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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by tepiaca on May 6, 2006, at 22:25:46
From the link
" how to treat Social Phobia "Clonazepam (Klonopin) was the medication most widely employed in the Anxiety and Depression Program of Federal University of Rio de Janeiro in the treatment of Social Phobia. More than 300 cases have been treated with this drug. This choice, now, is being reviewed.
The treatment is initiated with 2 mg/day of clonazepam (Klonopin) divided in two doses 1 mg lunch and 1 mg bed time. If the patient gets very sleepy he can stay for one week or even more with 1 mg bed time only.
"AS TOLERANCE DEVELOPS THE DOSE IS INCREASED TO 3MG/DAY." The ideal dose of clonazepam in the treatment of Social Phobia stays between 3 and 6 mg/day divided in three doses a day, morning, afternoon and bed time.>>>>
Does that means that tolerance appears because the current dose is not enough??Does this means that 1mg is never enough to treat SP?
can this tolerance appears at 3 or 6 mg??
just wondering about benzos and tolerance.....
everybody tells me not to take xanax because his short half life, I dont know what to do because it works better than any other benzo
Im afraidTepi
Posted by Phillipa on May 6, 2006, at 23:13:23
In reply to Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 6, 2006, at 22:25:46
Tepi you know you need to see a good doc. Glad to see you're doing your homework. Yes klonopin has a longer half=life. Are you drinking? If not and the xanax helps and is the only benzo keep taking it untill you see a pdoc or a good doc. Love Phillipa
Posted by yxibow on May 7, 2006, at 0:16:29
In reply to Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 6, 2006, at 22:25:46
> "AS TOLERANCE DEVELOPS THE DOSE IS INCREASED TO 3MG/DAY." The ideal dose of clonazepam in the treatment of Social Phobia stays between 3 and 6 mg/day divided in three doses a day, morning, afternoon and bed time.
>
> >>>>
> Does that means that tolerance appears because the current dose is not enough??
>
> Does this means that 1mg is never enough to treat SP?No. Klonopin is a more concentrated medication.
> can this tolerance appears at 3 or 6 mg??
Yes, but the article you quoted seems to be slightly misinformed or miswritten. "As tolerance rises...." is just not true. Not everyone develops tolerance to any benzodiazepine. Look at Phillipa and how long she has remained on one, or numerous examples. 6mg is a bit high for Klonopin in any setting though I happen to take an equivalent of a benzodiazepine for other reasons. Usually Klonopin is dosed between 1 and 4mg.
> just wondering about benzos and tolerance.....
> everybody tells me not to take xanax because his short half life, I dont know what to do because it works better than any other benzoAs Phillipa had said if you're not drinking (much other than an occasional beer a week), continue with the Xanax if it is working and you do not feel like you are craving for additional medication per day. That would be habituation, the process that tolerance forms. It is completely true that Xanax has a short half life and if you could gain help by Valium you would be much better off (or Klonopin or anything that at least has a 12 hour half life like Ativan), because sooner or later, tolerance develops in some individuals and Xanax can make that worse with its shorter half life. Longer half life medications tend to be better. But as long as things are going fine, take it until you see a better doctor as I do not know your case.
> Im afraidWe're here.
> Tepi
- Jay
Posted by Declan on May 7, 2006, at 0:48:17
In reply to Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 6, 2006, at 22:25:46
Hey Tepi
Klonopin is supposed to be more depressing than Xanax. Whereas Xanax is more associated with problems of dependance/addiction.
Why not stay with Xanax and be really careful with the dose?
Can you take Xanax all the time and not increase the dose?
Declan
Posted by jedi on May 7, 2006, at 2:01:48
In reply to Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 6, 2006, at 22:25:46
Hi Tepi,
I'm a long term user of clonazepam. I currently take 1mg daily to control general and social anxiety. I have been taking this dosage for several years and it seems to really help my anxiety. I developed tolerance to the somnolence side effect of the drug long ago but tolerance to the anxiety benefit has not developed. Every person is of course different but the 1mg helps me long term without tolerance developing to the antianxiety effect. I no longer feel the "sigh" of relief from taking a benzo occasionally, but it still works on my anxiety. Also, clonazepam has never been a depressive med for me; though many people claim this side effect.
Best of Luck,
Jedi...
> Does that means that tolerance appears because the current dose is not enough??
>
> Does this means that 1mg is never enough to treat SP?
>
> can this tolerance appears at 3 or 6 mg??
>
> just wondering about benzos and tolerance.....
> everybody tells me not to take xanax because his short half life, I dont know what to do because it works better than any other benzo
> Im afraid
>
> Tepi
Posted by ed_uk on May 7, 2006, at 11:17:55
In reply to Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 6, 2006, at 22:25:46
Hi Tepi
Perhaps it was referring to tolerance to the drowsiness/sedation?
Ed
Posted by tepiaca on May 9, 2006, at 1:11:06
In reply to Re: Benzos .. a paragraph from a Pschycobabble link » tepiaca, posted by ed_uk on May 7, 2006, at 11:17:55
I have been better on Xanax , I have tried
not to take more than 3mg per day. The
problem is the somnolence its cause. But I feel
more calm around people . I can talk more
There are some times that I have felt very well
and very prosocial , That is great , I would
like to feel like that always. But unfortunately mos of the time Im quiet . I wonder if an extar
mg of Xanax would help me to be more prosocialI also feel I am not excited about life . I have no hobbies .
Well , at least Im not trying to kill myself anymore , thing have change a lot. But yes
I wish I could be more prosocial and enjoy
more of lifetepi
Posted by ed_uk on May 9, 2006, at 15:40:48
In reply to Re: Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 9, 2006, at 1:11:06
Hi Tepi :)
I don't think you should increase your Xanax dose at the moment - it would cause too much sedation. You might benefit from a higher dose at some time in the future though.
SALUDOS!
Ed
Posted by Phillipa on May 9, 2006, at 20:25:59
In reply to Re: Benzos .. a paragraph from a Pschycobabble link, posted by tepiaca on May 9, 2006, at 1:11:06
Tepi you sound better maybe what you're doing is helping and leave the xanax where it's at for now. Love Phillipa
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