I have been taking 15mg of Lexapro along with 1-1.25mg of Klonopin. I take 0.5mg in AM, 8-9AM, the other two 0.25mg, I take them a various times as needed. I have been struggling with getting my anxiety totally under control and was just upped to 15mg of Lexapro 12 days ago. I have been taking 0.5mg Klonopin for 12 years and as of 5 months ago, pdoc raised it to 1-1.25mg as needed My question is: Do I have to take the Klonopin at the same exact time everyday in order to prevent anxiety and withdraws from NOT taking it? As I have mentioned, today is day 12 of increase to 15mg Lexapro and my anxiety seems to be higher, worries and racing thoughts as well as physical symptoms. Also, is it too early to go up to 20mg at this point? pdoc wanted me to go up to 20mg as of today and I asked him I can wait a bit longer despite being uncomfortable. Am I making the right decision?
After being on Klonopin for awhile it builds in your system as well as Klonopin has a long half-life. Because of these two properties, it isn't critical to take at the exact same time everyday. Keep in mind though Klonopin is not short acting meaning it does not decrease anxiety shortly after taking such as Xanax does, rather it works by maintaining a reduced anxiety state over time. It is not uncommon to experience some anxiety from the increase of antidepressant such as Lexapro. This will subside in time. Follow your doctor's instructions and you should be feeling better soon.
I have been on both Lexapro (20 mg.) & Clonazepam (1 mg.) for several years now. I take the Lexapro once in the A.M. & the Clonazepam (My Directions state to take one tablet four times a day if needed) at various times depending on my anxiety level. Some days I will only need 1.5 mg. total of the Clonazepam; however, if I wake up in a panicky state and/or have a panic attack, my dosage will be significantly higher on days like those. I rarely ever have to take the full amount I am allotted per day anymore. I have been with my pdoc for over a decade now, and he & I both know that I would be fine with 3 per day as needed; however, he also understands the anxiety that can come with lowering the dose on paper, so to speak--and he also knows I consistently get my refills much later than they are due now & that I'm not abusing the medication at all.
The only time I really have 'set' daily for taking the Clonazepam (1-1.5 mg.) is around 10/10:30 p.m. Otherwise, I normally take 0.5 - 1 mg by afternoon and am fine unless I get an anxiety attack, etc.! When I was on 10 mg./ Lexapro per day instead of 20 mg., my anxiety was worse. Lexapro helps my ease my anxiety issues & perhaps your doctor is thinking along the same wavelength there? Of course, YMMV--were you on any antidepressant with the Clonazepam before you started Lexapro? Perhaps you would benefit from a slightly more 'sedating' type of SSRI such as Paxil? Just a thought, of course, it doesn't hurt to ask your doctor & see what he thinks about Lexapro being the best SSRI for you right now if you are unsure. Best!!
I have been taking Klonopin along with Zoloft for 2 years now. I currently take zoloft 25mg and Klonopin 1.25 mg... (0.25mg 9am)... (0.25 2pm)... (0.25 7pm) and 0.5 before bed. This has really helped me keep my anxiety level even. I am prescribed up to 1.5mg a day, so on rare occasions I take an extra 0.25mg. As for the SSRI, I was taking 100mg zoloft, and actually found my sweet spot at 25mg. I was getting very cloudy thinking and zombie like at 100mg, so I dropped it down with my docs advice and I feel better. I also take magnesium Citrate 500mg before bed and exercise 5 times a week. I cant tell you enough about supplements and exercise. As for your problem, I always felt worse as I upped a dose of SSRI medication and then leveled off, so give it time and dont be afraid to take additional Klonopin as needed. I know it has made a world of difference for me. Anxiety and Depression suck, but finding the right mix makes it all feel wonderful in the end.
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