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should i try to reason with my pdoc about clonazepam?


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In March I took 8 mg of clonazepam with a muscle relaxer of my mom's (baclofen) because I was trying to feel better. Well, this turned into the apparent crime of the century and I was put in the hospital, sent to a state mental institution, and my pdoc almost canceled my rx of clonazepam altogether.

Instead though he made it so I could get 10 at a time per week, with the understanding that if i overdosed "again" he would take me off of it. I overdosed on Abilify in June and called and left him a message from the ICU letting him know I still had a refill in case he wanted to cancel it.

I really want to try to reason with him about putting me on another benzo, maybe something weaker like lorazepam, for PRN usage. I wouldn't need much. The PRN thorazine I'd been using for anxiety isn't working anymore.

Are there any ideas on how I can bring this up to him or if I should just let it be? I really need a benzo and I didn't overdose on clonazepam I overdosed on abilify, and that was six months ago. Could I suggest a contract of some sort or was the original understanding a "contract" that I broke?

I've never abused my meds with the exception of that one time in March and I don't plan to again. It actually worsened my mood and made me a slobbering fool. I get really upset when I ask for something and it doesn't work out so I'm afraid to bring it up but I feel like I need to.

I like this pdoc but if I switched to another is there evena chance the new one would prescribe me a benzo because of what happened earlier in the year? I'd hate to leave a good pdoc and end up with someone who won't help me anyway, who might be not a very good psychiatrist.

:(

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I would try to go with what your pdoc says (ie 10 pills per week), and slowly build up trust again with him. And him to learn to trust you again.

This sounds like a good plan to me also.

I know how you feel too. I OD'd on clonazepam and I was taken off of it for a very long time. Now I'm finally back on it and doing well again with anxiety. I hope you can get your anxiety under control too.

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If this were ME in the same situation, I would (calmly) ask my pdoc if there was any chance he could trust me again, so that I could be on a low dose of klonopin. Pdoc would probably ask me what reasons I had for wanting to go back on it, so I would give those. I'd also be honest with pdoc, letting him know the PRN Thorazine isn't working for me.

Maybe he'll increase the thorazine (?). If pdoc still says no, I'd ask what would I have to do to earn trust back.

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You overdosed on Klonopin 9 months ago... you overdosed again six months ago... I mean, I understand why you want your benzos back, but it might not be something that is going to happen any time soon. Or ever. And switching doctors to "fix" this is ... probably a realy bad idea, because it starts looking very similar to doctor shopping for prescriptions pretty quick.

I overdosed on benzos in Feb. of 2008 and to this day my doctor will not up my dose. I honestly don't remember how long it took for me to get back 7 pills a week (in your terminology), but I'm pretty sure it was around 2 years. Granted, I love my pdoc and would never want to push it; I really felt like I violated his trust and he was extremely disappointed and hurt by what I'd done.

At this point, now, yes, four years later and with no suicide attempts since, if I needed more benzos I think I'd have a good chance of getting them, but previously that was not the case, and I know that is because my actions have consequences.

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Also, have you tried many of the AD's that work well for anxiety? Effexor, zoloft, paxil, lexapro, prozac, cymbalta, luvox, etc.?

Have you tried vistaril? (SP?)

Have you tried seroquel prn for anxiety?

These are just some options you may want to ask your pdoc about. I'm sure there are way more non-benzo options out there, but only your pdoc can answer that question.

These are just from my experience when I was taken off benzo's after OD-ing on them and was not allowed to have them anymore as per my pdoc. After several years, I finally got back on klonopin. I agree that it is a long process to earn that trust again.

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Also, have you tried many of the AD's that work well for anxiety? Effexor, zoloft, paxil, lexapro, prozac, cymbalta, luvox, etc.?

All except Zoloft. Currently on Cymbalta and it works really well for my depression mixed with Lamictal.

Have you tried vistaril? (SP?)

Yes. Worthless for me.

Have you tried seroquel prn for anxiety?

Even more worthless.

I haven't been prescribed Neurontin. There are some meds he hasn't touched because I have no insurance and the county funding only pays for so much and there are some company prescription medication programs but it just seems like some meds he has never really considered for me. I've heard Neurontin helps in large doses but I'm trying to avoid overdoses here. This crap reminds me why everyone else in my family abuses prescription meds. It gets to a point where you're tired of feeling like hell and I guess temporary relief is better than feeling like this all the time.

And as far as "doctor shopping" goes. I'm almost 37 years old and I've had two psychiatrists my whole life, one for 3 1/2 years (my current). I hardly would call a switch doctor shopping.

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I don't know if changing pdocs would get you a benzo script. You need to be honest with your providers, and imagine your new provider finding out you od'd twice this year without you telling him? And you know doctors always find out these things.

I'd have an honest conversation with your current pdoc. Explain why you feel you should get a limited supply of benzos (you didn't od on benzos) and then go from there. It's ultimately up to your dr to choose how they want to handle it. All you csn do is ask in a calm and rational manner.

I od'd on Xanax (accidentally, I promise) about six years ago. I didn't get another benzo script for about a year and a new pdoc. But I unfortunately had issues with Xanax (just that one, not the rest) and I admitted to my pdoc two years ago that I had a problem. He was very good to me about it and we stair-stepped down off the Xanax to Ativan to Librium, which I take prn now. Right now I'm taking it about 1-2 times a week, but I've gone a couple of months between doses before.

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I decided not to bring it up. I have enough to worry about and I didn't want the drama because I knew I'd get all upset if he didn't understand what I was trying to say. Unfortunately ithink my cocktail is going to have to change because of other things and I don't need to even be thinking about clonazepam or another benzo right now. Although one would be nice ;)

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After I overdosed on Xanax I asked my pdoc to give me a very small amount and that what we've been doing. This was in March 2011. She now gives me a prescription for a total of 15 or 20 pills and it lasts me a few months since I take it so infrequently.

I agree with the others that you should just be open and honest and not switch doctors. Maybe he/she can give you like 5 at a time or something and then slowly increase it if you need and arent taking more than prescribed. Good luck.

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