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I have been on 20 mg of lexpro 2 X a day and clonazapm >5 mg

 

Customer Question

I have been on 20 mg of lexpro 2 X a day and clonazapm >5 mg 3 X day for 9 years because of clinical depression Recently I went to a new pyschiatrist because my depression is and symptoms have gotten harder to deal with over the last 4 years because of being in a high pressure job with threats of layoffs and bad relations between those of us working and some supervisors who are for lack of a better word, bullies. He told me to get off the clonazapam as i should only have been put on this for 2-4 weeks not all these years! He told me to cut back to just the one dose at night, which I did. But a few days later I had a number of very accute withdrawal symptoms, from muscle spasms, confusion, panic attacks, shortness of breath, irritability, nightmares, insomia and more. I looked it up online and discovered site after site on how additive this drug is! When I called my doctor back to tell him what happened the girl who answers the phone told me to do what the doctor says even after I told her of my symptoms and distress. She then got off the line to check with him at my insistense and he said to take .25 at night and .25 in the morning. I tries that, but after a few days had to go to .25 3 times aday and I am still suffering. i want to get off of this stuff, but I want to do it gradually as I read online. My doctor won't help. What should i do until I can find a doctor that will? I have an appointment in a month with a new doctor who I hope can help. What should I do until then I am in tears and can't afford time off or quit my job. thank you for your help.

 

Optional Information:
Person's Gender: Female
Person's Age: 61

Already Tried:
It was stated in my question.

Submitted: 388 days and 22 hours ago.
Category: Mental Health
Value: $22
Status: CLOSED

Accepted Answer

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Expert:  Doctor Rao replied 388 days and 22 hours ago.


mindovermood : Going through the Q and will get back to you
Customer :

Thank you

mindovermood : sorry to keep yu waiting.Thank for your patience.
Customer :

OK

mindovermood : I can understand how frustrating the situation might be for you.I think in these situation we need a balanced approach. It can be difficult to come off from Clonazepam after being on that for almost 9 years.However as doctor said it might be necessary.The usual practice is to cut down 0.25 every week or two depending on the patients response as some patients react adversely like in your situation.
Customer :

That makes sense to me. If i was at .5 3x a day , at which time should i cut back?

mindovermood : It might be helpful to have a honest discussion with your Doctor and come to mutually agreed firm plan to taper this medication off.However you need to be strong as it can not be easy.May be you should explain about the stressors you mentioned here.The alternative management plan is that if the Depressive and anxiety symptoms persists the usual practice is to increase the dose of ant depressant the person is on as this would help to improve the anxiety there by helping you to deal with the situation.
mindovermood : The usual practice is in the afternoon to cut back to start with as you can find distracting techniques.The night time dose your body might have got used to some of the drowsiness side effect.So, it would be the last one to cut off.This is the usual clinical practice.There are no scientific guidelines about this as far as I know.
Customer :

A doctor once increased my lexapro to double and i had a bad reaction to that. I discussed this with him and he said that the clonazapm was prohibiting the lexpro to work, which is why i want to get off of it. I know it will be hard, but I want to do it. I will taper off as you suggested

mindovermood : Ok.I wish you all the best.I know it's not easy but it may be helpful in the long term.Goodluck with your job.Please Accept the answer if you are agreeable and leave a feedback if possible.Thanks.

Expert TypeDoctor
Category: Mental Health
Pos. Feedback: 96.8 %
Accepts: 641
Answered: 4/22/2012

Experience: MBBS,MD,DPM,MRCPsych

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