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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by linkadge on November 13, 2010, at 11:44:55
Hi folks. The venlafaxine ultimately was a no go.
It seemed to unfavorably affect my sleep, as well as making me feel wierd.I am switching to clonazepam for anxiety. Hopefully this will help with less collateral. The benzos have always seemed a little more "to the point" with anxiety.
Now on:
amitriptyline
methylphenidate
clonazepamLinkadge
Posted by Phillipa on November 13, 2010, at 12:49:54
In reply to venlafaxine to clonazepam, posted by linkadge on November 13, 2010, at 11:44:55
Always helped me the most well Gad official dx. So no wonder. Phillipa
Posted by ed_uk2010 on November 13, 2010, at 14:16:00
In reply to Re: venlafaxine to clonazepam » linkadge, posted by Phillipa on November 13, 2010, at 12:49:54
Are you going to stick to short term or PRN use Link?
Posted by linkadge on November 14, 2010, at 7:53:07
In reply to Re: venlafaxine to clonazepam, posted by ed_uk2010 on November 13, 2010, at 14:16:00
>Are you going to stick to short term or PRN use >Link?
I am going to first give that a try (i.e. as needed).
However, my doctor actually wants me to take it on a daily basis for ongoing GAD. He seems to think that in certain cases, clonazepam (in particular) can be effective as a maintainance for ongoing GAD.
I'm starting with 0.25mg
Linkadge
Posted by SLS on November 14, 2010, at 10:02:54
In reply to Re: venlafaxine to clonazepam » ed_uk2010, posted by linkadge on November 14, 2010, at 7:53:07
> >Are you going to stick to short term or PRN use >Link?
>
> I am going to first give that a try (i.e. as needed).
>
> However, my doctor actually wants me to take it on a daily basis for ongoing GAD. He seems to think that in certain cases, clonazepam (in particular) can be effective as a maintainance for ongoing GAD.
>
> I'm starting with 0.25mg
>
> LinkadgeUse clonazepam as a tool in the best way you can. Be cognisant, though, that it has the potential to produce a mild to moderate depression as an untoward side effect. It doesn't do this for everyone, but it did affect me that way. The thing I'm not sure of is whether or not the depression resolves with continued treatment. I don't think it does.
Clonazepam is somewhat atypical as a benzodiazepine. It is supposed to be the most effective BZD for controlling seizure disorders. My guess is that lorazepam is better in an emergency, though, as it is faster-acting and has a shorter half-life. Clonazepam is unique for its effects on serotonergic neurotransmission. It is generally thought to enhance serotonin activity. However, some literature indicates that clonazepam reduces serotonin turnover. Unfortunately, it is still unclear as to how it works.
I think it would be worth your time investigating further the pharmacology of clonazepam. There is still much debate as to its mechanisms of action. Perhaps you can uncover what's going on here.
- Scott
Posted by orbital on November 14, 2010, at 14:47:44
In reply to venlafaxine to clonazepam, posted by linkadge on November 13, 2010, at 11:44:55
Clonazepam is a very reliable medication. In my experience, and like Scott said, it may exacerbate depression, causing a dullness of sorts.
IME the trick is to stick to the lowest effective dose, and to toy with the dosing schedule, and then take it from there. Splitting the 0.25mg into divided doses wouldn't be unheard of, in fact Roche markets 0.125mg klonopin wafers in certain countries.
Good luck :)
> Hi folks. The venlafaxine ultimately was a no go.
> It seemed to unfavorably affect my sleep, as well as making me feel wierd.
>
> I am switching to clonazepam for anxiety. Hopefully this will help with less collateral. The benzos have always seemed a little more "to the point" with anxiety.
>
> Now on:
>
> amitriptyline
> methylphenidate
> clonazepam
>
> Linkadge
>
>
>
>
>
>
Posted by linkadge on November 14, 2010, at 17:24:23
In reply to Re: venlafaxine to clonazepam » linkadge, posted by orbital on November 14, 2010, at 14:47:44
>IME the trick is to stick to the lowest >effective dose, and to toy with the dosing >schedule, and then take it from there. Splitting >the 0.25mg into divided doses wouldn't be >unheard of, in fact Roche markets 0.125mg >klonopin wafers in certain countries
The tablets are 0.5mg. They generally split well into quarters. I'll start there.
This is the end of the thread.
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