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Re: 2 benzos? phidippus

Posted by tony p on May 9, 2015, at 19:23:49

In reply to Re: 2 benzos? Escapee, posted by phidippus on April 12, 2015, at 7:47:48

> Clonazepam has a half-life of about 18 hours. If you take enough of it twice a day it should be adequate prophylaxis against anxiety and panic all day. You shouldn't have to take it a couple hours prior to stressors. How much are you taking.
>
> Alprazolam only works for 4-6 hours and you will have to take it 3-4 times a day to provide coverage. Also, alprazolam does not abort panic attacks...it works fast but not that fast.
>
> Eric

I am officially on 20 mg diazepam, but have often added a little under-the-counter clonazepam, most recently to help withdraw from an OTC. I find they make a good combination: It is not well known that diazepam ITSELF has a SHORT half-life (~6 hr), being metabolized mainly into nordiazepam, slightly less effective than diazepam, but with the very long half-life (see Wikipedia for details).

The Clon. seems to help balance out the 6-hour shoulder at which the diazepam SEEMS to stop working.

(As far as panic attacks go, I recommend Ativan sublingual; I've used it in the past successfully, but my pdoc won't prescribe it for me as it more addictive.


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poster:tony p thread:1077818
URL: http://www.dr-bob.org/babble/20150407/msgs/1078824.html