Compounding Pharmacy Liquid Klonopin

[[Buddie]]

Espy, [...], [...], others!

I have some questions about the particulars for calling in an order for liquid K to a compounding pharmacy. I'm meeting with my pdoc for the first time next week and I don't know if she's done this before.

I am taking 3mgs K a day and want to reduce by 5% every two weeks (I guess? I don't know what's reasonable.).

1) Do I specify the ratio? Do I say I want to end up with 1mg/1ml of solution? Or does this work some other way where they make a more "potent" version and then I dilute it at home?

2) Do I say I want enough for 3mgs a day for each day of the month, ignoring my reduction, with the idea that it is better to have some left over than not enough? Or is there a better way to order this?

3) Do I need to specify what kind of solvent I want them to use, or will they have a "House" style?

4) Is it ok to switch over to all liquid at once, or is it better to gradually switch from pills to liquid? Obviously I'm already drinking water each time I take the pill already!

4) Are there questions should I go in and ask the pharmacy before I talk to my pdoc?

5) What haven't I thought of?

I'm really scared about making the switch from pills to liquid, and just beginning my second taper in general, so I'd really appreciate people's input.

[[Buddie]]

Espy, [...], [...], others!

I have some questions about the particulars for calling in an order for liquid K to a compounding pharmacy. I'm meeting with my pdoc for the first time next week and I don't know if she's done this before.

I am taking 3mgs K a day and want to reduce by 5% every two weeks (I guess? I don't know what's reasonable.).

1) Do I specify the ratio? Do I say I want to end up with 1mg/1ml of solution? Or does this work some other way where they make a more "potent" version and then I dilute it at home?

IMO, you want a .1mg=1ml solution.  This is dilute enough to allow to make very small dose changes, and the .1mg=1ml ratio really eliminates any real math conversion.

2) Do I say I want enough for 3mgs a day for each day of the month, ignoring my reduction, with the idea that it is better to have some left over than not enough? Or is there a better way to order this?

I would ask for a 30 day supply (or whatever your normal refill cycle is), based on your CURRENT dose.

3) Do I need to specify what kind of solvent I want them to use, or will they have a "House" style?

You will almost certainly get a suspension, NOT a solution.  If you actually have a solvent option, choose propylene glycol.  But you will probably get a suspension, with either a vegetable oil or a pharma suspension agent, like OraPlus.

4) Is it ok to switch over to all liquid at once, or is it better to gradually switch from pills to liquid? Obviously I'm already drinking water each time I take the pill already!

There is no medical, pharmacological, physiological, etc reason that taking your dose in liquid form should have any effect.  Its the same med, and when you swallow a tablet, it becomes liquid within seconds any way.  But if it makes you feel less anxious, then a trial/transition won't do any harm

4) Are there questions should I go in and ask the pharmacy before I talk to my pdoc?

5) What haven't I thought of?

I'm really scared about making the switch from pills to liquid, and just beginning my second taper in general, so I'd really appreciate people's input.

[[Buddie]]

I am sorry I didn’t see this earlier. We have such a flood of new members that I have been distracted. Your doctor should have the knowledge to figure a script for compounding, based on what you were prescribed and how much you intend to reduce over the 30 time period. I found that I did not want to commit to a schedule, so my doctor kept my script consistent over the course of the entire taper. Just instructed to “taper as comfortable”. The insurance never questioned anything. They know. My doctor knew. And they know we know. Espy