tried Gabitril?
Eric
Posted by gadchik on December 10, 2011, at 19:59:43
In reply to Re: So valium is saving my life, but .. » Phillipa, posted by Phidippus on December 10, 2011, at 18:15:03
my pdoc told me that klonopin is good for racing thoughts,and is a mild mood stabilizer.
Posted by Phillipa on December 10, 2011, at 21:01:49
In reply to Re: So valium is saving my life, but .., posted by gadchik on December 10, 2011, at 19:59:43
Any idea why experienced that one time of taking klonopin while reducing xanax and felt suicidal but wasn't? Was it xanax withdrawal even though dose was low? Phillipa
Posted by gadchik on December 11, 2011, at 8:03:37
In reply to Re: So valium is saving my life, but .., posted by Phillipa on December 10, 2011, at 21:01:49
thats too complicated for me.I know some do experience klonopin as a downer.yet it would seem that klonopin wouldve helped you coming off of the xanax.I wonder if you were substituting the correct amt of klonopin?I know valium depressed me, but i wasnt on an antidepressant and I was heading that direction anyway.Were you already depressed and not taking an ssri when you tried k?
Posted by Phillipa on December 11, 2011, at 17:33:47
In reply to Re: So valium is saving my life, but .. » Phillipa, posted by gadchik on December 11, 2011, at 8:03:37
I don't think so so long ago? But I've taken klonopin years after this and didn't depress me. Given to me by someone felt guilty and switched back at the time to valium. Which depresses you? Phillipa
Posted by Phidippus on December 11, 2011, at 17:37:49
In reply to Re: So valium is saving my life, but .., posted by Phillipa on December 10, 2011, at 21:01:49
Klonopin antagonizes seratonin receptors and can cause depression.
Eric
Posted by Phidippus on December 11, 2011, at 17:39:27
In reply to Re: So valium is saving my life, but .., posted by gadchik on December 10, 2011, at 19:59:43
Most benzzodiazapines have some mood stabilizing effect, but Klonopin is is especially useful as a mild anti-manic.
Eric
Posted by Phillipa on December 11, 2011, at 19:23:25
In reply to Re: So valium is saving my life, but .. » gadchik, posted by Phidippus on December 11, 2011, at 17:39:27
Well not manic for sure so it won't allow serotonin into the synases to stay a while. Phillipa
Posted by gadchik on December 12, 2011, at 7:34:38
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by Phillipa on December 11, 2011, at 19:23:25
valium depressed me,but i was already getting depressed,and i believe if id been properly taking an antidepressant w/it,that wouldnt have happened.I tried it at night,it calmed me,but next day,depression loomed.But it would have anyway.Im curious about klonopin and serotonin.Ive heard that anxious people have too much serotonin.I wonder if for me,the klonopin deals w/that? I didnt feel depressed i guess because i had treated it w/zoloft.but i went off zoloft february 2011,havent felt depressed,but still on klonopin.
Posted by Phillipa on December 12, 2011, at 18:45:59
In reply to Re: So valium is saving my life, but .., posted by gadchik on December 12, 2011, at 7:34:38
And no anxiety? I thought the SSRI's were supposed to allow more serotonin into brain? Mine was in reverse first for years benzos then after thyroid problems was given an ad? Phillipa
Posted by Phidippus on December 13, 2011, at 17:00:38
In reply to Re: So valium is saving my life, but .., posted by gadchik on December 12, 2011, at 7:34:38
>Im curious about klonopin and serotonin
Klonopin is a seratonin antagonist and of all the benzodiazipnes is the likeliest to cause depression.
Anxiety disorders involve defeciencies of seratonin in certain areas of the brain.
Eric
Posted by Phidippus on December 13, 2011, at 17:01:43
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by Phillipa on December 11, 2011, at 19:23:25
Valium has no affinity for seratonin receptors.
Eric
Posted by gadchik on December 13, 2011, at 17:24:31
In reply to Re: So valium is saving my life, but .. » gadchik, posted by Phidippus on December 13, 2011, at 17:00:38
Thanks for the info,what,in your opinion is the best treatment for gad with panic(occasionally)considering the brain chemistry that goes with that diagnosis?
Posted by Phidippus on December 13, 2011, at 17:40:45
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by gadchik on December 13, 2011, at 17:24:31
I would recommend an SSRI, like Paxil or Zoloft. Since it takes a few weeks for the medication to become effective, a benzodiazapine is often recommended to tide one over until the SSRI is effective. Do not do Xanax! Its best to treat panic with Clonazepam or Valium.
Another cool drug which might help out is Prazosin, which has been studied in the treatment of panic disorder.
Eric
Posted by floatingbridge on December 14, 2011, at 8:31:28
In reply to Re: So valium is saving my life, but .. » gadchik, posted by Phidippus on December 13, 2011, at 17:00:38
> >Im curious about klonopin and serotonin
>
> Klonopin is a seratonin antagonist and of all the benzodiazipnes is the likeliest to cause depression.
>
> Anxiety disorders involve defeciencies of seratonin in certain areas of the brain.
>
> EricSo maybe getting off Xanax by switching to Klonopin (then tapering Klonopin) may not be a super choice for a depressive? I only take .5mg Xanax XR daily. It's my little chimp that rides around with me.
Posted by Phidippus on December 14, 2011, at 20:09:38
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by floatingbridge on December 14, 2011, at 8:31:28
Valium might be a better choice.
Eric
Posted by gadchik on December 15, 2011, at 11:42:11
In reply to Re: So valium is saving my life, but .. » Phidippus, posted by floatingbridge on December 14, 2011, at 8:31:28
Why does klonopin make me happy? When you look at the science of it,I should feel depressed.I am prone to depression.Im too confused!Is that my future w/klonopin-sadness,and tolerance???ugh,i didnt like zoloft after awhile.But i keep liking klonopin.What are your plans w/the chimp?
Posted by floatingbridge on December 15, 2011, at 12:36:24
In reply to Re: So valium is saving my life, but .. » floatingbridge, posted by gadchik on December 15, 2011, at 11:42:11
Well, gadchik, I keep asking my pdoc about the chimp, and he seems to be in no hurry to relieve me of her. I guess we still have bigger projects to work on. I think I should just 'relax' about having an anti-anxiety med and feel fortunate that I have a mellow pdoc. You were not around, I don't think, when my last pdoc flipped out on me.
My new pdoc's prefered method, I think, when that magic time comes, would be to use Valium.
If Klonopin works for you, never mind the theory or thousand other people's experiences, you know? I would prefer Klonopin monotherapy to Zoloft monotherapy myself. But that's me, a depressive, so consider the source :)
Posted by Phillipa on December 15, 2011, at 20:26:56
In reply to Re: So valium is saving my life, but .. » gadchik, posted by floatingbridge on December 15, 2011, at 12:36:24
Chimp? Monkey on back? Hey you take what works for you. What works for one may not work for another. Lucky the docs will prescribe them. Things could be worse. Myself have never liked ad's. First to go them me thinks. Phillipa
Posted by gadchik on December 16, 2011, at 6:30:09
In reply to Re: So valium is saving my life, but .. » gadchik, posted by floatingbridge on December 15, 2011, at 12:36:24
do tell about the pdoc flipping out?
Posted by gadchik on December 16, 2011, at 6:32:16
In reply to Re: So valium is saving my life, but .. » floatingbridge, posted by Phillipa on December 15, 2011, at 20:26:56
the only time i feel like an ad is if im heading twd depression.thats usually only if i dont control my anxiety,klonopin controls it
Posted by Phidippus on December 16, 2011, at 17:50:06
In reply to Re: So valium is saving my life, but .. » floatingbridge, posted by gadchik on December 15, 2011, at 11:42:11
>Why does klonopin make me happy?
Because it relieves your anxiety! IT may also cause some disinhibition for you.
Eric
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