Posted by viridis on February 16, 2003, at 4:35:03
In reply to Klonopin out of the question?, posted by jesus on February 16, 2003, at 2:33:59
I agree with Jodie's post, except that I wish people wouldn't equate benzos with "addictive" -- they simply aren't addictive for most people who need them. Yes, they can induce dependency (meaning that they shouldn't be discontinued suddenly, just like SSRIs etc.). But addiction in a medical sense entails escalating dosages, continued use despite negative consequences, and so on. Benzos are unlikely to cause this response in anxiety sufferers, so the label of "addictive" doesn't apply to the vast majority of people who benefit from these meds.
A reasonable doctor should be willing to try Klonopin. Xanax is more difficult to get (although it's an excellent med for many); it has too much of a reputation for being a euphoriant, and its short half-life supposedly increases the chance of dependence.
I take Klonopin regularly and Xanax occasionally, and this works well. I'd approach your doctor cautiously about Klonopin (clonazepam) and see how he or she reacts. Klonopin can be extremely effective, and is definitely worth a try. As Jodie suggested, you could share your concerns about the possibility of dependency and ask whether your doctor would consider clonazepam. If not, I'd consult a psychiatrist if possible.
I was prescribed Klonopin primarily for anxiety and panic attacks, and from a practical point of view, I'd emphasize the panic side of things, since Klonopin is highly regarded as a treatment for panic disorder. In my experience, it works extremely well. I'd be straightforward with your doctor, and as I've said, if he or she refuses to prescribe benzos, then I'd seek a second opinion.
Good luck!
poster:viridis
thread:200846
URL: http://www.dr-bob.org/babble/20030214/msgs/200856.html