I have been taking 1-2 Klonopins a day for a few years and prior to that more Ativan prn than Klonopin. Recently it seems all I have needed was 1 mg a day of Klonopin. I have also been wanting something shorter acting for prn use. So I proposed to my pdoc that we change my benzo script to 1 Klonopin every day and 1 Ativan as needed. So I get 90, 1 mg Klonopins and 60, 1 mg Ativans in a 90 day period.(I get 90 day fills on all meds except Schedule I I) Pdoc seemed to like this. It seems to be working fine.
met with psychiatrist last friday and was asked when/how i take/manage/remember to take my meds and when I mentioned I took my Vraylar in the morning she expressed concern and asked why I took it in the AM. I simply told her it doesn't sedate me at all and I struggle to keep up with multiple dosages per day and remembering to take meds in the evening.
She suggested that even though I don't feel sedated or tired from taking Vraylar in the morning, in addition to 40mg Valium and 0.5mg Xanax, switching to dosing at bedtime (the Vraylar plus Valium) may decrease my need to use a sleeping aid. I can never win with antipsychotics and sleep. An atypical antipsychotic either knocks me out (seroquel, zyprexa) and leaves me super sedated next day and cognitively impaired, as well as "stable-blah or fails to produce activation or sedation (rexulti, vraylar, latuda). This puts me in a predicament because I have severe insomnia that must be treated or else I spiral out of control and become dysfunctional very rapidly.
Since Vraylar doesn't help me fall asleep, I alternate between using small dose, 50mg, of seroquel and halcion 0.25mg. Here's the problem:
I don't feel at ease or comfortable taking to antipsychotics at the same time (Vraylar + Seroquel), but it works. Even my psychiatrist expresses a lot of concern about me taking two antipsychotics. We have explored other options, trust me almost of of them (sonata, ambien, edluar, mirtazapine, saphris, lunesta, temazepam, valium, xanax, clonidine, intermezzo, you name it, i've tried it except for belsomra), and after failing therapeutic response to several rounds of hypnotic sleeping medications I begged for halcion because I had been dying to do well on a sleep medication with a short half-life, quick onset of action, and little next day sedation. My doctor wrote my a script of 20 tablets for 45-60 days, but recently discussed "doing something about the triazolam (halcion)," meaning getting rid of it in the near future but it's the only thing that works for me! I w
I feel so anxious because I am 3 weeks from coming off xanax completely, or decreasing to 0.25mg for 2 weeks after that then being off. Then the plan is to remove the remaining benzos (diazepam, triazolam) because I had a history of using xanax in the wrong ways in my past, so my doctor wants me off any benzodiazepine. I am really concerned that she will eventually stop prescribing halcion to me and I fear this because this is the only med I can rely on to get a good nights' rest if I have an important even the next day where I can't afford drowsiness. I use halcion to put me to sleep when I have something important to do the next day or if it's too late at night to take something longer acting like seroquel. My health insurance keeps pushing her to change medications since halcion is indicated for short term relief, but so is ambien, lunesta, and sonata. What's the difference I told her, halcion is the only thing that legititmately helps me fall asleep fast, doesn't leave a hangover, feels more natural than other sleep aids like ambien (where I feel disoriented, wobbly, etc.).
I was absolutely grateful when my physician wrote me for halcion and was even happier after trying it out. i am not looking to take it every night by any means, I just want to have a continuous prescription so I can have something to rely on when I cannot afford having a poor night's' sleep or when i find myself spending hours trying but failing to fall asleep. Anyone else have experiences with being prescribed halcion on a continuous basis? I frankly don't see the problem in my prescription of 20 halcion every 45-60 days, it's not like I am taking it nightly (then I would see and understand where my doctor and health insurance company are coming from) but for strictly PRN use. I think taking halcion out of my medication regimen will only lead to the journey of finding another sleep medication that works, which we all know take weeks to months. Why change something if it's working and not being misused or abused? Any opinions, stories, or experiences with you guys? Feel free to talk about other "short-term" sleep medications and your experience.
I tapered of ativan because I felt like it was making me like the energizer bunny. I would start reading a book, 15 min later do dishes, 20 min later go on a run, 10 minutes into the run get tired of it, go inside watch a tv show for 10 min, then do something else. I couldn't focus on one damn thing at a time. Well I refilled the prescription and I felt great yesterday and the day before but now I actually feel more anxious. Not exactly anxiety per se, but almost like an agitation that makes me on edge, makes me worry more. I function better. Showering, cleaning, not daydreaming all day or dissociating. But I just hate the rotten feeling of agitation and not being able to relax. Would a longer acting benzo help? Such as klonipin. This was the same thing I experienced on xanax except no agitation but more energizer bunny and 15 incremental sessions all day. But this time I keep worrying, I can't be patient, little things annoy me. I'm getting frustrated even thinking about thinking about it.
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...