Jump to content

Advertisement
  • No one should be alone in this. We can help.
If you - or someone you know - are having thoughts about suicide, call 1-800-273-TALK (8255). Calls are connected to a certified crisis center nearest the caller's location. Services are available 24 hours a day, seven days a week.                                                                            If you - or someone you know - are having thoughts about suicide, call 1-800-273-TALK (8255). Calls are connected to a certified crisis center nearest the caller's location. Services are available 24 hours a day, seven days a week.

Advertisement
Advertisement
Advertisement
Photo

Replace Xanax With...


  • Please log in to reply
9 replies to this topic

#1 mike23bris

mike23bris

    Junior Member

  • Junior Member
  • PipPip
  • 57 posts
  • Location:Brisbane

Posted 05 January 2007 - 03:28 AM

Hi,

I am currently taking 30mg of mirtazapine at 8pm and .25mg xanax at 9am and 4pm for moderate depression and quite bad social anxiety, I have an appointment with my pdoc on the 23rd of jan and from what I have read I want to try the following -


Keep the mirtazapine 30mg at 8pm

add provigil 200mg at 8am to counter the drowsiness of the mirtazapine and to lift my mood

switch the .25mg xanax for something with a long half-life such as 1mg clonazepam at lunchtime

I saw my GP and he said the provigil is only for narcolepsy (after looking it up as he had never heard of it) so he said to wait till I see pdoc - He also said the clonazepam was only for epilepsy so gave me a prescription for more xanax and mirtazapine.

Has anyone else had these combinations before? or can suggest something the doctors would know about here to counter the grogginess/down feeling I get until about 2pm where it turns to a slight cloudy feeling?

Also does anyone know a benzodiazepine with a long half-life which is for anxiety so I can switch to something with a less chance of addiction, I just need a small mild dose because this xanax is perfect in helping me anxiety.
I'm not crazy i'm just a little unwell, I know right now you cant tell
but stay a while and maybe then you'll see, a different side of me :)

No one ever asked for things to be like this - Depression sucks :(
All my love is going to those like me who are going through a difficult
time, Depression can really change you, Im looking forward to the
day this all passes over.

-------------------------------------------------------------------------------

#2 Ajumbledmess

Ajumbledmess

    Member

  • Platinum Member
  • PipPipPipPipPipPipPipPip
  • 2,822 posts
  • Gender:Female
  • Location:U.S.A

Posted 05 January 2007 - 07:20 AM

I say give it a try if it dosent work go back to what you were doing. as long as your doc agress i dont see a prob. i have to say tho i like the xanax cause it works fast

Posted ImageAjumbledmessPosted Image

"Sometimes we need to hurt in order to grow we must fail in order to know we must lose in order to gain some lessons are learned best through pain."







#3 jabberjaws

jabberjaws

    Advanced Member

  • Advanced Member
  • PipPipPipPip
  • 330 posts
  • Gender:Male
  • Location:MidWest

Posted 05 January 2007 - 10:14 AM

I take clonazepam for anxiety. I have for more then a a couple years now. It works fine to get the edge off. But for me it just isn't enough. I'd talk to you pdoc and see what ideas they have, Good Luck I hope the combinations work for you.

#4 caddon

caddon

    Senior Member

  • Just Registered
  • PipPipPipPipPip
  • 588 posts
  • Gender:Male
  • Location:Missouri

Posted 05 January 2007 - 03:28 PM

Hi!
I currently take .5mg xanax 4 times a day and klonopin 1mg 4 times a day. No offense, but your GP is not entirely right. Klonopin is another benzodiazipene like xanax. Though it does help with seizures, it can be effective for anxiety. This is a matter to discuss with someone trained in mental health, which a GP is not. Mine even told me when i went for med changes that he was not a shrink, and really was not qualified to help me in this area. I appreciated his honesty and respect him for not wanting to risk what stability i do have. Remember, this is not an area GPs are specialists in.

I have been on the combination of these meds now for over a year. The xanax do help somewhat, but are not all that effective on me with my metabolisim. The klonopin, though effective for the siezure control, also helps with anxiety. I do not often find the need to take the amount they have prescribed, normally i take one xanax and one klonopin daily, knowing I can up that if I need to at my own discretion is a big benefit to me anyhow. I have been on xanax now 5 years and the klonopin for over a year with the combination. The combination, at least for me, has been more effective at managing the anxiety than with xanax alone.

Definitely talk to your mental health professional - not just your GP, though his advice is valid, he isnt aware of all the benefits these medications are capable of. You need to go through someone skilled in dealing with our kinds of problems, as opposed to someone who primarily treats runny noses. I am surprised your GP is prescibing any psychiatric meds in the first place, most of them wont touch that area with a 10 foot pole for fear of lawsuit if they are wrong in their diagnosis or treatment.

Anyhow, keep us posted on how it goes, i hope they can get everything worked out for you.
James
"In all things do your duty. Nothing more can be expected from you, nor should you accept any less of yourself." Gen.Robert Edward Lee, Commander, Army of Nothern Virginia

Posted Image

#5 Guest_I am Cat_*

Guest_I am Cat_*
  • Guests

Posted 05 January 2007 - 07:24 PM

does anyone know a benzodiazepine with a long half-life which is for anxiety so I can switch to something with a less chance of addiction, I just need a small mild dose because this xanax is perfect in helping me anxiety.


my choice for that would be Clonazepam.... which is good for anxiety, has a long half life, and is less addicting than Xanax or other benzos... it's also good for mood stabilizing.

Benzodiazepines are a class of drug commonly known as tranquillisers and sleeping pills,and are predominantly used for anything associated with anxiety, or for sleeping problems.


Generic Name Brand Name


Alprazolam Xanax or Kalma
Bromazepam Lexotan
Clobazam Frisium
Clonazepam Rivotril
Diazepam Valium, Ducene or Antenex
Flunitrazepam Hypnodorm or Rohypnol
Lorazepam Ativan
Nitrazepam Mogadon or Alodorm
Oxazepam Serepax, Murelax or Alepam
Temazepam Euhypnos, Nocturne, Normison, Temaze or Temtabs
Triazolam Halcion
chlordiazepoxide librium






Most prescriptions for benzodiazepines are written to help people cope with anxiety or insomnia which is often associated with social or personal problems such as :
-Grief
-Relationship difficulties
-Sexual assault
-Work related stress
-Domestic violence
-Difficulty coping with babies or children
-Difficulties with school work
-Alcohol dependency or living with a person with alcohol or drug dependency


Benzodiazepines are also commonly prescribed for panic disorder and other anxiety disorders.

Benzodiazepines are also commonly prescribed for age-related sleep problems.

Prescribing of benzodiazepines for physical conditions is common, including:

-Muscular pain or spasm gastro-intestinal symptoms
-Any chronic pain such as arthritis
-Injuries or stress following a car accident
-Headaches
-High blood pressure
-Menopausal and menstrual problems
-Skin conditions
-Dementia


hope this helps

#6 Ocracoker16

Ocracoker16

    Gold Member

  • Gold Member
  • PipPipPipPipPipPipPip
  • 1,205 posts
  • Location:Washington DC

Posted 05 January 2007 - 10:31 PM

Your GP is incorrect in saying that clonazepam is not for anxiety. It is just another benzo, but it has longer lasting power and stabilizes mood as well. Sometimes Clonazepam is an excellent choice for long term use. Xanax can be used as needed. Provigil is approved to treat narcolepsy, but is used off label for wakefulness. It is a very expensive drug which some insurance companies will not cover if you don't have narcolepsy. I really urge you to see a psychiatrist or psychopharmacologist to discuss psychotropic drugs. Your GP isn't experienced with tis type of medicine.

Katie :hearts:
Katie

#7 mike23bris

mike23bris

    Junior Member

  • Junior Member
  • PipPip
  • 57 posts
  • Location:Brisbane

Posted 06 January 2007 - 12:01 AM

The weird thing is he then prescribes me 100 xanax pills which he has to get authentication by calling a number (he doesn't have to for any other major med except Rohypnol (some really bad people use it as a date rape drug) and a few others, so it would be easier for him also.

Im just going to wait till my pdoc appointment.
I'm not crazy i'm just a little unwell, I know right now you cant tell
but stay a while and maybe then you'll see, a different side of me :)

No one ever asked for things to be like this - Depression sucks :(
All my love is going to those like me who are going through a difficult
time, Depression can really change you, Im looking forward to the
day this all passes over.

-------------------------------------------------------------------------------

#8 KittyKat9

KittyKat9

    Newbie

  • Newbie
  • Pip
  • 7 posts

Posted 16 December 2012 - 11:40 PM

I'm caring for my mom right now who is experiencing anxiety, insomnia and depression. My mom has also been prescribed

mirtazapine and xanax, although hers is at a slightly lower dose just to help her sleep. She takes 1mg Xanax XR (extended release) at 8pm to calm her down and then 22.5mg mirtazapine when she's ready to sleep. This combination helps her sleep all night and really works to stabilize her during the day so that she doesn't need any other additional doses during the day. However, I'd also like to find a more long term solution for her rather than have her stay on the Xanax because of the dependency issues. Please let us know what your

pdoc suggests!



#9 KittyKat9

KittyKat9

    Newbie

  • Newbie
  • Pip
  • 7 posts

Posted 19 December 2012 - 09:12 AM

Just saw pdoc yesterday and asked what we could replace Xanax with. She also agreed that benzos were not good long term (I'm actually already noticing that mom's sleep hasn't been that great for the past few days - signaling that she might have developed a certain level of tolerance to it already).

Pdoc suggested first that we could try Trazedone because that can be used long term. But mom said she had a strong reaction to that last time she tried it with Klonopin and Ambien (her heart raced and severe headaches), Pdoc was alarmed and said that we should try something more mild and suggested Benedryl and to pair that with a reduced amount of Xanax to wean her off. Didn't work at all and mom woke me up in the middle of the night to say she hadn't slept a wink and asked for more Xanax. I'm feeling so frustrated right now because that's two bad nights in a row and I'm really nervous about how today is going to go. Thinking about going back to full dose of Xanax to stabilize for a few days and then ask for Trazedone...

#10 Rhop

Rhop

    Junior Member

  • Junior Member
  • PipPip
  • 94 posts
  • Gender:Male
  • Location:MN

Posted 30 December 2012 - 10:49 AM

I had to go to an inpatient cd/mi program to kick my xanax addiction in 2001. Withdrawal was pure hell, and the symptoms went on for just over a year. I have never touched a benzo since.  

 

I think Paxil would be a good alternative, it worked well on my anxiety, and kept it under control in more stable manner then the benzos did.


Edited by Rhop, 30 December 2012 - 10:55 AM.





0 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users