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Lorazepam at night

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Offline Niceguy237

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Lorazepam at night
« on: May 17, 2014, 01:52:40 PM »
Question: need something for anxiety.  SSRI didn't work for me, so tried lorazepam.  Helped panic and anxiety, however can't take during day due to drowsiness.  So take 0.5 mg every night.  Seems to be putting a dent in constant worry and health anxiety.  But I am worried about dependence.  Any advice?
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Offline Drielly84

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Re: Lorazepam at night
« Reply #1 on: May 17, 2014, 03:56:33 PM »
Is that genetic Ativan?
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Offline Niceguy237

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Re: Lorazepam at night
« Reply #2 on: May 17, 2014, 05:44:32 PM »
Yes
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Offline Drielly84

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Re: Lorazepam at night
« Reply #3 on: May 17, 2014, 05:47:36 PM »
I mean generic:( auto correct on phone
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Offline Drielly84

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Re: Lorazepam at night
« Reply #4 on: May 17, 2014, 05:50:35 PM »
What did u experience with SSRI's?
I have xanax and have only used it as needed
Sometimes I would need it more than other times
But I was always on an SSRI
I'm starting a new one now
I know first hand how tough the start up can be
 I'm always on here seeking help and reassurance
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Re: Lorazepam at night
« Reply #5 on: May 17, 2014, 06:31:36 PM »
SSRI didn't work for me, so tried lorazepam.

There are other antidepressants, SNRIs, tricyclics, MAOIs, etc. What SSRIs have you tried, for how long and at what dose?

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Helped panic and anxiety, however can't take during day due to drowsiness.

Tolerance to the sedating effects of benzodiazepines (BZDs) usually diminishes when they are taken daily for a few weeks.

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But I am worried about dependence

You will probably become dependent if you take BZDs daily for a month or two. You would also become dependent on antidepressants and in both cases need to wean off them instead of quitting 'cold-turkey.'

The problem isn't that BZDs cause dependence, but that doctors are increasingly reluctant to prescribe them which makes them a risky daily treatment. Antidepressants or therapy are better long term bets with BZDs best reserved for occasional breakthrough anxiety, or to help ease you through the initial antidepressant side-effects.

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 Niceguy237

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Re: Lorazepam at night
« Reply #6 on: May 17, 2014, 09:56:46 PM »
I tried Zoloft several years back at increasing doses over 6 months.  Didn't do much for me.  Went off, tired to go back on a few years later and my body didn't react well at all.  Bad insomnia and other side effects, so went off for good. 

I am taking the lowest dose of lorazepam they make once at night, never during day.  Don't really feel any dependence or desire to take during day due to drowsiness.  I do feel this is helping, my anxiety is lower after having taken these consistently for over a month, but I am concerned on dependence.

I will be talking to my doctor as I do feel I need something daily that works for anxiety.   
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Re: Lorazepam at night
« Reply #7 on: May 17, 2014, 11:57:58 PM »
I tried Zoloft several years back at increasing doses over 6 months.  Didn't do much for me.  Went off, tired to go back on a few years later and my body didn't react well at all.

So Zoloft is the only antidepressant you've tried?

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Don't really feel any dependence

You won't as long as you're taking it. Dependence is only an issue when you stop.

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 Ringil

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Re: Lorazepam at night
« Reply #8 on: May 18, 2014, 01:37:28 AM »
I'm "dependent" on Alprazolam. I take .6 mg. (1/3 of a 2 mg. bar) every night before I go to sleep to preclude waking to an anxiety attack.

On some occasions, I have an attack starting up earlier. I will take a piece then, but it's not often.

So, it works for me. I'm not likely to outgrow anxiety attacks. A responsible adult seeking low doses of benzodiazepine is able to get a prescription. I don't find "dependence" to be a concern. People with Panic Disorder can not get "high" on these medications.

USUAL DISCLAIMER: I'm just some guy with Panic Disorder posting on the internet to see if I can be some comfort to others. I am definitely not a doctor.
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Anything I post is an opinion© and not necessarily a fact™. I've often benefitted from anecdotal guidance. Your mileage may vary.

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Re: Lorazepam at night
« Reply #9 on: May 18, 2014, 02:22:51 AM »
A responsible adult seeking low doses of benzodiazepine is able to get a prescription.

Unfortunately, this isn't true everywhere. Not many weeks go by here without someone reporting that their doctor is now unwilling to prescribe benzodiazepines long term and demanding they wean off within a few weeks, sometimes to discontinue them immediately. It is all male bovine manure, some antidepressants can be as hard to quit as benzodiazepines, but this is increasingly becoming the way it is.  :angry:

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 Ringil

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Re: Lorazepam at night
« Reply #10 on: May 18, 2014, 06:28:48 PM »
A responsible adult seeking low doses of benzodiazepine is able to get a prescription.

Unfortunately, this isn't true everywhere. Not many weeks go by here without someone reporting that their doctor is now unwilling to prescribe benzodiazepines long term and demanding they wean off within a few weeks, sometimes to discontinue them immediately. It is all male bovine manure, some antidepressants can be as hard to quit as benzodiazepines, but this is increasingly becoming the way it is.  :angry:

Ian

Maybe that is so but there is more to most stories than are revealed. How you ask for things, the way you present yourself to the doctor, your record keeping and the history of your prescriptions matter as much as the doctors own quirks.

I get all sorts of restricted drugs with little effort. I research so I can make a presentation to my doctors. I never, ever run out early and I bring my left-overs to my office visits. I keep a record of how much I take and when and why. I dress "up" to go to the doctor. In short, I make sure that I look legit when I ask for scheduled drugs that have street value.

If any doctor were to discontinue a drug without my acceptance, I would go to another doctor. I save, and would take with me, every single empty bottle O have of my past prescriptions. I would explain my needs, explain the consequences if I stop. In short, I make my case.

Sometimes you need a specialist. Psych Doctors have no real life purpose beyond writing scripts. GPs are more hit and miss.

I always suggest more than I need and then I stretch out the usage and build reserves. Then I look like a hero because I used LESS than my script. I flat out manipulate the doctors because my survival is more important to me than my doctors comfort zones.

I sure as hell wouldn't give up because one doctor says no. While I would never take a script from more than one doctor at a time - there is no other "rule" I must follow to get my needs fulfilled.
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Anything I post is an opinion© and not necessarily a fact™. I've often benefitted from anecdotal guidance. Your mileage may vary.