Psycho-Babble Medication Thread 679936

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Re: What does taking a benzo actually feel like? » Meri-Tuuli

Posted by laima on August 25, 2006, at 16:03:21

In reply to What does taking a benzo actually feel like?, posted by Meri-Tuuli on August 25, 2006, at 9:13:32


My experience with the different ones is that there are some subtle, and some substancial differences between them.

When I took low dose xanax- I felt calm, still quite clear, and while worries were still worries, they didn't seem desperately unmanageable at all. I felt, "I can handle it"! Higher dose=getting groggier.

Ativan sort of worked for me for sleep- but each dose wore off very quickly. As a benzo wears off, I can detect a heightened anxiety as "withdrawal" effect. I didn't use it during the day- no reason other than I wasn't prescribed to use it during day.

Klonopin- stronger, and more likely to make me feel "drug is in my body". Fuzzier-but not bad on lower dose. This one is a mild muscle relaxant, too. Very high doses- as I tend to gulp too many of these on plane trips-leave me stumbley, clumsy, fading in and out, with trouble keeping my eyes open. Then that wears off into "drained and mellow."

Restoril (for sleep, and it is either part hypnotic or related to hypnotics) was like a knock out. I even read that militaries have used it to put fighters to sleep during their brief "breaks" (sorry- I got no references to prove or disprove- but it wouldn't surprise me. The idea was that it can "knock one out" that effectively and quickly.) To me it felt like a depressing bludgeon.

They all feel different from ambien, too- ambien for me=weird, bizarre behavior as I still resist going to bed, and while it can groggify me, oddly it never calmed anxiety whatsoever, in my experience.

Benedryl for me=plain dullness.

With the possible exeption of excessive klonopin stumbliness, none of them felt "drunk" at all to me- "drunk" to me has more giddiness, disinhibition, extroversion, goofiness, loudness, and fuzziness, and losing awareness, losing memory....
Also, "drunk" can turn into emotionality, crying, hysterics, drama, whatever- note people stumbling out of bars totally trashed at closing time. Never got any of that sort of an effect with a benzo.

And "high" isn't even in the same ballpark, in my opinion- utterly different.

 

Re: What does taking a benzo actually feel like? » Meri-Tuuli

Posted by laima on August 25, 2006, at 16:05:07

In reply to Re: What does taking a benzo actually feel like?, posted by Meri-Tuuli on August 25, 2006, at 12:08:42


I'd say better- no "can't sleep" effect later, for one thing.


> Hey folks,
>
> Thanks for the descriptions. I'm after descriptions because I would like to know what it feels like when the benzo quells your anxiety.
>
> Is it like having a glass of wine, I mean, in terms of anxiety reduction?
>
> Matt:
>
> > Your doctor wont even put you Klonopin?
>
> No. I might try asking again, and being 'abit pushy' if you know what I mean.
>
> I mean the thing is, they *know* I suffer from anxeity and depression and they *know* i get panic attacks (some so bad I end up in ER) but they won't even talk about benzos.
>
> I know they are addictive. But then, SSRIs etc are sort of addicitive. I mean, its hard coming of those too, yet there isn't such a backlash.
>
> I mean, what is better, drinking to reduce anxiety or taking benzos????????
>
> Kind regards
>
> Meri
>
>

 

Re: What does taking a benzo actually feel like? » bassman

Posted by laima on August 25, 2006, at 16:10:17

In reply to Re: What does taking a benzo actually feel like?, posted by bassman on August 25, 2006, at 13:45:34


I'd like to agree, but add, alas, they are technically generally "addictive", and many people find they need to take higher and higher dose to keep up the effect. So long term use can have a dark side- for many- not for all- but for many. And that's when you start to hear about the "withdrawal stories"...

I thought my doctor had good advice: "use benzos as more of a tool than as a final and sole solution for your anxiety, if at all possible."


> That's pretty much my expereince of what a benzo "feels like", too. It is more the absence of anxiety/depression than, say drinking, in which you know something is going on. Benzos just sort of remove anxiety without doing much else-if you didn't know you had taken one, you'd say you just "calmed down". Of course, different people have different reactions to benzos. I think sometimes people feel the benzo has stopped working because they no longer get sleepy-so they take more. That can cause problems...the only really difficult dependence problem is when a person takes more and more of a benzo until they are taking so much they show side effects-but they are at such a high dose, tapering is difficult AND they have to put up with side effects from the high dose.

 

Re: What does taking a benzo actually feel like?

Posted by bassman on August 25, 2006, at 17:23:34

In reply to Re: What does taking a benzo actually feel like? » bassman, posted by laima on August 25, 2006, at 16:10:17

There are many who would agree with your opinion. Here is research that support the opposite opinion, namely, that benzos very seldom cause addiction (as opposed to dependence) and dose escalation is unusual:

Schweizer et al. (58) have conducted an 8-month, placebo-controlled study of continuation therapy for panic disorder with alprazolam and imipramine that found sustained efficacy for both compounds with no dose escalation, suggesting an absence of tolerance to the therapeutic effect

Preliminary evidence for the efficacy of continuation therapy of GAD comes from two studies (43, 47). In both studies the benzodiazepine therapy achieved sustained remission of anxious symptomatology with no tolerance and no dose escalation over a 6-month period.

http://www.acnp.org/G4/GN401000129/CH127.html

A total of 136 patients received clonazepam nightly for a mean 3.5 (+/- 2.4) years, with no significant difference in initial versus final mean dose: 0.77 mg (+/- 0.46) versus 1.10 mg (+/- 0.96). Similar results were obtained with chronic alprazolam treatment and with other benzodiazepine treatments. CONCLUSION: Long-term, nightly benzodiazepine treatment of injurious parasomnias and other disorders of disrupted nocturnal sleep resulted in sustained efficacy in most cases, with low risk of dosage tolerance, adverse effects, or abuse.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8629680&query_hl=1&itool=pubmed_docsum


Fifty-nine panic disorder patients originally randomized to treatment in a controlled trial comparing alprazolam, clonazepam, and placebo were reevaluated in a follow-up study. At a mean follow-up of 1.5 years, 78% of patients remained on medication and the mean dosage of alprazolam and clonazepam did not increase.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8376613&query_hl=1&itool=pubmed_docsum

A 15 year study:
Maintenance medication was common. No benzodiazepine abuse was reported. CONCLUSION: PD has a favourable outcome in a substantial proportion of patients. However, the illness is chronic and needs treatment. The short-term treatment given in the drug trial had no influence on the long-term outcome.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14680716&query_hl=1&itool=pubmed_docsum

I think this is interesting because it basically says the physicians are quite prejudiced concerning benzo use, even when it comes to outcome. Who knows the benefits better, the physician or the patient? That’ s easy.

The participants were 93 patients over 60 years of age using a benzodiazepine for insomnia and 25 physicians comprising sleep specialists, family physicians, and family medicine residents. The main outcome measure was perception of benefit and risk scores calculated from the mean of responses (on a Likert scale of 1 to 5) to various items on the survey. RESULTS: The mean perception of benefit score was significantly higher in patients than physicians (3.85 vs. 2.84, p < 0.001, 95% CI 0.69, 1.32). The mean perception of risk score was significantly lower in patients than physicians (2.21 vs. 3.63, p < 0.001, 95% CI 1.07, 1.77). CONCLUSIONS: There is a significant discordance between older patients and their physicians regarding the perceptions of benefits and risks of using benzodiazepines for insomnia on a long term basis. The challenge is to openly discuss these perceptions in the context of the available evidence to make collaborative and informed decisions.

. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12019038&query_hl=11&itool=pubmed_docsum

The Task Force Report, although over 10 years old, is still a standard reference for benzodiazepine use. Its points—that there is undue reluctance to use minor tranquillizers, and that many people are under treated—still hold, and are borne out by the Roy-Byrne study. Other relevant literature includes a review of 2719 adult out-patient charts2 (medical and psychiatric) for evidence of benzodiazepine abuse that found no patients meeting the criteria. Another study, of long-term alprazolam users, found no dose escalation with long-term use.3 Tyrer’s 19884 paper on minor tranquillizers notes an absence of evidence that benzodiazepine dependence leads to dangerous long-term sequellae, and blames "excessive media attention" for distortion of scientific attitudes.

http://fampra.oxfordjournals.org/cgi/content/full/20/3/347

Benzodiazepines are relatively safe drugs that are probably under- rather than overprescribed. Periodic reassessment of chronic users is appropriate, although generalized anxiety disorder and panic disorder are chronic conditions for which long-term treatment may be necessary. In the more recent era of safer antidepressants, these agents may be able to supplant minor tranquillizers for the control of chronic anxiety in many patients. Long-term benzodiazepine use is appropriate for some patients.

http://fampra.oxfordjournals.org/cgi/content/full/20/3/347

Tolerance is the need to increase the dose of a drug to maintain the desired effects. Tolerance to the anxiety-relieving effects of benzodiazepines is uncommon and most individuals do not increase their benzodiazepine dose

http://www.daap.ca/factsonbenzodiazepines.html

 

Re: What does taking a benzo actually feel like? » bassman

Posted by Squiggles on August 25, 2006, at 17:39:18

In reply to Re: What does taking a benzo actually feel like?, posted by bassman on August 25, 2006, at 17:23:34


If it weren't for faith in authority
we must just doubt our own experience.

Squiggles

 

Re: What does taking a benzo actually feel like? » Meri-Tuuli

Posted by Colleen D. on August 25, 2006, at 18:05:41

In reply to What does taking a benzo actually feel like?, posted by Meri-Tuuli on August 25, 2006, at 9:13:32

Hi!

Taking Xanax for me is like having a glass or two of wine, but without the feeling of overall relaxation of the muscles throughout my body. Drinking alcohol gives me a rubbery feeling and a definite lack of coordination.

I currently take less clonazepam than was originally prescribed. .5mg at bedtime and .5mg in the morning. It's been a miracle for my symptoms of OCD, GAD and SP.

I'm sad to hear it is not more easily available for you. After researching benzos and deciding clonazepam was probably the med for me, I asked my doctor and he didn't balk at prescribing it. So, perhaps you could do some more reading on them, take some notes and and go in as if you have made an informed decision on what you want and maybe...

Good luck!

Colleen

p.s. Where in the UK are you? My mom is Irish and all of our relatives are in Yorkshire.

 

Re: What does taking a benzo actually feel like?

Posted by valene on August 25, 2006, at 18:45:42

In reply to Re: What does taking a benzo actually feel like? » valene, posted by Squiggles on August 25, 2006, at 11:54:57

A benzo is a benzo - they all reduce the amount of GABA that the brain naturally produces because they are now supplying GABA to your brain. Klonopin is also extremely "addictive" to many people, also many find it quite depressing. I do not find that with Xanax, and the half life for me is perfectly fine on xanax- I can go 12-14 hours between doses before noticing any w/d symptoms.


Xanax has been the only benzo I can take that does not add to my depression. In fact, it is a mild anti-depressant for me. Valium was a complete nightmare when I switched to it from xanax - horribly depressing.

Val

 

Re: What does taking a benzo actually feel like?

Posted by bassman on August 25, 2006, at 19:01:11

In reply to Re: What does taking a benzo actually feel like?, posted by valene on August 25, 2006, at 18:45:42

Exactly my experience with benzos: Klonopin and Valium depressing, Xanax has a distinct antidepressant effect on me and no "breakthough" anxiety even 20 hours after I've taken a dose. Ativan does little (actually, in terms of anti-anxiety, Valium does nothing for me at all-I can take 30 mg and not know I've taken anything).

 

Re: What does taking a benzo actually feel like? » bassman

Posted by Squiggles on August 25, 2006, at 19:29:06

In reply to Re: What does taking a benzo actually feel like?, posted by bassman on August 25, 2006, at 19:01:11

There are many perspectives to this topic:

http://psychmedaware.org/links.html

Squiggles

 

Re: What does taking a benzo actually feel like?

Posted by bassman on August 25, 2006, at 19:58:16

In reply to Re: What does taking a benzo actually feel like? » bassman, posted by Squiggles on August 25, 2006, at 19:29:06

From the home page of this link:

Psychiatric Medication Awareness Group is a small group of British Columbia citizens concerned about the increasing use of psychiatric drugs in B.C. and Canada, and the potential harm associated with these drugs. PMAG is also concerned about the dramatic increase in the prescribing of psychiatric drugs to the general population in Canada, particularly to women. This massive health crisis has been largely ignored, and its social and human costs are inadequately researched and largely unquantified.

 

It feels like ... silence

Posted by finelinebob on August 25, 2006, at 20:38:20

In reply to Re: What does taking a benzo actually feel like?, posted by bassman on August 25, 2006, at 19:58:16

First of all, I must disagree with the "a benzo is a benzo" comment. If that were true, there would only be one. They may have similar pharmacodynamics (yep, had to look that one up!) but that hardly means they are the same. Anyway...

Have you ever been in a room with a lot of fluorescent lights? Like a classroom or something. Everyone leaves but you, and it gets very quiet, and then you can hear it -- the hum of the transformers for all the lights. It gets lost in the background noise unless there isn't any noise to cover it.

That's what clonazepam did for me -- it flipped the switch to "off". It wasn't that I was feeling something new or different, it's that something HUGE but subtle was all of a sudden gone. It's as if all my life, my entire nervous system had been vibrating and humming, producing this low-level of ever-present anxiety. And clonazepam turned it off.

 

Re: What does taking a benzo actually feel like? » Squiggles

Posted by Phillipa on August 25, 2006, at 21:06:00

In reply to Re: What does taking a benzo actually feel like? » valene, posted by Squiggles on August 25, 2006, at 11:54:57

To each his own but all the pdocs I've ever had have no problem with benzos . And Squggles I've just plain stopped xanax when life stresses were down. And gone for months at a time without any. Just my experience. Love Phillipa

 

Re: What does taking a benzo actually feel like? » Phillipa

Posted by Squiggles on August 25, 2006, at 21:11:54

In reply to Re: What does taking a benzo actually feel like? » Squiggles, posted by Phillipa on August 25, 2006, at 21:06:00

> To each his own but all the pdocs I've ever had have no problem with benzos . And Squggles I've just plain stopped xanax when life stresses were down. And gone for months at a time without any. Just my experience. Love Phillipa

It's easier to stop Xanax early; but the longer
you take it and the more continuously you take
it, the harder its. Glad you used it when you
needed it.

I think part of the problem might be that
these drugs are prescribed, and then you are
shown the door. So, if you are not supervised,
and you forget one or take them erratically
or too long or just stop -- unexpected things
start to happen that are hard to connect to
the initial causes. This is especially so
when other drugs and other health conditions
are involved.

Medicine has become very complicated and
short-staffed to do the right job, it seems
to me.

Squiggles

 

Re: What does taking a benzo actually feel like? » Squiggles

Posted by Phillipa on August 25, 2006, at 22:06:29

In reply to Re: What does taking a benzo actually feel like? » Phillipa, posted by Squiggles on August 25, 2006, at 21:11:54

Sqiggles what counry are you in. In the US if you use a mail order pharmacy I believe three months is what you get. I don't have one so each 30days my pdoc sees me and gives me another prescription based on my stress level. Funny if you go to the withdrawal board is it benzos or Antidepressants that people seem to have problems withdrawing off of? I prefer a med that has been around for years and there are no known side effects. I think klonopin is depressing at least for me, xanax quick acting for panic attacks, valium long acting not depressing for me. I finally just stopped xanax as it was making me tired and I like to be on the go. Funny last time I saw my pdoc she said you should either take xanax during the day with valium at night or small bits of valium during the day. Oh her specialty is addictions. She writes for Jama and other medical journals. Love Phillipa she's seen it all she's in her 70's. Now I not being argumentive here. This is just my experience and that of other members of my family. See somehow we inheritated a panic gene.

 

Re: What does taking a benzo actually feel like? » bassman

Posted by laima on August 25, 2006, at 23:28:03

In reply to Re: What does taking a benzo actually feel like?, posted by bassman on August 25, 2006, at 17:23:34

Very interesting- and note- I have used benzodiazapines on and off for a good 5-6 ywears myself, and agree they seem safe and fairly effective when used per instructions. Breaks do help preserve their effectiveness, in my own body. Also did NOT claim everyone gets "addicted"- but maintain it can and does happen- it's a real risk for some people. I've caught myself slipping that way a few times myself, but managed to pull back up, a little painfully, each time.


> There are many who would agree with your opinion. Here is research that support the opposite opinion, namely, that benzos very seldom cause addiction (as opposed to dependence) and dose escalation is unusual:
>
> Schweizer et al. (58) have conducted an 8-month, placebo-controlled study of continuation therapy for panic disorder with alprazolam and imipramine that found sustained efficacy for both compounds with no dose escalation, suggesting an absence of tolerance to the therapeutic effect
>
> Preliminary evidence for the efficacy of continuation therapy of GAD comes from two studies (43, 47). In both studies the benzodiazepine therapy achieved sustained remission of anxious symptomatology with no tolerance and no dose escalation over a 6-month period.
>
> http://www.acnp.org/G4/GN401000129/CH127.html
>
> A total of 136 patients received clonazepam nightly for a mean 3.5 (+/- 2.4) years, with no significant difference in initial versus final mean dose: 0.77 mg (+/- 0.46) versus 1.10 mg (+/- 0.96). Similar results were obtained with chronic alprazolam treatment and with other benzodiazepine treatments. CONCLUSION: Long-term, nightly benzodiazepine treatment of injurious parasomnias and other disorders of disrupted nocturnal sleep resulted in sustained efficacy in most cases, with low risk of dosage tolerance, adverse effects, or abuse.
>
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8629680&query_hl=1&itool=pubmed_docsum
>
>
> Fifty-nine panic disorder patients originally randomized to treatment in a controlled trial comparing alprazolam, clonazepam, and placebo were reevaluated in a follow-up study. At a mean follow-up of 1.5 years, 78% of patients remained on medication and the mean dosage of alprazolam and clonazepam did not increase.
>
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8376613&query_hl=1&itool=pubmed_docsum
>
> A 15 year study:
> Maintenance medication was common. No benzodiazepine abuse was reported. CONCLUSION: PD has a favourable outcome in a substantial proportion of patients. However, the illness is chronic and needs treatment. The short-term treatment given in the drug trial had no influence on the long-term outcome.
>
> http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=14680716&query_hl=1&itool=pubmed_docsum
>
> I think this is interesting because it basically says the physicians are quite prejudiced concerning benzo use, even when it comes to outcome. Who knows the benefits better, the physician or the patient? That’ s easy.
>
> The participants were 93 patients over 60 years of age using a benzodiazepine for insomnia and 25 physicians comprising sleep specialists, family physicians, and family medicine residents. The main outcome measure was perception of benefit and risk scores calculated from the mean of responses (on a Likert scale of 1 to 5) to various items on the survey. RESULTS: The mean perception of benefit score was significantly higher in patients than physicians (3.85 vs. 2.84, p < 0.001, 95% CI 0.69, 1.32). The mean perception of risk score was significantly lower in patients than physicians (2.21 vs. 3.63, p < 0.001, 95% CI 1.07, 1.77). CONCLUSIONS: There is a significant discordance between older patients and their physicians regarding the perceptions of benefits and risks of using benzodiazepines for insomnia on a long term basis. The challenge is to openly discuss these perceptions in the context of the available evidence to make collaborative and informed decisions.
>
> . http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=12019038&query_hl=11&itool=pubmed_docsum
>
> The Task Force Report, although over 10 years old, is still a standard reference for benzodiazepine use. Its points—that there is undue reluctance to use minor tranquillizers, and that many people are under treated—still hold, and are borne out by the Roy-Byrne study. Other relevant literature includes a review of 2719 adult out-patient charts2 (medical and psychiatric) for evidence of benzodiazepine abuse that found no patients meeting the criteria. Another study, of long-term alprazolam users, found no dose escalation with long-term use.3 Tyrer’s 19884 paper on minor tranquillizers notes an absence of evidence that benzodiazepine dependence leads to dangerous long-term sequellae, and blames "excessive media attention" for distortion of scientific attitudes.
>
> http://fampra.oxfordjournals.org/cgi/content/full/20/3/347
>
> Benzodiazepines are relatively safe drugs that are probably under- rather than overprescribed. Periodic reassessment of chronic users is appropriate, although generalized anxiety disorder and panic disorder are chronic conditions for which long-term treatment may be necessary. In the more recent era of safer antidepressants, these agents may be able to supplant minor tranquillizers for the control of chronic anxiety in many patients. Long-term benzodiazepine use is appropriate for some patients.
>
> http://fampra.oxfordjournals.org/cgi/content/full/20/3/347
>
> Tolerance is the need to increase the dose of a drug to maintain the desired effects. Tolerance to the anxiety-relieving effects of benzodiazepines is uncommon and most individuals do not increase their benzodiazepine dose
>
> http://www.daap.ca/factsonbenzodiazepines.html
>

 

Re: What does taking a benzo actually feel like? » Colleen D.

Posted by Meri-Tuuli on August 26, 2006, at 3:20:37

In reply to Re: What does taking a benzo actually feel like? » Meri-Tuuli, posted by Colleen D. on August 25, 2006, at 18:05:41

Hiya!

> p.s. Where in the UK are you? My mom is Irish and all of our relatives are in Yorkshire.

I'm currently in the Midlands (soon to be Finland!). But I grew up in Yorkshire, York specifically! I like Yorkshire! Ed_uk lives in Yorkshire too.

Kind regards

Meri

 

Thanks for all the replies!...

Posted by Meri-Tuuli on August 26, 2006, at 3:36:21

In reply to Re: What does taking a benzo actually feel like? » bassman, posted by laima on August 25, 2006, at 23:28:03

So in conclusion:

There are different benzos which have slightly different effects.

But they all 'silence' anxiety - with no other significant side effects.

And it doesn't really feel like having an alcoholic drink - alcohol produces more side effects.

There is some issue of dependance/tolerance. But this has to be weighed up by the individul/pdoc involved.

Wow. I think I'm really going to try and ask for something from the pdoc - my anxiety is making me miserable and is really limiting my life. I have an appointment soon. Well, it might be worth discussing it with him anyway.

At the moment, I'm basically drinking to relieve my anxiety, and I don't actually like drinking to have to relieve my anxiety. Its kind of awful to be honest. Whats worse, drink or benzos??? I'm very careful to only have modest amounts of wine etc, and I know its a slippery slope...but still. I guess I'm self medicating. Oh well.

Kind regards

Meri

 

Re: What does taking a benzo actually feel like? » Phillipa

Posted by Squiggles on August 26, 2006, at 7:25:05

In reply to Re: What does taking a benzo actually feel like? » Squiggles, posted by Phillipa on August 25, 2006, at 22:06:29

I live in Canada. Your experience may not
be unique, just because you are in the
US though. There are millions of people
who are addicted to benzos and many lawsuits
for unsupervised AD withdrawal. And I
think that the US is a far more litigious
country, with its emphasis on individual
rights and all. Did you see the movie
"Requiem for a Dream"? That was a an
American movie.

Squiggles

 

Re: Thanks for all the replies!...

Posted by bassman on August 26, 2006, at 8:32:44

In reply to Thanks for all the replies!..., posted by Meri-Tuuli on August 26, 2006, at 3:36:21

I know this is lousy to say, because I like my beer, but alcohol unfortunately causes more anxiety the next day. So that's just a vote for benzos, in my opinion. And yes, I'd just assume if you take a benzo on a regular basis, it will cause dependence, that is, you won't be able to comfortably stop taking it suddenly. But that is really no hardship...I've tapered from Xanax, Klonopin, and Ativan after years of use-and with the exception of Xanax, had no withdrawal symptoms at all. Xanax withdrawal did cause some anxiety-but if I were to do it today, I'd use a benzo that I know I can withdraw from easily for help. Bear in mind that most drugs (even anti-hypertensives like beta blockers) taken regularly require tapering, so benzos, etc. aren't really all that distinct that way.

 

Re: Thanks for all the replies!... » bassman

Posted by Squiggles on August 26, 2006, at 8:43:55

In reply to Re: Thanks for all the replies!..., posted by bassman on August 26, 2006, at 8:32:44

It is a situation of benefit/risk, Bassman.
Sometimes it's necessary to take benzos.
But I think that there is more to the story
of medication habituation than is revealed.
I am not at all sure that Klonopin was a
necessary drug for me, and trying to get off
it almost killed me. I can't get off it.
It's hard to get that through to laymen and medicine men. There seems to be an element
of "clinical denial" based on sponsored
studies and grant-driven confirmations of
the drug's benefit.

I wouldn't be surprised if many deaths have
been a result of unpredicted prescription
medicine use and abuse, and attributed to
the patient's condition.

Squiggles

 

Re: Thanks for all the replies!... » Meri-Tuuli

Posted by laima on August 26, 2006, at 9:50:47

In reply to Thanks for all the replies!..., posted by Meri-Tuuli on August 26, 2006, at 3:36:21


>But they all 'silence' anxiety - with no other significant side effects.

?

Not 1000% true, in my experience- but kind of true. That's my experience. Side effects (usually from using higher doses than needed) can include acid reflux (the thing that keeps stomache acid from moving into your esophagus can loosen up if you take klonopin at night for example), and they do or can interere with "sleep architecture"-robbing you of "slow wave sleep". Some people end up with memory problems or sensory flattening- again...usually with higher doses than needed.

As for addiction- rare or not- I personally develope a tolerance fairly easily and end up craving more and more to maintain an effect- sometimes have given in- hard to resist sometimes the "relief", especially when stressful things happen. That can set off a nasty cycle.

But I agree that they seem much more benign overall than excessive alcohol for anxiety.

 

Re: Thanks for all the replies!...

Posted by bassman on August 26, 2006, at 10:51:18

In reply to Re: Thanks for all the replies!... » bassman, posted by Squiggles on August 26, 2006, at 8:43:55

I couldn't agree more-and I think the basis of our different views resides in your statement about your difficulty withdrawing from Klonopin. Your experience has obviously been a difficult one, and if I were you, I'd feel "trapped" and frankly, bitter, that I wasn't better advised as to what I was getting into. I would find the situation scary ("what if they stop prescribing the Klonopin? What if I'm on a trip and forget it"). Believe me, I've been there and didn't like it one little bit.

So in terms of perspective, now I can stop any benzo I'm taking in days, without ANY discomfort. So, of course, I feel the benefit/risk ratio is much higher than I used to or than you, understandably, do now.

I wish you only the best for the future. Thanks for sharing.

 

Re: Thanks for all the replies!... » Meri-Tuuli

Posted by laima on August 26, 2006, at 11:05:24

In reply to Thanks for all the replies!..., posted by Meri-Tuuli on August 26, 2006, at 3:36:21

Hi Meri,

A little more-

I thought of another potential side effect- a person like me, who developes tolerance very quickly, can end up more anxious than before, due perhaps to chronic start of "withdrawl". I've read (I think on benzo.org?) that some people can go into slight withdrawal even if they don't adjust their dose, if their body starts craving more. I don't know how accurate that info is- but I've had more anxiety struggles AFTER benzos entered my life than before, though think it's hard to come up with a definate conclusion about if that is due to my coping skills, stresses, drug effects, or other factors. One definate contibutor to this problem of mine has been slipping up with controlling myself with my prescriptions when the going gets rough-then I run out early, and rebound anxiety flares-that rebound tends to be different from and worse than the original anxiety. It can be hard for me to resist craving substances which offer fast and immediate relief-I've had to develop some "tricks" to help me control myself, even as drastic as having someone else hold the bottle for me if I feel like I could be in a time of risking abuse. This has helped.

Whether or not this sort of craving-mess could turn into a side effect for you I guess depends on how well you do with addiction/substance abuse issues, I imagine.

> But they all 'silence' anxiety

I'd be careful with this conclusion- they can or could "fuzz-out" anxiety, too.

> And it doesn't really feel like having an alcoholic drink - alcohol produces more side effects.

I definately agree! You can think and function so much better on benzos than on alcohol, too. No contest here!

Benzos can be a slippery slope like alcohol, too, Though if you can control your drinking, perhaps that is a good sign (?)
But benzos can also be lifesavers, and for me personally, they help me lose interest in overdrinking-I've often turned to drinking thanks to anxiety, too.

By the way, if you end up drinking while on benzos, their sedating and fuzzy effects can really intensify and the situation could get potentially dangerous-but not necessarily, if you drink only a teeny amount and are able to *control* yourself. I guess the danger is more if one takes more of each (?) I think about Marilyn Monroe...

I wish you the very best of luck with your doctor and in getting yourself a prescription to try for yourself- from how you describe your situation, I imagine they would be very helpful.

It seems that a lot of substances have a bright side and a dark side to consider- and we are all different with our situations.

I'm amazed at how hard all of you from the UK report that it is to get a benzo prescription there- seems so odd and unfortunate.
What exactly do the UK doctors expect anxious people to do when they need help with anxiety but "deep breathing" and "bubble baths" don't do the trick??

I wonder if your chances would be better if you told your doctor you are drinking "more and more" due to anxiety and need an alternative, or if that would set off alarm bells?

Or, if you went the route of describing how anxiety is getting in way of your "functioning"? I think a lot of psychiatrists respond to "not functioning". Just a couple of thoughts.

Warmest wishes and good luck!

Laima

 

Re: Thanks for all the replies!... » Squiggles

Posted by Phillipa on August 26, 2006, at 19:21:43

In reply to Re: Thanks for all the replies!... » bassman, posted by Squiggles on August 26, 2006, at 8:43:55

It's hard to die from just benzos but an OD on a tricyclic can be deadly. Love Phillipa

 

Re: Thanks for all the replies!... » laima

Posted by Phillipa on August 26, 2006, at 19:27:05

In reply to Re: Thanks for all the replies!... » Meri-Tuuli, posted by laima on August 26, 2006, at 11:05:24

Laima I believe that SSRI's are the answer in the UK unless you're elderly. Love Phillipa


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