Background: I've been on multiple benzos for almost 3 years, never going more than 3 months without any. I was up to 8-12 mg's of Xanax a day (was rx'd 4 mg/day, but escalated after a year)... Switched to Clonopin, and now am on Ativan. I am rx'd 2mgs twice a day, but after 6 months, this isn't working. I also have agoraphobia (which I didn't always have) that makes it VERY hard to even leave my front door... In order to leave the house, I have to take at least 4 mgs of Ativan at once. I've told my psychiatrist this, but he doesn't want to keep upping my dosage... Neither do I. The other day the anxiety and agoraphobia were so bad I had to take 8 mgs of Ativan in order to simply go to the grocery store. And no, it didn't make me loopy, tired, and it didn't leave me feeling "high". I'm just stuck... I shouldn't have to take 8 mgs... That would make most people pass out. And I can't take Xanax, as I was previously addicted to it. And I can't take any SSRI's, as everytime I've been on them, I've attempted suicide, and only when I was on them. I'm on Adderall XL 15 mg, once a day for ADD and depression, but it isn't helping. I don't know what's worse-- the depression, the anxiety mixed with agoraphobia, or being medication resistant. Any hope for me?! Thanks.
I would like to recommend the medication BuSpar. It is for anxiety, is non addictive and can be taken with your other medications. It is not a benzodiazepine like the Xanax and the Ativan. You need to be careful taking the Ativan more than prescribed. You can become as addicted to it as the Xanax.
If you decide to try the BuSpar and it works and decide to stop the Ativan, then you will have to taper off it slowly.
Wishing you the best,
I was going to suggest the same thing - Buspar. It worked far better than the Xanax which I came scaringly close to being addicted to. With the Xanax I was steadily increasing the dose to deal with the anxiety but with Buspar it helped the anxiety and I was able to stay at a steady dose. Eventually my anxiety went away and has never returned. As far as depression goes you might consider Vagal Nerve Stimulation, Rapid Eye Movement or Transcranial Magnetic Stimulation. There are many new wAys of treating depression without medications and some are starting to be covered by insurance. Best wishes to you.
I wish I could give you the answer but I think you need to talk to the doctor again about the need for the increase in Ativan, several years ago I had an episode with panic and agoraphobia, I think its a horrible combination to have to cope with, I would tell him about the agoraphobia being so severe that it took 8mg of Ativan for you to be able to be able to be able to make it to the store, You are just being honest with him and he needs to know just how severe it is and maybe he can come up with a medication or a combination of medications that will give you better control and still not need to take the Ativan
one of the things that probably is happening is that if you have been on Ativan for a while its taken more and more for it to be able to keep the symptoms under any kind of control, at least talk with him about it believe me I know how horrible the panic and aggoriphobia are, you take care but please have a talk with the doctor.
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