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Author Topic: Klonopin (clonazepam) to Ativan (lorazepam)  (Read 944 times)

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Offline Bcollinsix

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Klonopin (clonazepam) to Ativan (lorazepam)
« on: December 22, 2013, 01:40:52 AM »
I've been on klonopin for about 3 months (1mg 3x a day) and it hasn't done much for my nerves so my doctor is going prescribe me Ativan.

Has klonopin not really work for anyone else?

Also, what should I expect from Ativan? I'm looking for something to really chill me out.
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Offline insights

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #1 on: December 22, 2013, 07:23:55 AM »
Has klonopin not really work for anyone else?

Sure, it happens. Everyone's biology is a little different.

Quote
Also, what should I expect from Ativan? I'm looking for something to really chill me out.

Ativan is a slightly less potent benzodiazepine (BZD) than Klonopin, but it does have the advantage of being a BZD that your brain is used to as it is a natural constituent of food. Whether this actually increases its effectiveness in your case remains to be seen, however.

Is there a reason why your anxiety is being treated with BZDs and not antidepressants? While they are usually very effective, BZDs can be risky primary anti anxiety drugs because doctors are becoming increasingly reluctant to prescribe them so getting prescriptions may become hard to get in the future. Even if your doctor is happy to do so them s/he could be taken out by the proverbial bus tomorrow and the replacement may not be as willing.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline Bcollinsix

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #2 on: December 22, 2013, 11:47:13 AM »
Thanks for your reply insights. I'm not worried about the future, I'll deal with it when it happens.  I am on 50mg of Zoloft and have been for 4 months but it hasn't helped my nerves. My doctor told me to increase it to 75mg once and all that did was give me a major headache.
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Offline insights

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #3 on: December 22, 2013, 04:17:47 PM »
I am on 50mg of Zoloft and have been for 4 months but it hasn't helped my nerves. My doctor told me to increase it to 75mg once and all that did was give me a major headache.

To get any benefit you will need to increase the dose, 50mg is the low end of the therapeutic range with most needing 100-150mg for good results. Headaches are a relatively common temporary side-effect when first taking Zoloft or increasing the dose. If you can't get past that then you should consider switching to another antidepressant such as Celexa (citalopram) or Lexapro (escitalopram). Switching from one SSRI to another is easy with usually only moderate side-effects for a few days.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline Bcollinsix

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #4 on: December 22, 2013, 07:44:21 PM »
Thanks for the advice. My doctor doesn't want to increase the dosage of Zoloft because I'm also taking an anti-psychotic med and could develop serotonin syndrome. So I don't know I have been feeling sort of depress/ suicidal so maybe that's the route I should take.  My sister says raising the dosage of an anti-depressant won't exactly remove my suicidal thinking, which I agree. So I don't know. I see my psychiatrist on jan. 3 so I guess I'll talk to her about it then. Thanks again.
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Offline insights

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #5 on: December 22, 2013, 10:39:09 PM »
My doctor doesn't want to increase the dosage of Zoloft because I'm also taking an anti-psychotic med and could develop serotonin syndrome.

Okay, but there isn't much point in taking the Zoloft at what seems to be an ineffective dose. If you're doing okay on the anti psychotic then it is probably best left alone and the Zoloft switched to an antidepressant with low serotonin activity such as mirtazapine (Remeron) or nortriptyline (Aventyl, Pamelor). As mirtazapine is very prone to pooping-out nortriptyline is likely to be the better long term bet.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline Bcollinsix

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #6 on: December 22, 2013, 11:47:22 PM »
You may be right. I'm also taking remeron 30mg for sleep. I don't really know the dosage for its anti depressant properties but thanks. I'll talk to my doctor about it.
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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #7 on: December 23, 2013, 12:04:39 AM »
I'm also taking remeron 30mg for sleep.

In which case you could add the sedating tricyclic antidepressant doxepin (Deptran, Sinequan) to the list of meds with low serotonin activity. It is sometimes prescribed at low doses for insomnia but it is a pretty good antidepressant which is probably under prescribed because of the sedation.

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I don't really know the dosage for its anti depressant properties

The usual therapeutic range is 15-45mg. However, as per my previous post, Remeron is prone to pooping-out fairly quickly, often within a couple of months.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline Bcollinsix

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #8 on: December 23, 2013, 12:29:33 AM »
Ok thanks. I really trust my doctor and I have a really good relationship with her so I'll see what she says.
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Offline laineyk

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Re: Klonopin (clonazepam) to Ativan (lorazepam)
« Reply #9 on: December 23, 2013, 03:40:49 PM »
I just switched from clonazepam to Xanax a couple days ago, because kloni made me more washed out and not great fro the anxiety...for me that is. Xanax works better, again , for me at this time
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