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ativan dosage timing change?


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hi all,

I used to take ativan at 2mg per night and then coast through the half-life during the day.  My pdoc changed that two weeks ago and progressively got me to 0.75 mg am and 1.25 mg pm.  It's definitely helped the GAD portion of the program.  I'd say my resting anxiety level went from about a 4/5 to about a 2/3. (I still managed to have two panic attacks, but I could explain those.)

The problem I've hit is that splitting a 0.5mg tablet in half is really annoying.  The darn thing crumbles maybe 1 in every 5 times.  It also makes a tiny piece of medicine that I'm at risk of missing in the med box. 

Those aren't problems that are major, but I asked my pdoc if I could play around with the dosage a tiny bit just to see if I can manage without having to cut it.  I'm looking for feedback/best guesses at which of the following options to try:

0.5mg am/1.5mg pm

1mg am/1mg pm

I'd automatically go for the 1mg/1mg, but for the fact that I'm worried about tiredness.  I already deal with tiredness either because of sleep issues or meds, so that has me hesitating. However, maybe it's worth giving it a try?

Taking any and all votes and feedback.  Again, not a big deal--I can try it both ways.  I'm just trying to make an educated guess for the first attempt.

Edited by dancesintherain
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38 minutes ago, dancesintherain said:

 I'm looking for feedback/best guesses at which of the following options to try:

0.5mg am/1.5mg pm

1mg am/1mg pm

 Taking any and all votes and feedback.  Again, not a big deal--I can try it both ways.  I'm just trying to make an educated guess for the first attempt.

I vote for trying 0.5mg am/1.5mg pm first.......That's what I would do if I were you....Just my 2 cents....

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I feel like things went better when it was a 0.75/1.25 split.  Could that even be possible?  Can 0.25mg make that much of a difference?

It may be situational, but I feel like I've had enough good days life-wise to have that not be the cause.

I guess I can always switch it back and see, since she gave me the flexibility to do that and it was only because it was a hassle that we switched it to begin with.

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