No matter what I've said in my previous post, I agree with everything you just said, porridge, except about
the Prozac (because I don't know about
it) and the Klonopin (for what she's being treated for it is a very high initial dose from FDA and Roache guidelines). I'll quickly explain my reasons for "not disagreeing with Harry".
I'm not a doctor but have done tons and tons and tons of research on benzodiazepines. What her doctor is doing seems unusual, and it's possible that he's the one dispensing dubious advice. Pokerchick went onto say she's been taking Klonopin three days, and has been taking 2mg in the morning AND at night. That's a LOT to start out with. If it were me I'd decrease my dose on my own since it's only been three days and contact my doctor first thing Monday. And if he can't explain why he's dosing her so far out of the guidelines then I'd very promptly find a new doctor.
But, yes, doctors should be included every step of the way whenever possible. I've always advocated that. When it comes to meds, nobody should ever take advice from here without speaking to a physician first. That really should be a given.
From what I've read, really high doses of Klonopin are not for treatment of anxiety/panic but for people who go into seizures a lot. That's what the drug was originally designed and marketed for. Since those days it's been proven over time to be very effective in treating panic, anxiety, agoraphobia, and social disorders, but usually at much lower doses than 6mg. There's also the problem that higher doses of any benzodiazepine can lead to tolerance. Ideally, one would want to keep their dose as low as possible, so starting high at 4mg/day is just plain weird. You don't have to be a doctor to see that.
It's entirely appropriate for her to call her doctor first thing in the morning and discuss this stuff with them. This forum isn't good for "medical advice" in a strict sense, but it is extremely valuable in helping people prepare to talk to their doctors (knowing what questions to ask, etc).
** Debaser I have edited Harry post as it is NOT up to us to tell ppl to cut doses in half
EVERYONE is different ........NO matter what anyone HAS read CONSULT your doctor PLEASE
Post Edited By Moderator (Howlyncat) : 5/9/2007 3:13:14 PM (GMT-6)