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.
Had to resort to taking a Valium (5mg) tonight for acute stress flare-up after a heated argument (happened right before bedtime, then I can't fall asleep) These intense emotions of overwhelm and sadness keep me awake for hours afterwards.
How long until this kicks in? After 20-30 mins, It doesn't feel like it's doing much at all...would taking more be bad? I also have Xanax, but I end up waking up middle of night when it wears off.
I take generic Quetiapine 200 mg for anxiety and insomnia. There was a lot of improvement but I still suffer from anxiety/panic attacks. My doc tried increasing the Quetiapine dose up to 400 mg but I didn't notice any improvement. Looks like 200 mg is the optimum dose.
If my sleep quality is good, the day will be very calm and relaxed.
I observed that if I take Quetiapine 200 mg + Diazepam 10 mg before sleep then my anxiety/panic attacks are totally under control. Sleep quality was very good. There was no daytime drowsiness either. It was just perfect. But the problem is that benzodiazepines are not for long-term use.
So, we have been trying to find other medications that can augment Quetiapine just like Diazepam did.
Quetiapine 200 mg + Trazodone 50 mg caused a lot of drowsiness and daytime dizziness. I could not take the combination for more 5 days. Quetiapine 200 mg + Tegretol 300 mg actually reduced the sleep quality and increased anxiety (Tegretol and Trileptal reduce the effectiveness of Quetiapine). Quetiapine 200 mg + Lithium caused a lot of daytime drowsiness but there was no improvement in my anxiety/panic attacks. What other medications can I take along with Quetiapine before sleep to further improve the sleep quality?
Is anyone taking any medications in addition to Quetiapine before sleep?
Thank you for your responses.