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DammitJanet

No more Xanax. ☹️

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Pdoc let me have it 5 years ago, said under condition she’d never raise the dose (1mg). 

Well, tolerance has built...I’m having withdrawals every day all day...need to switch. I know both diazepam and clonazepam have both caused my depression to worsen, but at this point, not sure what else to do. 

What are the benefits to each of these if anyone has an opinion?

i see her next Monday and need to be decided so I can be as assertive and assured as possible. 

I think when I tried diazepam it may have negated the benefits of vyvanse, not totally positive. Guess I’ll try it once more tomorrow since I have a bunch left. 

I’m terrified she’s gonna force Ativan which makes me really feel moody. 

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Darn. I'm sorry you are in such a bad situation. Would you feel comfortable asking your pdoc gently for an increase in xanax ? Just to see if she will do that? The worst she can say is no, right?

If not, personally I prefer Klonopin. I've never even had to try anything else except Ativan while IP. I credit Klonopin for saving my life big time. I can't leave the house without it. I become agoraphobic. I can't drive or anything. 

But ymmv.  You and your Dr will have to decide how to proceed. 

Good luck. I'll be thinking of you. 

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My HMO just banned prescribing Xanax. Routine use of benzos also makes me depressed and I build up a tolerance pretty fast thus I never use them. When you see your pdoc, I would try to either tinker with your current meds or add something for anxiety. I know some people have to have a benzo and are responsible consumers but I personally find the right AD or AAP to work better than benzos. 

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2 minutes ago, Wonderful.Cheese said:

Darn. I'm sorry you are in such a bad situation. Would you feel comfortable asking your pdoc gently for an increase in xanax ? Just to see if she will do that? The worst she can say is no, right?

If not, personally I prefer Klonopin. I've never even had to try anything else except Ativan while IP. I credit Klonopin for saving my life big time. I can't leave the house without it. I become agoraphobic. I can't drive or anything. 

But ymmv.  You and your Dr will have to decide how to proceed. 

Good luck. I'll be thinking of you. 

Thanks. I may just try clonazepam for awhile then until my depression crisis is over 

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1 minute ago, DammitJanet said:

Thanks. I may just try clonazepam for awhile then until my depression crisis is over 

I hope it helps you!

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30 minutes ago, CeremonyNewOrder said:

My HMO just banned prescribing Xanax. Routine use of benzos also makes me depressed and I build up a tolerance pretty fast thus I never use them. When you see your pdoc, I would try to either tinker with your current meds or add something for anxiety. I know some people have to have a benzo and are responsible consumers but I personally find the right AD or AAP to work better than benzos. 

I build tolerance very slowly, and not ready to ditch benzos yet. I’m already on lots of meds and don’t want to add to it. I refuse any weight gainers too, so I’m pretty limited. Thanks for your ideas. 

Ps. I’m also entering menopause which vastly increases mood shifts, anxiety and insomnia. I don’t feel now is the time to put myself through even more distress. 

Edited by DammitJanet

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Have you tried Librium or Tranxene?

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4 hours ago, mikl_pls said:

Have you tried Librium or Tranxene?

My doc is an old fogie. She doesn’t do anything outside of old standard protocol. I’ve never heard of tranxene. I will ask her though what she thinks. Thanks. 

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13 hours ago, DammitJanet said:

Thanks. I may just try clonazepam for awhile then until my depression crisis is over 

Sounds like a decent idea to me....Clonazepam is as potent as Xanax, but it stays in your system longer.

Edited by CrazyRedhead
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7 minutes ago, CrazyRedhead said:

Sounds like a decent idea to me....Clonazepam is as potent as Xanax, but it stays in your system longer.

Do you happen to know how long diazepam stays for?

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18 minutes ago, DammitJanet said:

Do you happen to know how long diazepam stays for?

I'm finding slightly different answers when I looked this up, but diazepam has a longer half life than clonazepam or Xanax, of that I'm sure.

However, even though diazepam is longer acting, it is a much weaker benzo than clonazepam or Xanax.

For example, to equal 1mg of clonazepam or Xanax, you would need 20mg of diazepam.

Edited by CrazyRedhead
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2 minutes ago, CrazyRedhead said:

I'm finding slightly different answers when I looked this up, but diazepam has a much longer half life than clonazepam, of that I'm sure.

However, even though diazepam is longer acting, it is a much weaker benzo than clonazepam or xanax.

For example, to equal 1mg of clonazepam or Xanax, you would need 20mg of diazepam.

I need a new Pdoc I think...when she let me try diazepam to equate 1mg of Xanax, she only scripted me 5 mg 2x a day...the biggest thing that keeps me with her is the amount of input she allows from me and I’m scared I won’t be able to find another doctor to prescribe a stimulant and benzo again. I’m gonna call around today I think. Thanks for helping me again. 

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1 minute ago, DammitJanet said:

I need a new Pdoc I think...when she let me try diazepam to equate 1mg of Xanax, she only scripted me 5 mg 2x a day...the biggest thing that keeps me with her is the amount of input she allows from me and I’m scared I won’t be able to find another doctor to prescribe a stimulant and benzo again. I’m gonna call around today I think. Thanks for helping me again. 

Do you think she would let you try clonazepam?....That would be a much easier switch, since 1mg Xanax = 1mg clonazepam.

Wishing you good luck in your search for new doc, if that's what you decide to do.....

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13 minutes ago, CrazyRedhead said:

Do you think she would let you try clonazepam?....That would be a much easier switch, since 1mg Xanax = 1mg clonazepam.

Wishing you good luck in your search for new doc, if that's what you decide to do.....

Yeah, pretty sure she would. I’ve told her in the past that I’ve gotten very depressed on it in the past, which is when I begged for Xanax. Why she said ok, but I’ll never increase the dose for ya. 

And thanks!

Edited by DammitJanet

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8 minutes ago, DammitJanet said:

Yeah, pretty sure she would. I’ve told her in the past that I’ve gotten very depressed on it in the past, which is when I begged for Xanax. Why she said ok, but I’ll never increase the dose for ya. 

And thanks!

Also, a warning about finding a new doc:   Realize that a different pdoc may or may not feel the same about benzos, or prescribing a benzo and stimulant together.

Edited by CrazyRedhead
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4 minutes ago, CrazyRedhead said:

Also, a warning about finding a new doc:   Realize that a different pdoc may or may not feel the same about benzos, or prescribing a benzo and stimulant together.

Yeah. I mentioned that above. My biggest fear for switching docs. I’m just gonna do a consult with another psychiatrist and see what they say. 

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God even though I just woke 4 hours ago, I’m seriously anxious right now! I mean shallow breath and all. 

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1 hour ago, CrazyRedhead said:

Do you think she would let you try clonazepam?....That would be a much easier switch, since 1mg Xanax = 1mg clonazepam.

Wishing you good luck in your search for new doc, if that's what you decide to do.....

Klonopin is actually twice as potent as Xanax, so 0.5 mg Klonopin = 1 mg Xanax.

I think Klonopin would be a good idea barring that it doesn't worsen her depression.

If not, Librium and Tranxene are good options.

Librium is the first benzo to be invented and is SUPER long-acting. Not very potent though. A 25 mg capsule = about 0.75 mg Xanax, but you can take up to 100 mg Librium per day which is about 3 mg Xanax. Its active metabolite is desmethyldiazepam which is a partial agonist at the GABAA benzodiazepine receptor so it's not as harsh. Your pdoc may really go for that.

Tranxene is another oldie but a goodie. It's another long-acting benzo. It's more potent than Librium for sure! It's nice, very smooth as its active metabolite is the same as Librium's, desmethyldiazepam. 15 mg = 1 mg Xanax, and you can take up to 60-90 mg/day depending (4-6 mg Xanax). Do be sure to mention that Its active metabolite, desmethyldiazepam, is a partial agonist at the GABAA benzodiazepine receptor, so it's not quite as harsh. Your pdoc may really go for that...

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15 hours ago, DammitJanet said:

Pdoc let me have it 5 years ago, said under condition she’d never raise the dose (1mg). 

Well, tolerance has built...I’m having withdrawals every day all day...need to switch. I know both diazepam and clonazepam have both caused my depression to worsen, but at this point, not sure what else to do. 

What are the benefits to each of these if anyone has an opinion?

i see her next Monday and need to be decided so I can be as assertive and assured as possible. 

I think when I tried diazepam it may have negated the benefits of vyvanse, not totally positive. Guess I’ll try it once more tomorrow since I have a bunch left. 

I’m terrified she’s gonna force Ativan which makes me really feel moody. 

SOrry to hear that the xanax has pooped out on you. Im sorry i didnt read all the replies. So just gonna tell you my experience as it relates to you. I have been on some benzo for god since i was 17 and im 34 now. Ive been on xanax, ativan, clonazapem, valium. Each has their own "feel" mechanism of action. I truly think xanax was the most effective, but didnt last long enough, xanax XR was great.

For me

xanax-kicked in quick, worked great, didnt last long enough

valium-groggy, not the best overall anxiety relief, but it was a long time ago TBH

Xanax XR-potent shit, and lasted long, almost too long.

Clonazapem-Switched to this when i was horrid. to give longer relief, i went from doing most benzos 1 x day at a low dose to this 2x day at 1mg. It worked pretty good initially, but quick tolerance. ive weaned back to 1x day. Then only at night to assist with sleep. Ill be honest i dont feel a thing on it. That happened pretty quick for me

What helped my anxiety more than anything was stimulants, especially vyvanse. My anxiety was crippling.

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There's also Serax (oxazepam). It's a short-acting stimulant, but it's very good for anxious depression. It's an active metabolite of Valium, and produces no active metabolites itself, so it's very, very clean. It does take a little while to take effect, but once it does, it's very soothing and has a bit of an antidepressant effect for me. 30 mg = 1 mg Xanax, and you can take up to 120 mg/day (4 mg Xanax). I would take Serax too if my pdoc would let me have two different benzos.

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