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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by anxiety_free on May 5, 2004, at 1:19:32
Hi! I was misdiagnosed as bipolar II and put on a LOT of different medications (abilify, zyprexa, seroquel, neurontin, depakote, trileptal, celexa, effexor, klonopin, etc.) Anyway, I was re-diagnosed (I think accurately) as ADD with anxiety problems (social anxiety, GAD). In switching from doctors, I tapered off most of the BP meds except for the Klonopin, b/c it helped so much with the anxiety. Now I currently take 4mgs of klonopin each day (2mgs/ morning, 2mgs/nite)along with a 30mg adderall XR tablet (in the morning) and a 10mg Adderall tablet (in the evening, after the XR wears off). I'd like to taper the klonopin a bit, but I also want to keep taking it; it seems to keep me calm and focused...however, I don't want it to interfere with my adderall, which I desperately need. What would a good dose of Klonopin be to mix with my adderall, or is this even advisable? Would 1mg
3X daily be a better way to go? I would really appreciate some input and advice..thank you so much!
Posted by chemist on May 5, 2004, at 21:51:26
In reply to Klonopin and Adderall combination, posted by anxiety_free on May 5, 2004, at 1:19:32
> Hi! I was misdiagnosed as bipolar II and put on a LOT of different medications (abilify, zyprexa, seroquel, neurontin, depakote, trileptal, celexa, effexor, klonopin, etc.) Anyway, I was re-diagnosed (I think accurately) as ADD with anxiety problems (social anxiety, GAD). In switching from doctors, I tapered off most of the BP meds except for the Klonopin, b/c it helped so much with the anxiety. Now I currently take 4mgs of klonopin each day (2mgs/ morning, 2mgs/nite)along with a 30mg adderall XR tablet (in the morning) and a 10mg Adderall tablet (in the evening, after the XR wears off). I'd like to taper the klonopin a bit, but I also want to keep taking it; it seems to keep me calm and focused...however, I don't want it to interfere with my adderall, which I desperately need. What would a good dose of Klonopin be to mix with my adderall, or is this even advisable? Would 1mg
> 3X daily be a better way to go? I would really appreciate some input and advice..thank you so much!hi there, chemist here...i think your plan to go 1 mg tid on klonopin is an excellent start, and would suggest that perhaps - at least in the start - you dump the 10 mg of adderall you are taking late in the day, as the reduced klonopin will heighten the effects of the extended-release you are taking in the a.m......keep us posted, and all the best, chemist
Posted by anxiety_free on May 6, 2004, at 7:40:26
In reply to Re: Klonopin and Adderall combination » anxiety_free, posted by chemist on May 5, 2004, at 21:51:26
> > Hi! I was misdiagnosed as bipolar II and put on a LOT of different medications (abilify, zyprexa, seroquel, neurontin, depakote, trileptal, celexa, effexor, klonopin, etc.) Anyway, I was re-diagnosed (I think accurately) as ADD with anxiety problems (social anxiety, GAD). In switching from doctors, I tapered off most of the BP meds except for the Klonopin, b/c it helped so much with the anxiety. Now I currently take 4mgs of klonopin each day (2mgs/ morning, 2mgs/nite)along with a 30mg adderall XR tablet (in the morning) and a 10mg Adderall tablet (in the evening, after the XR wears off). I'd like to taper the klonopin a bit, but I also want to keep taking it; it seems to keep me calm and focused...however, I don't want it to interfere with my adderall, which I desperately need. What would a good dose of Klonopin be to mix with my adderall, or is this even advisable? Would 1mg
> > 3X daily be a better way to go? I would really appreciate some input and advice..thank you so much!
>
> hi there, chemist here...i think your plan to go 1 mg tid on klonopin is an excellent start, and would suggest that perhaps - at least in the start - you dump the 10 mg of adderall you are taking late in the day, as the reduced klonopin will heighten the effects of the extended-release you are taking in the a.m......keep us posted, and all the best, chemist
>Thanks for the advice! I think I'll do as you suggested.
Posted by Festus on May 7, 2004, at 23:38:28
In reply to Re: Klonopin and Adderall combination, posted by anxiety_free on May 6, 2004, at 7:40:26
OK,please remember folks,I,m on your side,but to Anxiety-Free:in your quest to seek out advice on this(and any other Med-related Boards),be aware that there are MANY knowledged,good,caring folks,like the Chemist,out there in Cyberspace that may give to you the advice you seek.Also,they,most always,are merely giving you what THEY think or know pertaining to your questions,but it is not adviseable to adhere,literally,to what they may suggest.In your case,you responded to Chemists suggestions as if your own Dr. had revised your Med schedule.You may have been merely responding,but in the reply,you stated"I think I,ll do as you suggest".Well,that may be best considered by seeing what the prescribing Physician says about these changes.I am only trying to convey a concern that I,ve seen where,in some circumstances,folks have done what was suggested by lay-persons in replies to dosages of meds,and have had tragic results.I,m sure the Chemist will follow up on this post with more insight.One thing is for sure:you were lucky to get a Dr. who is not afraid to Rx meds that are checked by the "Drug-Police"because they are obviously helping you.Many of the so-called Dr.,s out there are so intimidated by the DEA,that they ignore the oath they took and SWORE to,to ease the suffering of their Patients to the best of their ability.Not if it means prescribing a Controlled Substance.I boldly state to these Cowardly excuses for"doctors"that you will reap what you sow,by denying suffering people the medicines they need to ease their suffering(Proverbs 3:27).
Be Well,Festus
Posted by chemist on May 8, 2004, at 0:33:17
In reply to Re: Klonopin and Adderall combination, posted by Festus on May 7, 2004, at 23:38:28
> OK,please remember folks,I,m on your side,but to Anxiety-Free:in your quest to seek out advice on this(and any other Med-related Boards),be aware that there are MANY knowledged,good,caring folks,like the Chemist,out there in Cyberspace that may give to you the advice you seek.Also,they,most always,are merely giving you what THEY think or know pertaining to your questions,but it is not adviseable to adhere,literally,to what they may suggest.In your case,you responded to Chemists suggestions as if your own Dr. had revised your Med schedule.You may have been merely responding,but in the reply,you stated"I think I,ll do as you suggest".Well,that may be best considered by seeing what the prescribing Physician says about these changes.I am only trying to convey a concern that I,ve seen where,in some circumstances,folks have done what was suggested by lay-persons in replies to dosages of meds,and have had tragic results.I,m sure the Chemist will follow up on this post with more insight.One thing is for sure:you were lucky to get a Dr. who is not afraid to Rx meds that are checked by the "Drug-Police"because they are obviously helping you.Many of the so-called Dr.,s out there are so intimidated by the DEA,that they ignore the oath they took and SWORE to,to ease the suffering of their Patients to the best of their ability.Not if it means prescribing a Controlled Substance.I boldly state to these Cowardly excuses for"doctors"that you will reap what you sow,by denying suffering people the medicines they need to ease their suffering(Proverbs 3:27).
> Be Well,Festuschemist here...i agree (except for bringing a religious tone into this), suggestions/opinions should be taken in consideration with your mental healthcare practitioner. remenber, it is *your* life and you do have control in terms of what therapy/meds are best tailored for you. hopefully, your doctor will steer you in the right direction as you become better acquainted with the meds you are taking.....all the best, chemist
Posted by anxiety_free on May 9, 2004, at 2:18:04
In reply to Re: Klonopin and Adderall combination » Festus, posted by chemist on May 8, 2004, at 0:33:17
Hey! I'm taking the Chemist's advice because it also sounds like the method one of my old shrinks tried to use to tape klonopin before I was ready- .5 mgs/ month, every month. I hear there's a way to do benzo (especially Klonopin) tapering with Phenobarbital...does anyone know anything about this? I doubt my GP or current shrink will go for that without some convincing. It sounds like it'd make the process easier.
Posted by Questionmark on May 10, 2004, at 16:22:49
In reply to Re: Klonopin and Adderall combination, posted by anxiety_free on May 9, 2004, at 2:18:04
> I hear there's a way to do benzo (especially Klonopin) tapering with Phenobarbital...
Probably. But you'd probably get dependent (physically if not psychologically too) on it, and then you're in a worse situation than benzo dependency.
And i don't think intermittent use of phenobarbital (while skipping the benzo) would be of much use either, since there's probably a lot of cross tolerance.
Posted by Keith Talent on May 11, 2004, at 5:17:48
In reply to Klonopin and Adderall combination, posted by anxiety_free on May 5, 2004, at 1:19:32
If 2 mg twice daily of clonazepam is working, why change it? Do you have any morning problems with the Adderall XR taking too long to kick in?
Barbiturates are known to cause massive enzyme induction in the liver, so the concentrations of your other drugs may fall a lot (well, any that are hepatically eliminated). If clonazepam is working, why change to something that is more dangerous, subject to pharmacokinetic interactions with other drugs and possibly less effective?
Posted by Pelequin on November 16, 2004, at 23:39:57
In reply to Klonopin and Adderall combination, posted by anxiety_free on May 5, 2004, at 1:19:32
> Hi! I was misdiagnosed as bipolar II and put on a LOT of different medications (abilify, zyprexa, seroquel, neurontin, depakote, trileptal, celexa, effexor, klonopin, etc.) Anyway, I was re-diagnosed (I think accurately) as ADD with anxiety problems (social anxiety, GAD). In switching from doctors, I tapered off most of the BP meds except for the Klonopin, b/c it helped so much with the anxiety. Now I currently take 4mgs of klonopin each day (2mgs/ morning, 2mgs/nite)along with a 30mg adderall XR tablet (in the morning) and a 10mg Adderall tablet (in the evening, after the XR wears off). I'd like to taper the klonopin a bit, but I also want to keep taking it; it seems to keep me calm and focused...however, I don't want it to interfere with my adderall, which I desperately need. What would a good dose of Klonopin be to mix with my adderall, or is this even advisable? Would 1mg
> 3X daily be a better way to go? I would really appreciate some input and advice..thank you so much!I too have experience alleviation of anxiety when taking a low dose of Adderall (10-20mg) and a standard dose of Klonopin (1-2mg). These two drugs are the only thing that have produced a noticable effect on my body.
But do yourself a favor and don't get addicted to Adderall.
Posted by pablo1 on November 17, 2004, at 12:45:26
In reply to Klonopin and Adderall combination, posted by anxiety_free on May 5, 2004, at 1:19:32
I'm starting on Klonopin & Ritalin plus Zoloft for overfocused ADD and repressed anxiety. I tend to to hyperfocus so the ritalin alone won't let me change gears, I crave pot & alcohol so I'm thinking the Zoloft & klonopin will provide the balancing calming effect to make things balanced. So far so good, a week or so into theis treatment.
This is the end of the thread.
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