Wednesday, April 18
Well, I hate this, but I have bad news to report. After having the "pseudo" panic attack last night, I just experienced a brief but much more intense one. In the past four or five days (I forget) I've had at least two close-calls and two real ones. (EDIT: They were indeed "real" panic attacks, but they weren't nearly as bad as the ones I was experiencing pre-Klonopin...felt like I should make that clearer)
The positive side of it is, I had an absolutely wonderful day all day long until the moment it hit. Work was fine, after work was fine, and when I came home I watched a baseball game. Totally relaxed. A great night by any standard. Then, out of NOWHERE, bam! The attack was atypical, hitting my stomach, but other symptoms were involved as well. And as I write this and look back at the day, there were a couple of times I got pretty anxious although I don't care about
that as long as it doesn't manifest physically. If it doesn't hit my stomach I can get my mind off it very easily.
And this one...I think I dealt with it pretty well. It's just disappointing that it happened in the first place. And puzzling...there were no triggers like there were last night. I was just sitting here and all the sudden I was miserable. Weird.
Now, I forgot to take my medicine until maybe an hour and a half or so. The attack began thirty minutes ago and lasted ten minutes. I feel pretty calm now but my stomach is suffering just a little from the trauma. Nothing I can't live with. My question is...
Klonopin is supposed to be a long-lasting benzodiazepine. It has an extraordinarily long half life...something like 40 or 50 hours. That, to me, suggests that it shouldn't be a big deal if I wait an hour or two too long to take it. But am I making too big a deal out of the half-life? I know that half-life doesn't necessarily correllate perfectly with the effectiveness of the drug (one dose will probably not be very effective 40 hrs. later).
My question for the RN's or anyone who's had experience with the drug: should I be religious about
when I take it? Would that matter much? Is it time to talk to the doc about
increasing the dose? I don't want to. I know from the studies that Klonopin loses its therapeutic effectiveness in a certain number of anxiety/panic patients. I feel it's still helping, but maybe not as much. The evidence is anedotal: I had no panic attacks for weeks, and suddenly I'm having some.
I just don't want to go back to were I was.
Anyway, hope you are all doing well.
Post Edited (debaser) : 4/19/2007 4:53:54 PM (GMT-6)