Posted by Toby on November 3, 1998, at 14:08:40
In reply to MD visit, posted by DL on November 2, 1998, at 22:20:13
You might want to try the Klonopin in the morning or in the early evening so that it isn't associated with "sleep" but instead may help the speech and jaw clenching. If he gave you the 0.25 or 0.5mg strength, cutting it into halves or quarters to see what dose will stop the problems would be the best route. It may be that a very tiny dose during the day will be OK, but the jaw clenching may need a slightly higher dose. Again, the problem for you would not be "addiction" because you don't have a penchant for taking more and more (exactly the opposite) but with your body's sensitivity to meds, physical dependence is probably going to happen again. However, to paraphrase an old saying, "If it's fixed, don't break it;" in other words, if the medication works, don't get rid of it just because somebody wants to try and tell you it's an addictive medication. The very small dose of Klonopin you take should not override the Remeron in terms of sleep. For the eating, perhaps buying some crunchy things specifically for the munchies and making yourself go to them rather than the fattening things will help. To decide whether you need to increase the Remeron dose, talk to your therapist and go over what improvements you've made and what still needs improving in terms of how you feel emotionally and then talk about which of those things can be addressed in therapy and which she feels may need further medication adjustment. It sounds like (from afar) that improvements in mood, etc could still be made, but if things are still getting better even now (no matter how slowly), I probably wouldn't increase it until you have been at this dose for a total of 6-8 weeks and then evaluate again. I forget what else you asked in the posting from yesterday. I will look and write again if I missed something.
poster:Toby
thread:827
URL: http://www.dr-bob.org/babble/19990601/msgs/1037.html