So I have been on xanax 1mg two to three times daily for about 1-1.5 years now; Paxil is great and I don't need xanax when on paxil but it makes me manic as hell so that isn't really an option. Been thinking whether Zoloft would be any different.... Anyway, still on xanax same dosage, but just doubled my valium from 10mg at night to 20mg at night because I was waking up from sleep with difficulty breathing and panic symptoms. I asked to try ativan, eliminate the antipsychotic i use for sleep mainly since ativan 2mg really helps with insomnia, and get rid of the valium. Well she said lets try increasing the valium first then we will go from there.
Valium honestly does nothing for me. At 10mg I legit feel nothing. It takes at least 40-60mg for minimal anxiety relief. I respect its long half-life but if it's not benefiting much for sleep, or other anxiety problems in the morning I feel like why should I continue it. Switching to ativan 2mg at bedtime could get me off valium and saphris for sleep
(would love to not be on an antipsychotic mainly for sleep anyway). Ativan very little to no next day drowsiness, cognitive impairment, lethargy, flat mood. Refreshing sleep is what ativan gives me. Any ideas why the dr might be pushing for valium instead even after I explained it doesn't help for sleep, for anxiety, only thing it is good for is if i dont take my xanax for 1-2 weeks and I wont have a seizure, but my neurologist said lamital should cover that since it's an anticonvulsant.
I don't know whether to stay on 2 benzos as the same time, whether it's xanax and valium or xanax and ativan, or to ask for an increase in xanax to maybe 5-6mg/day in divided doses, maybe 2mg twice per day and 1mg once per day, or 2mg 3x a day. My neurologist said if you need to be on these types of medications than it is warranted and pretty much OK in my case. Klonopin sucks, not as much as valium, but it does barely anything for anxiety, esp. panic, or sleep. Makes me have a depressed mood actually, while xanax uplifts my mood and helps me enjoy life without having anxious mood and panic attack symptoms. Ativan just makes me drowsy so I prefer that for sleep.
My main question is regarding how i could proceed. Adding ativan, stopping valium maybe saphris, or upping xanax dose and being on only one benzodiazepine. I do have a tolerance so higher doses than 1mg sometimes are needed to stop anticipatory anxiety, avoidance anxiety, and esp. panic attacks. Restoril doesn't help with sleep surprisingly. Never tried triazolam but would love to due to its short half-life and potency/efficacy for insomnia, but my dr thinks it wouldn't be a good idea. Dr says stims may be increasing my anxiety but don't think that is the case. Really want an effective benzo combo or pick to be on xanax only, just at a higher dose. My parents think its crazy to take 3 xanax a day but it's what helps and lets me live life. Somtimes i take more than prescribed because 1mg will not help my symptoms. I just want to be on a stable dose, whether its xanax 3mg xr 1x daily with 1mg 3x daily or 2mg 3x daily. Something has got to give, and the hardest part is even bringing up increasing my xanax dose with my dr because of its bad reputation since everyone seems to abuse it nowadays. I'm ready to take a trip to mexico and take a visit to their pharmacies...
So I was getting #90 1mg xanax a month since October 2017, but then my doctor found out I wasn't taking them as prescribed. I would get my script filled and take 2-6mg at a time instead of 1mg only 3x a day. Some nights when I might take upwards of 10-12mg and combine with alcohol (I know very dangerous). I would black out of course, broke my macbook just a month ago and don't remember how the damage happened at all. One month I got duplicate scripts by accident and filled 1 through my medicaid and the other script through my private insurance so I got #60 and then #90 from another pharmacy. I went through the whole #150 in 2-3 weeks. I have had 2 seizures before due to running out of xanax early and have since been put on valium to stop a withdrawal seizure from occuring if I "decide to stop taking my xanax for a week or 2", aka run out before I am allowed to legally refill.
Well my doctor now is set on getting me off xanax because I made a fool of myself in mid-late October 2017 at my health center, where my psychiatrist is, by taking like 18mg or more of xanax all because I admitted myself cause I felt very uncoordinated and ataxic and was going to have an IV put in my arm. I have such a hard time with needles, but why I thought taking 18mg xanax would be ok is beyond me. I ended up not being able to walk or serve myself food and made the staff stay 2 hours past closing and was wheelchaired to my car because of how incapacitated I was. I don't remember anything 5 minutes past taking a large handful of xanax. So after this is when my dr got concerned about my xanax usage and suggested we start trying to taper off it completely. You can guess that I am not too thrilled about that...
Anyway, I ran out of xanax a little before christmas and didnt refill my valium until yesterday. This short break did something for my benzo tolerance because after I took 10mg valium yesterday I definitely felt an uplift in my mood, I was happier, more talkative, energetic, interest, and socially engaging, less annoyed and irritable, a decrease in apathy. 10mg would usually do nothing to me, my mood, etc. Could these effects be alleviation of benzo withdrawal symptoms since 2/23, when I took my last benzo dose, or did my tolerance really go down this much just after 1-2 weeks of not taking xanax? I always thought benzo tolerance took a good while to go down. Anyone experience tolerance reduction after only 2 weeks abstinence? I don't know what is going on, would love anybody's personal experience or knowledge about benzo misuse, tolerance, and the withdrawal symptoms; besides seizures I honestly don't know any of the other symptoms of benzo withdrawal
Hello, all. I'm new to this site. I've been working with a pdoc for the past 3 to 4 years and, more recently, a therapist, due to what I personally classify as treatment resistant MDD. I'm in my mid-forties. Throughout this time, my pdoc has tried multiple "cocktail" combinations of medications. Some combinations work for a while, but it's difficult to become excited when I'm in a good period because I know the bottom can, and likely will, drop out from under my feet again. I'm curious whether anyone has had any success with a similar pharmaceutical lineup like mine. I'm also hoping someone might have tips on outrunning the black dog for longer than a few months at a time. I trust my pdoc, but I'm wondering if I should get a second opinion. Unfortunately, I live in an area where there are not many pdocs from which to choose.
Some things to know:
I have sleep apnea. For most of my adult life, I've fought drowsiness during the day no matter how much sleep I get. I've had multiple CPAP titrations, but they never seem to do much for the daytime sleepiness. About 3 years ago, I was diagnosed with ADD. Current medicinal lineup:
Adderall (15 mg x 2 per day) Lamictal (75 mg x 2 per day) Xanax (0.5 mg x 3 per day) Buspar (15 mg x 4 per day) Trintellix (20 mg x 1 per day) Made me nauseated when I took it during the day, so my pdoc had me start taking it at bedtime, which made all the difference. Starting today, replacing Latuda with Vraylar (1.5 mg x 1 per day) Previously tried the following:
Paxil (40 mg x 1 per day) I started this for social anxiety nearly 20 years ago and was taken off of it around 6 months ago. Going off of this after so long was a terrible experience, but those effects have subsided. Prozac Wellbutrin (150 mg x 1 per day) Latuda (20 mg x 1 per day) Seroquel (25 mg x 1 per day) Slept like a baby on this, but it made the daytime drowsiness worse. Rexulti Experienced akathisia with this one. Abilify Also experienced akathisia on this. Viibryd Had stomach cramps I'm also using the following supplements:
Omega-3 Vitamin D Vitamin B6, Magnesium, Zinc capsule Ashwaganda/Rhodiola