Hi. This is my first post, so forgive any mistakes. I've been on a high dose of various benzos for almost 23 years. I've been diagnosed with GAD, PTSD, Borderline Personality Disorder, OCD, and panic attacks. I used to drink a 6-pack of beer daily to help with my symptoms, but my doctor told me alcohol will not work long-term to treat my symptoms. I started on 4 Mg/day of Xanax 23 years ago. Xanax worked wonders for me, but unfortunately, after 10 years, Xanax became ineffective. The Xanax used to make me feel very happy (I also suffer from major depression). When the Xanax quit working, I was admitted into the psych ward where a new Dr put me on 3.5 Mg/day of Klonopin (I take generic clonazepam). When I was first prescribed Xanax, I was also prescribed 150 Mg/day of Zoloft. The Zoloft did nothing for my depression. All it did was make me throw up 2 to 3 times a day, grind my teeth, put electric shock sensations through my brain, and caused a permanent thing called Tardive Dyskinesia, which makes me unable to stop moving certain muscles, and my face is now in a permanent grimace. I've tried ALL the SSRI's, and the newer SNRI's (Mirtazapine was worst-I couldn't even speak when on that drug and developed uncontrollable shaking and extreme angry outbursts), but they all caused the nausea, teeth grinding, and other unpleasant side effects. Even tried the old tricyclic (Elavil, etc) antidepressants with no success. I've seen 4 GP's, and they have all said I will likely be on benzos for the rest of my life. Now, here's my question: Xanax made me feel VERY happy and I had absolutely no depression while on them (10 years). Since I've been on the clonazepam, I get more and more depressed every day. I'm seeing my psychiatrist in a month, and am considering asking to be switched over to Librium. I've researched the side effects of various benzos, and depression is listed as a side effect of clonazepam, while Librium does not list depression as a side effect. Does anyone here have experience with long term Librium use, and if it caused depression? I read through many of the reviews of Librium here on this site, but most were relating to alcohol withdrawals, and a few relating to anxiety, and no-one mentioned depression as a side effect of Librium. I'm hoping someone has some experience with this medication. I don't want to slip further into this horrible depression, which coincidentally started when I was switched from Xanax to Klonopin. I should also mention that during my trial of Xanax and other benzos, I tried 40 Mg/day of Valium (I think they were 10 Mg-they were round, light blue, scored tablets, but the Valium also made me feel extremely depressed, to the point of tears. Ativan worked somewhat, but turned me into a zombie that would fall asleep anywhere. A few details about myself. I'll be 60 in a few years. I used to own a 6 bedroom home on an acreage which I lost in divorce. I haven't been able to work for 23 years, and live on a small disability pension. I do not have a home anymore. Rents here are $1800/month for a 1 bedroom apartment, and I only get $960 a month on my pension, so I'm going between living in my car, and couch-surfing when I can. This life in itself is enough to cause depression, but at least the Xanax made me not care and I was happy. Hoping Librium can be my savior. Thanks for any and all advice!
Considering switching from Klonopin to Librium?
Question posted by Dave_1963 on 6 Nov 2018
Last updated on 18 June 2020 by Kkochar
Answers
Librium is very mild,and such low doses shouldn't give you any real bad side effects. Sounds like benzodiazepines in general are not something that works for you.I have tried them all.slowly taper yourself off.and stop.trust me there worse than a six pack of beer.
Hello Dave-1963, Sorry to hear that you are going through all this emotional pain! I can relate to your problem... I have been on Alprazolam (Xanax) for a very long time for my anxiety & pain, but Xanax is short acting (only lasts 4-6 hrs. the most). One needs to dose constantly with that drug! I personally have not used Librium, but Valium 10mg is longer acting & helps me with muscle relaxation, take the Valium only at bedtime & .5mg of Xanax 2 times during the day. I suffer from severe Spinal Stenosis & Fibromyalgia, my Rheumatologist has had me on Lyrica for 8yrs. now and it helps with the pain. Also, taking the antidepressant Mirtazapine 15mg. at bedtime (which allows me to sleep better as well). I have tried so many different SSRI's and they don't agree with me... have a very sensitive metabolism & can't tolerate them. My psychiatrist does not have a problem prescribing me benzodiazepine's ... I most likely will be on them the rest of my life! Speak with your doctor regarding the Librium and see how he responds!
Good luck to you & stay well
Thanks for the encouragement Ros 2! I've always had anxiety issues, but they only became unbearable in my 30s. As I said in my question, I used to drink a 6-pack of beer to deal with anxiety, and it did work to some extent. When I told my Dr about the drinking, he, (along with family members), suggested the Xanax. Before I was even given the prescription, I asked him if they were addictive, and his response was "They may be slightly addictive to some people". Well, that was an understatement! I had always heard smoking was the hardest thing to quit, and I had really no difficulty quitting smoking (was a 2-pack a day smoker since age 13), so I figured even if benzos were addictive, they couldn't be any harder to quit than smoking. Wrong! I think recent studies have shown benzos are one of the hardest drugs to quit because of the long and protracted withdrawals, not to mention the damage done to the receptors in my brain (gamma or something similar?).
But back to my original post... I was always a happy person, but when the anxiety became unbearable, I got a minor depression for which I was given the 150 Mg of Zoloft a day in combination with the Xanax. Boy, I tell you, those first few months on the Xanax were wonderful. Happy as a lark, confident, productive, etc, but then as I gradually became tolerant/addicted to the Xanax, the feelings of being on top of the world were gradually replaced with just feeling normal. I was good on the 4 Mg daily of Xanax for about 10 years, then one day, they suddenly stopped working altogether. I had quit the Zoloft a few years before that as the side effects were unbearable, and in my case, some of them permanent. I knew I needed help without my pills working anymore, so I admitted myself to hospital where luckily, the on-call psychiatrist was extremely knowledgeable in benzos. Basically he told me that the years of high dose benzos had destroyed some type of receptor (just looked it up-GABA) in my brain, and would experience lifelong withdrawals without any type of benzo. He said the Xanax was worst choice my original Dr gave me back in 95-96, because, as you said, of its extremely short half life. Evidently, some people on Xanax experience withdrawals between their regular prescribed dosage, so he switched me to one of the very long acting benzos (clonazepam) saying it was a better choice in the long run. I did notice that after switching to clonazepam, it didn't work as well as the Xanax did for anxiety. I thought it was a matter of getting "used" to the new meds, but that never happened.
Since the switch, I've, in my opinion, gone downhill mentally. I have no interest in my old hobbies or activities. I'm a musician, but all my belongings are in storage, so I can't even play my guitar when I stay at a friends house. If I'm living in my car, I just park at McDonald's to use the free wifi, and spend my days watching YouTube, or if I'm lucky enough to have a place for a while, I spend all my waking hours watching TV or playing video games. At least with the Xanax, I was still active and productive. After the divorce in which I lost my home, I was awarded custody of our 3 children, and was always there for them to help with homework, go to parent-teacher interviews, make school lunches, cook dinner, do dishes, laundry, housework, volunteer for a at-risk youth group, volunteered with the local Kiwanis club, and maintained a good happy life. Luckily, by the time the Xanax stopped working, 2 of my 3 kids were grown and left home. I had been accepted for my disability pension by then, and my son and I were fortunate enough to get into subsidized housing (they take 30% of your income for rent). Then my son left home and I lost the subsidized housing as it was a 2-bedroom and I was classed as "overhoused" and had to vacate the townhouse, hence the homeless situation.
But as my original post stated, the longer I've been taking the clonazepam, the more depressed I get. I know it's very dangerous to stop taking benzos cold-turkey, but I stopped taking the clonazepam for 3 days. Even though the anxiety level went up, my depression subsided, so that's why I'm thinking it's the clonazepam to blame for the depression.
I did have a great psychiatrist (the one I met in hospital) for years, but unfortunately, he left the province, and since then, I've been shuffled through at least 4 psychiatrists. The health care system here is a joke. Oh, and when my old psychiatrist left the province, he had written me a years worth of refills for my clonazepam. Phoned the drug store 2 days before my prescription ran out to have my refill ready. I was shocked when I went to pick it up and was told that because he left the province, all his prescriptions were null and void. Having no family doctor (did have one, but lost him to another province that pays more), I went to every single walk-in clinic in the city, plus a virtual clinic where you talk to a Dr online, and NOBODY would refill my prescription. 11 days without my meds. It was a nightmare. Then I had 3 grand mal seizures in one day, and went into hospital by ambulance, where I was promptly given a full year script for clonazepam. What a waste of taxpayer dollars. Here my medical records show a long term, high dose benzo patient, yet no walk-in clinic could access my detailed history. And our government has enacted laws that no clinics can prescribe benzos to walk-ins. So, I figure the ambulance, and hospital stay cost at least $5000 when a simple stroke of a pen on the prescription pad would have prevented the entire nightmare.
So, basically, I am resigned to accept the fact that I will be on benzos for the rest of my life. I'm resigned to the fact that each type of benzo seems to quit working around the 10 year mark, and I'll have to continually find new benzo types to replace the ones that quit working. Thank goodness there are so many types! But, as I said in my OP, I never experienced depression as a side effect from Xanax, but am getting it as a side effect from clonazepam, as I did with Valium. I did research the side effects of all benzos I could find, and depression was listed as a side effect for clonazepam, but not Librium. I've also noticed in the past 2 weeks, the clonazepam has started to lose its effectiveness, and it's been about 12 years I've been taking it, so history does indeed repeat itself!. My appointment with my psychiatrist isn't for another month, but I'm calling first thing in the morning for an emergency appointment. I don't want to slip any further into this pit of despair.
Sorry for the long and rambling post, but I'm all alone and have nobody to talk to, and just reading your reply gave me hope and encouragement and I thank you from the bottom of my heart. I will post an update to say how my emergency appointment goes. Even if he doesn't prescribe Librium, I hope he can give another type of benzo that does not cause depression. Thanks again for your great reply and encouragement!
Related topics
klonopin, librium, post traumatic stress disorder, anxiety, obsessive compulsive disorder, panic disorder, generalized anxiety disorder, benzodiazepine
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