Psycho-Babble Medication Thread 1027849

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how do i discontinue benzo while starting ssri?

Posted by CaffeinePoet on October 6, 2012, at 13:13:33

I'm re-starting Effexor at the low dose of 12.5 mgs x 2, bumping up to 37.5 or 50 total (whatever works).

But I also have an old clonazepam prescription from a different doctor. I have been taking an average of .50 clonazepam daily for 5 weeks.

I may call the nurse to ask about this. But question -- if you have been given instructions about how to stop a benzo, at what point was it considered ok to do so after starting an ssri? I don't want to wait very long as I find being on two psych meds to cause problems with intelligence/thinking.

 

Re: how do i discontinue benzo while starting ssri?

Posted by bennybenzo on October 6, 2012, at 13:21:08

In reply to how do i discontinue benzo while starting ssri?, posted by CaffeinePoet on October 6, 2012, at 13:13:33

Best to keep on the small amount BENZO till your AD kicks in.

 

Re: how do i discontinue benzo while starting ssri?

Posted by Hugh on October 6, 2012, at 17:35:46

In reply to how do i discontinue benzo while starting ssri?, posted by CaffeinePoet on October 6, 2012, at 13:13:33

Taper the benzo very slowly. Clonazepam has a longer half-life than most benzos, so it should be easier to taper than benzos like Xanax or Ativan, which have a much shorter half-life, which can cause interdose withdrawal. This site has sample withdrawal schedules.

http://www.benzo.org.uk/manual/

 

Re: how do i discontinue benzo while starting ssri?

Posted by jono_in_adelaide on October 6, 2012, at 18:56:31

In reply to how do i discontinue benzo while starting ssri?, posted by CaffeinePoet on October 6, 2012, at 13:13:33

Cut the dose by 25% every four days, so 1 1/2 tabs a day for 4 days, then 1 tab a day for 4 days, then 1/2 a tab a day for 4 days

 

Re: how do i discontinue benzo while starting ssri?

Posted by phillipa on October 6, 2012, at 19:04:20

In reply to Re: how do i discontinue benzo while starting ssri?, posted by jono_in_adelaide on October 6, 2012, at 18:56:31

Wait till it kicks in. That's a low dose. Phillipa

 

Re: how do i discontinue benzo while starting ssri? phillipa

Posted by CaffeinePoet on October 6, 2012, at 19:21:14

In reply to Re: how do i discontinue benzo while starting ssri?, posted by phillipa on October 6, 2012, at 19:04:20

> Wait till it kicks in. That's a low dose. Phillipa

I can already feel it!

 

Re: how do i discontinue benzo while starting ssri? CaffeinePoet

Posted by phidippus on October 7, 2012, at 14:27:56

In reply to how do i discontinue benzo while starting ssri?, posted by CaffeinePoet on October 6, 2012, at 13:13:33

At .5 mg, I think you can just stop taking the benzo. Usually you want to wait until your AD kicks in, then your anxiety will be covered.

Eric

 

Re: how do i discontinue benzo while starting ssri? CaffeinePoet

Posted by brynb on October 10, 2012, at 2:17:27

In reply to how do i discontinue benzo while starting ssri?, posted by CaffeinePoet on October 6, 2012, at 13:13:33

The benzo's a low dose and you haven't been on it very long, so it shouldn't really cause a problem. Keep taking it while starting the AD; the AD will actually be very helpful.

Good luck...


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