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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by zuzu80 on September 22, 2004, at 10:40:34
Hello everybody.
I been on a benzo (clonazepam) on and off for couple of weeks. But still some questions remain to be answered by you the members of the benzo club:)
I am now considering taking them long term (months to a year or maybe more)
1. Does tolerance to the sedation and lightheadness develop over time? while the anxiolytic effect reamin present?
2. What would you recommend as a good combination with a benzo to counteract the cognitive "defeficts" of clonazepam? I have Selegeline HCL and Bubropion (Wellbutrin), I think either of them can help. What do you think? any other suggestions?!
3. I will be also on a SSRI to avoid the depression of Clonazepam. What do you think?
4. What about physical tolerance to the drug. I heard that withdrawal is awful. But I trust my Psychiatrist whoi maintain that careful gradual withdrwala (say 0.125mg every 2-3 weeks can do the trick). Any ideas? or experiences?
I am taking the benzo for Social Anxiety? Selegiline works on Catecholamines (Dopamine and Norepinephrine). The dopamine component might just help even further for the social realm :) Donna know, but I already read a post that someone got 100% relief from the combo of Selegiline and Clonazepam.
Your comments will be highly appreciated.
Hugs,
Christine of Sweden.. Hope my english was fine:)
Posted by mattw84 on September 22, 2004, at 11:13:24
In reply to Benzodiazepines -Side effects, combos tolerance?, posted by zuzu80 on September 22, 2004, at 10:40:34
The sedation and most other side effects should become minimal, and yes the axiolytic effect will remain. Wellbutrin can help sometimes, can also make anxiety worsen (Same for most NE/DA RI's). There is the risk of depression that accompanies, klono, you may want to wait and see if that happens. My winning combo has been Xanax with Adderall. If you are really worried about becoming depressed as a SE you may want to consider Xanax instead of klono, as it is indicated for depression comorbid with anxiety. Either way the longer you take them the greater you physical dependence will be to them; so you will need to taper off slowly when you decide to discontinue. Tolerance will likely increase, but you will eventually reach a steady effective dose.Good luck!
Posted by woolav on September 22, 2004, at 11:23:27
In reply to Re: Benzodiazepines -Side effects, combos toleran, posted by mattw84 on September 22, 2004, at 11:13:24
I just read your post, I was wondering if you knew how bad or the percentage of people who get more depressed from klonopin? I take prozac and lamictal, I wonder if that would be enought to counter the depressive quality of the klonopin? I am sort of freaked out now. My pdoc switched me from xanax to klon last week. Because she thought my tolerance to xanax was getting too high. (i had taken it for about 4-5 yrs)....
S
Posted by mattw84 on September 22, 2004, at 12:01:31
In reply to Re: Benzodiazepines -matt, posted by woolav on September 22, 2004, at 11:23:27
Around 25%
Posted by woolav on September 22, 2004, at 12:30:17
In reply to Re: Benzodiazepines -matt, posted by mattw84 on September 22, 2004, at 12:01:31
Posted by Kon on September 23, 2004, at 0:02:43
In reply to Re: Benzodiazepines -matt, posted by mattw84 on September 22, 2004, at 12:01:31
> Around 25%
Just curious. Where did you get this value? All the literature I've looked suggests a value of < 10%.
Thanks
Posted by mattw84 on September 23, 2004, at 0:20:15
In reply to Benzodiazepines and incidence of depression -matt, posted by Kon on September 23, 2004, at 0:02:43
The PI sheet says:
... " behavior problems have been noted in approximately 25% of patients " ...
Which may include other adverse psychiatrical reactions like mania, hypomania, psychosis, suicidal ideation, disinihibition (the "drunk a**hole" effect), etc... either way those all seem pretty depressing to me =)
Posted by cybercafe on September 24, 2004, at 3:15:03
In reply to Re: Benzodiazepines and incidence of depression -, posted by mattw84 on September 23, 2004, at 0:20:15
> The PI sheet says:
>
> ... " behavior problems have been noted in approximately 25% of patients " ...
>
> Which may include other adverse psychiatrical reactions like mania, hypomania, psychosis, suicidal ideation, disinihibition (the "drunk a**hole" effect), etc... either way those all seem pretty depressing to me =)
>
>
>weird... i was actually dong mediocre on parnate.. until i added in some clonazepam, and then i started to do much better .. hmm...
This is the end of the thread.
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