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Re: Klono depressing. Need long benzo not depressi » med_empowered

Posted by yxibow on April 25, 2006, at 3:03:00

In reply to Re: Klono depressing. Need long benzo not depressi, posted by med_empowered on April 24, 2006, at 6:33:59

> hey! Valium is an option..if you're in the US, docs tend to either not RX it (cuz its associated with "Mother's Little Helpers"-era practices) or they waaaaay under-prescribed it (20mgs day==1mgs Klonopin..when you do the math, you see patients get screwed).

Yep -- fortunately I have a pdoc who trepidatiously allows the high dosage of Valium needed to switch from Klonopin. And Valium as previously said has a 24+ half life due to its main plus three other metabolites (Klonopin is about 16).

One that isn't RX'd much but I like is Librium..its kind of weak, but it lasts a while and is pleasant without being really intense.

Librium shares some of the metabolites of Valium except for Restoril, which probably makes Valium stronger.

Ativan is good, too. Tranxene is an option, but it can be depressing..if it works, though, there's the T-Tab which is once-daily anxiety relief (how convenient).

Ativan in vivo doesn't necessarily exceed Valium or Klonopin's half life. I was on Tranxene years ago and I was on it 3x a day. Didnt know they made an extended version, or whether they still do -- its a fairly old drug. But its half life is also fairly low and I was feeling like I was dependant on it -- I hadn't necessarily habituated but I didn't know as much about benzodiazepines as I know now and I stopped it cold turkey. (And the college health pdoc didn't reinstate my full dosage medication like she should have, nor did anyone give the head "snap" and moving of scalp smooth muscle tissue the credence it should have been in an emergency fashion, which would have immediately stopped this.) I still have scalp muscular spasms irregularly from time to time when my current disorder rears its head, this is after 9-10 years. Not that I dont think properly prescribed benzodiazepines monitored for respiratory depression especially in combination with other medications, aren't about the safest psychiatric drugs out there. I still am on Valium after all.

>
> Serax is also an option, although for some reason it seems to be used mostly for alcohol withdrawals/DTs.
>
> There's always xanax but...that's a pretty tricky med.

I would agree -- as I say, Xanax is best left PRN

 

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