hi, debaser....thanks for the response;my doc has me on .5 mg of klonipin twice daily as needed for panic attacks;she told me not to take more than 1/2 mg at a time so i haven't ....i have had chronic severe anxiety since i was 7 and took valium for it in my 20's ;5 mg twice a day, which worked well and prevented attacks. how much klonipin do you take? thanks, painter i am female, by the way..doesn't matter except there are hormonal components involved also. tc
.5 mg Klonopin isn't really a low dose...it's the target dose. Clinically they've found that .5 mg bid has proven effective for most people with panic disorder. You're doing the right thing by following the doctor's orders.
I'm on the same dose you're on, although I've been cleared to take an extra .5 mg tablet now and then if I have a bad day. I very rarely take extra (I hate pills), and when I do I usually break the thing in half.
For me the Klonopin started working almost as soon as I started taking it; however, for others I have read that it takes a week or so to really get in a groove. How long have you been on it?
There are certain drugs that will decrease the level of BZ in your system, and I honestly don't know what they are other than Carbamazepine, Phenobarbital, Rifampin. My internet's slow for some reason and I can't get to my PDR. Maybe Kitt is around and can list some more.
There are several other questions to ask. Let's see. Are you taking Roche Klonopin or generic Clonazepam? Some generics are better than others. I've had good luck with Caraco and less luck with Teva, and have heard (this is hearsay, of course) that pure-pac and some other brand is just plain ineffective. I believe 20 percent is what the FDA allows for therapeutic potency when manufacturing generics, but benzos have a narrow index so you'd ideally like to get as close to Roche as possible. A few months ago the pharmacist substituted some of my Caraco generic for the genuine Klonopin. I took it for several days and monitored myself as closely as one can possibly monitor themselves (a lot of room for error there) and I saw very little difference. But that's just me; everyone's different.
The main difference between generics and the name brands are the inactive ingredients (binding agents). Everyone on the planet is different and will metabolize these and the active ingredients a little differently. My doctor and I had a discussion about
this just yesterday, in fact. Depending on your size, weight, and a million other factors, you may simply need more Klonopin/Clonazepam than the "target dose". However I'd be careful about
that. You don't want to take more than needed, ever.
So I'd think if you've been on this stuff for a week or so and it still hasn't helped, you should go back to your doctor as soon as possible and ask a whole bunch of questions. Benzo's aren't quite like SSRI's and stuff like that...if you really do have anxiety then they should be effective. That doesn't mean they are the best drugs in all cases, but they should be effective to some degree. If it's not, there's a reason somewhere.
I wish I could help you more with the DVT and all that, but I don't know anything about
it. If all this stuff is causing you a whole, whole lot of stress, then of course the pills are going to be limited in what they can do for you. On the other hand, I think you would notice a difference on the Klonopin, at least, even if it didn't "fix" you.
Lastly, what kind of doctor are you seeing for this? I've had good luck with my GPs, but ideally a psychiatrist would be part of the mix as they are expert in all types of psychotropic medications.
Good luck to you.
My Brain: My friend, My enemy: A blog to chronicle my attempt to recover from anxiety/panic disorderanxietypanicdisorder.blogspot.com/