Did I really screw up? The doctor seemed to think so. HELP.?

December 19, 2009

So, my doc prescribed me .25mg xanax and 20mg celexa (i have erratic depression and madCRAZY panic/anxiety attacks) Generally, I suffer too much anxiety to go out and function without "training wheels". When I have an anxiety attack, it’s as if the world is ending, literally. I can’t even begin to explain the horror. It’s bad enough that my heart will beat in my head/face and I nearly pass out. I usually don’t have much recollection of what happens during them. I informed the doc of how severe it was (sometimes I was sent home home from work with sympathy). I was able to be quite thorough explaining it after spending 8 years suffering. The other day, as I was unable to make an appointment (it’s finals week), I spoke with the doc on the phone to renew my prescriptions. I told him I tweaked the way I used the xanax in comparison to the label’s instructions (take 1 pill twice daily as needed). He never told me a specific way to take it (just something like: take as needed. it works quicker than buspar.)
HERE’S WHAT I DID:
–I tried taking one when I felt the onset of anxiety/panic (no relief). Tried this once more (same result)
–Since label said take 1 twice daily, I felt safe with two at once at the onset of attack (no relief)
–FACT: never took the xanax more than 2 days in a row (i fear addiction/dependency)
–Eventually, I tried (4) of the .25mg pills to yield 1mg. 1mg caused subtle relief and prevented the anxiety from going into full blown attack mode.

I did all of the above with confidence through endless hours of research on medical sites and speaking to people with personal experiences. I found that it is not at all uncommon for someone with SEVERE anxiety/panic attacks to take 1mg of xanax every so often to combat the attack (mine are 1, sometimes 2 attacks per week. Sometimes none). It made sense to not let the benzo in xanax build in my system by taking it daily (it’s short acting anyways; seemed like i was buying a ticket to hell). I did this modifying on my own without consulting the doc because he wouldn’t return my calls. He BERATED me, quite frankly. He said it was really stupid of me to do such a thing. I only told him about it because I wanted a prescription of .5mg or 1mg xanax to take on an ACTUAL as needed basis. I didn’t really get the chance to explain how I experimented with the xanax. It was as soon as he heard me say "4 of the .25mg pill before I get any relief" that he tweaked. Anyhow, i stated that the .25mg xanax must change. So, over the phone, he prescribes me .5mg klonopin. I am quite confused. Was I so wrong to do what I did? Should he have given me a larger dose of xanax to take maybe once or twice a week in the first place since I stated I DON’T WANT TO TAKE IT EVERYDAY AND I DON’T WANT TO BECOME DEPENDENT? I mean seriously, .25mg, the lowest it goes and I expressed how bad my anxiety/panic attacks were.
jrzil- If that were the case then I wouldn’t have recently made myself single. And the "lots of sex" thing doesn’t help. Usually adds to anxiety BUT i do appreciate the sense of humor.

joeyc- once again, the doc didn’t mention how to take it. the label says once daily. And about the klonopin augmented with xanax.. that’s what I wanted to try. I wanted to save the xanax for when ABSOLUTELY needed. I thought it would work well with klonopin since I am always edgy and I also take adderall with doesn’t help. I want to try adderall- to accomplish my tasks. klonopin- for the general/comedown anxiety/insomnia and xanax- the trump card.
jrzil- If that were the case then I wouldn’t have recently made myself single. And the "lots of sex" thing doesn’t help. Usually adds to anxiety BUT i do appreciate the sense of humor.

joeyc- once again, the doc didn’t mention how to take it. the label says once daily. And about the klonopin augmented with xanax.. that’s what I wanted to try. I wanted to save the xanax for when ABSOLUTELY needed. I thought it would work well with klonopin since I am always edgy and I also take adderall with doesn’t help. I want to try adderall- to accomplish my tasks. klonopin- for the general/comedown anxiety/insomnia and xanax- the trump card.

Hey there, Sorry your Dr. is not giving you time to explain exactly what and why you took more Xanax. Doctors do get a bit miffed when patients self prescribe, anyway….Klonopin is a very good drug. It is basically a drug that does what Xanax does, but you need to take it on a daily bases to keep yourself from having attacks, in short, to stay on an even keel so the medication is always level, stays in your system without the "peaking" and then wearing off. Xanax works great, however, it only stays in your system for several hours, and eventually the effects wear off. If your anxiety is severe you really need to take medication everyday until you can work through your issues. Klonopin’s chemical compound makeup is very similar to that of Xanax. I am confused though, how many times a day are you supposed to take the Klonopin? Klonopin also works well with Xanax. If you do not get the relief you want, look for a Doctor who might be a better fit for you. Regular therapy works great with the right med’s.

5 Responses to “Did I really screw up? The doctor seemed to think so. HELP.?”

  1. essentiallysolo Says:

    your first mistake was trusting a regular doctor to deal with what are mental health issues. You need to consult a psychiatrist. Xanax is short acting and short lived, and is not very good for controlling on going panic disorder. Klonopin is a better choice because it does stay in the blood longer and has greater control over the anxiety. ALL benzodiazipines are addictive, take any dose for more than a year and you will be stuck taking them for a long time. But, don’t go to a general practice doc for a psychiatric problem. They don’t know enough, and they get all bent when you adjust your dosage on your own. Most psychiatrists usually expect their clients will experiment at first.
    References :
    RN

  2. Jrzil Says:

    First of all the only reason you feel depressed is because you feel like no one really cares for you. get like a girlfriend or somethin and have a lot of sex. trust me after that.. you won’t even be thinking of getting drugs you’ll be thinking of where to go out to and different things. Right now you’re like a lab rat that’s being experimented on with how long and how much till something actually happens.
    References :
    the internetz

  3. dragonfly4me Says:

    I deal with anxiety and depression everyday. I have been on xanax before and you going up on the dose without your doctors permission was dangerous and now he has you in a category of a drug seeker. When you do things like this with narcotics, doctors will label you. The klonopin is much better because it was 8 hours instead of 4. Xanax is a very addictive dangerous drug that has the addiction and withdrawal symptoms as heroin. I have had to get off of it because I did as you did and overdosed on it. I sympathize with you about your anxiety. I found out I have a genetic disorder that causes me great pain and I have been dealing with the pain for 16 years and it took that long for someone to figure out what was wrong with me. In the meantime everyone just said I was a mental case. Would not give me any pain relief so my symptoms went into panic attacks. I then had to have 3 surgeries within 6 months and that really messed me up the my husband died 2 years ago and now I have a pregnant daughter. I have lost everything I owned and live with my parents. Please do not try to treat yourself. Now that you are labeled, you will have hard time with getting your medications. Please try to find some exercise you can do to help you deal with the anxiety. If you depend on the medication all the time, you will get yourself dependent on them and let me tell you, it ain’t good. God Bless and Good Luck
    References :
    Been there

  4. joeyc Says:

    Hey there, Sorry your Dr. is not giving you time to explain exactly what and why you took more Xanax. Doctors do get a bit miffed when patients self prescribe, anyway….Klonopin is a very good drug. It is basically a drug that does what Xanax does, but you need to take it on a daily bases to keep yourself from having attacks, in short, to stay on an even keel so the medication is always level, stays in your system without the "peaking" and then wearing off. Xanax works great, however, it only stays in your system for several hours, and eventually the effects wear off. If your anxiety is severe you really need to take medication everyday until you can work through your issues. Klonopin’s chemical compound makeup is very similar to that of Xanax. I am confused though, how many times a day are you supposed to take the Klonopin? Klonopin also works well with Xanax. If you do not get the relief you want, look for a Doctor who might be a better fit for you. Regular therapy works great with the right med’s.
    References :
    EXP

  5. monica Says:

    I hope you have found some helpful answers here! I saw you mention your panic attacks and anxiety. There is a link between gluten sensitivity and panic attacks. The gluten doctors blog is helpful, but there is a lot of information on the internet. I found the free emails from the panicaway website really helpful and http://www.thework.com wonderful too. I hope you are ok and I wish you very well!
    References :

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