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Re: Klonopin, Valium, Keppra, Morphine, Soma Combo

Posted by yxibow on December 21, 2005, at 14:20:25

In reply to Re: Klonopin, Valium, Keppra, Morphine, Soma Combo » yxibow, posted by ed_uk on December 21, 2005, at 13:29:21

> Let me rephrase. I'm not at all surprised that you can tolerate 160mg diazepam. Some people can tolerate much more! The question is: how did you get your doc to prescribe 160mg?!

Very carefully and with due consideration to me and his medical practice. Definately less hair raising than (no offense) the Oxycontin experiment I've heard on here -- the DEA does watch medical licenses (but I'm not one to judge that one, maybe it had some value in that particular case). We may go back down in the future if I can stand reducing the Valium as much as I attempted to reduce the Klonopin before. Basically the idea was to taper over from Klonopin to Valium. It worked best when the Valium was introduced before removing the Klonopin. It was an experiment to see, at least on my part, whether it gave a more anxiolytic feeling.

As for prescribing standards and insurance... a certain unnamed insurance company that I have will allow an immense amount of Seroquel to be prescribed (seems like $ to me) but when it comes to the Cymbalta they're extremely stingy on an exact # of tablets per size, which makes dosage adjustment annoying. (I guess so they can get more copays). Benzodiazepines they don't seem to care much about (thankfully up to far) since generics are so cheap these days anyhow.

>
> How do you like diazepam compared with clonazepam? Side effects versus benefits etc. Tell us more.

Side effects are very hard to tell when you are on a polypharmacy of 6 medications, most unrelated to each other, several not even psychiatric. I dont think it increased any more fatigue than the Klonopin but I can't be sure. I think Seroquel is still the fatigue culprit.

As for benefits... it covers at least the same amount of mm.. symptomatic events that the Klonopin would, perhaps a little bit more. It, at the beginning was more "immediate" gratifying than Klonopin. Now I would say it is more subtle, considering its 24+ hour half life far exceeds the typical 16 hour in vivo life of Klonopin. Still I would say even for that, there's just a pinch of less subtlety than Klonopin in terms of anxiety. Or that could be the placebo effect.. happens 33% of the time. So there's the long and short of it.


tidings


>
> Kind regards
>
> Ed

 

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poster:yxibow thread:589664
URL: http://www.dr-bob.org/babble/20051221/msgs/591008.html