Psycho-Babble Medication | about biological treatments | Framed
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Changing from Xanax to Klonopin for now

Posted by Partlycloudy on December 10, 2008, at 11:40:09

I've been posting on the Psychology board about my current issues with PTSD, depression, and anxiety. In the midst of some medication adjustments as a result:

Ambien CR 12.5mg for insomnia
Prozac 20mg every other day for depression and obsessive thoughts (I can't tolerate taking it every day, it upsets my digestive system too much and I get REALLY jittery)
was on Xanax 1.5mg for anxiety

we had discontinued Remeron as it appeared to have pooped out after a year and a half :-(
a trial of Zoloft left me dangerously depressive and with suicidal thoughts

What prompted my call to my pdoc today was that since stopping the Remeron - which really hadn't been working as an antidepressant anymore, my quality of sleep has really degraded. I'm now waking up around 3:30am - 4:30am, in the full grip of a panic attack. This is a manifestation of my PTSD. We talked about maybe increasing the Xanax, but I understand that though it's quick acting, it also wears off pretty fast too - which is why I'm experiencing anxiety while my body is trying to sleep.

So we're switching me from 1.5mg of Xanax (which I understand is a kind of low dose) to Klonopin, .5mg, 1 tablet twice daily, and then 2 at bedtime. So, a total daily dose of 2mg.

I think I tried Klonopin a couple of years ago while I was still amongst the working people, and found it too sedating. Right now I'm too cranked up to care if I'm going to fall asleep or not - in fact, I welcome the rest.

Just waiting for the Prozac to resume doing its job (it had been working OK before we tried the Zoloft experiment) - it takes a while for this stuff to build up in my system :-(

Trying to hang on, meanwhile.
Comments are welcome.




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