Titrate?

Colin, I need your advice.I think I am in tolerance withdrawal.Everyday is horrible and getting worse.My k doses are like placebos.Do you think I should do a valium switch or titrate now.i know things are going to get worse, but I have to go through it to get better.

 

I need a schedule for .25 kx2 a day titration if you think that's best.I am having a terrible time

Hi tiff,

you did say it took you a long time to re-stabilize on k last time, so that is probably what is going on. Since you tried the crossover and it didn't agree with you, even if you feel worse now, I think titration is your best bet. You may be surprised that you feel better as you start tapering.

I was in tolerence and began to feel better almost from my first couple of cuts.

 

Colin will fix you up. 

Hi Tiff,

 

I will will set up a titration schedule for you if this is what you wish. We have discussed this no end - sorry, I don't mean to sound tough, but we have discussed all the options, round and around, and you need to make a decision for yourself. The truth is we mostly cannot provide absolute answers. When it comes to which method to use for withdrawal, this is very much a personal thing. No method is the method of withdrawal. Titration, substitution, and direct tapers have differing strengths and weaknesses - which seems most appealing to you!? This is what matters most.

i don't know but I do know I'm in a very bad place right now.It's just about like ct, minus the fact I can tell what's real and what's not.I just need advice and I need off this sh?*t

Tiff,

 

Review your posts, and the reply toy our posts. Just go with the method that you feel best suits you. Both titration and substitution with Valium enable you to make much smaller cuts. The Valium is generally considered an easier benzo to quit from than Clonazepam, but titration tends to even up the score somewhat when it comes to managing cuts (especially as Clonazepam has a reasonably log half-life. Still, many seem to benefit from the more sedating effects of Valium. Titration is not very convenient, as it tends to to tie you to your kitchen - pill-splitting Valium tablets can be carried out anywhere. You need to decide for yourself which sound more attractive to you. Once you have made this decision, we will support in carrying out your withdrawal. I know it can be difficult to make decisions in your confused state, but really, it is not for us to decide this for you. There is no wrong answer, just pick the method you prefer, that's all.

Ok Colin, can you give me a schedule for .25x2?I am waiting for the cylinder yet, but I have the syringe

Hi,

 

You mean that you take a total of 0.5mg per day (2 x 0.25mg), and the dose of the pills you are using is 0.5mg? This is important, as accuracy is increased by using a whole pill. One dose is made for the day, and potions of the liquid taken at intervals to suit.

 

I will work up the table when you have the cylinder and can supply a start date - the schedule includes dates and the dose taken for every day of your taper.

Yes, I take .5mg, but they are 1mg pills.I can't switch to the smaller because they are made by another company and when I took them had negative fx.I am getting the cylinder today

Ah, OK.

 

You have two choices. Either you use a whole pill, and throw away half of the liquid to gain an equivalent dose of 0.5mg, or simply halve the pills. I assume the latter. Just let me know ehn you have the cylinder and decided on a start date.

Hi tiff. How are you doing today?

Amanda

Horribly ill.Don't know what to stick it too.change of dosing back?k itself?tolerance?I'm at a total loss

Colin, I have the cylinder and would like to start. I am very ill and I don't think up dosing will help out.I just need to get off this stuff

Hi Tiff,

 

Can you please explain more clearly. Of course I can draw up a titration schedule for you. Would you like to start tomorrow? I also need to know what taper rate you wish to follow. 10% over every 7 days, 10 days , 14 days, or some other figure?

I take .25 kx2 a day.I am also taking the 2.5valium at night for sleep.I will taper this after the k if that's okay.

I would like to start asap.I think 10% every 10 days may be best.

 

I don't know if I'm in tolerance, it's the k, or because of my previous ct but I am very anxious and ill and think I need to go off

Tiff, I was just about to log off - it is very late here. I will draw up the plan for you tomorrow to start for the following day.

 

Take care.

Hi,

 

I've created a schedule based upon your figures.

 

You will notice that I have created a schedule based on 12.5% cut every 10 days instead of the 10% you requested. This is simply because the schedule is cutting 12.5% of just your Klonopin: this is equivalent to 10% of your total dose including your Valium. You will notice some numbers and terms in the first block - ignore them, they are for my benefit. Except, where it says that you take one tablets, and you titrate one of them. This is because you seemed to indicate that you would use half of a 1mg pill (0.5mg) for titartion, since this is what you use now. so, do as you do now, and use half a pill (you whole day's dose) for your titration liquid. The spreadsheet was never intended to work like this, so this is fudge I had to make.

 

Your schedule: http://www.benzobuddies.org/spreadsheets/tt-tiffj-2008-04-22.html

 

Place the following in your signature (check your profile for this feature):

 

[url=http://www.benzobuddies.org/spreadsheets/tt-tiffj-2008-04-22.html]My Titration Schedule[/url].

 

Once completed, you will then taper off your Valium.

Ok, so the numbers represent hoow much of the liquid I drink, correct?I'm not sure I fully understand.Crush the half pill,mix with the water and drink that many ml?Am I only dosing once a day or do I save the liquid and dose 3x day

One last thing Colin.I spoke with an addiction specialist today and he thinks it would be best for me to ditch the valium and go to k .25 3x day for awhile and then titrate.Do you feel this is a good idea?I'm sorry after the work you have put into the schedule for me.His reasoning is that I am currently in withdrawal and never stabilized at .25 twice a day

So what difference would it make? Colin is taking a break by the way, but frankly I can't see the logic of the so-called "addiction specialist." If you haven't stabilized on the Klonopin then why not stabilize on the Valium, which has the longer half-life and smaller dosages, instead? This "specialist" is talking nonsense. What? He wants you to stabilize on K and then cross over and re-stabilize on V? Can you see my point?  :thumbsup:

 

Tony

One last thing Colin.I spoke with an addiction specialist today and he thinks it would be best for me to ditch the valium and go to k .25 3x day for awhile and then titrate.Do you feel this is a good idea?I'm sorry after the work you have put into the schedule for me.His reasoning is that I am currently in withdrawal and never stabilized at .25 twice a day

In my opinion tiff... I would agree this would be a very good idea. I would also stop jumping between benzos once your stable. I would stabilize on this dose for a while...maybe a couple months. Also Dr.Ashton, recommends not....to cut or try a withdrawl from benzo's.. while your going thru major life crisis's. Looks like you may have a couple going on. Look at why you first sought out Klonopin...have the issues been resolved?...

  tiff..8 months on benzo's most probably you are addicted to them..and..experiencing tolerance symptoms. If youve never been on meds before, you will be feeling the tolerance symptoms..anxiety, instability, fear.. It goes with long term benzo use. It should be illegal for Dr's to do that to people. Try to regroup, accept that you will be experiencing benzo symptoms, even when you get stableized. Try to deal with whatever issues got u on benzos, and try another w/d attempt.

Take Care

Sk 

Thanks.I was put on them because I had a horrible reaction to an ad and then the psych said to take daily, even though I didn't need to, but I listened.I started feeling ill and having increased anxiety on them, but never knew what was going on until recently.

 

I have been on the 3x day schedule lately and it seemed to help some, but not as I'd hoped.Don't sleep well, wake up with panic, high anxiety even after dose in am, sometimes all day.I am having a major crisis, so I don't think I can go down right now, but I don't know if I'm taking enough either?The addiction spec said to try to switch to valium now and see if it helps, but I am afraid it will only make things worse and I can't have that right now.I'm barely hanging on.My psych said to go to .5 x2 day, but I just don't know about raising it either.I have ativan still, and am trying hard not to take it.It helped situationally, but I quickly grew a tolerance and went from .25 to 1.5 in 3 months.I am fearing that's what's going on with k.My body wants MORE, but it's apparently always going to

No tiff, your body won't always want more. This will go away. But right now you are physically dependent on benzo, and your body is screaming at you to feed it more.

As for the valium cross, you tried that and it didn't work out for you if I recall. I think to attempt another crossover(after crossing back to klon) at this point would REALLY put you in a tailspin.

The symptoms you have are common wd sx. Insomnia, anxiety, panic, etc.  I had all that too. I know when there are personal problems going on it makes things 10x worse, but increasing your dose will make things 100x worse. If you need to for the moment, just hold your dose, but really, it would be best for you to continue you taper at a sensible rate.

Honestly alot of people, including myself, felt much better as their taper continued down. 

 

Please know that there is an end to this, and you will recover. But you must try and persevere, ok?

Take care Tiff! LIfe will be ok again, really.

ps. your addiction specialist told you to ditch the valium and go back to klon. Now he/she is telling you to go back to valium???

So what difference would it make? Colin is taking a break by the way, but frankly I can't see the logic of the so-called "addiction specialist." If you haven't stabilized on the Klonopin then why not stabilize on the Valium, which has the longer half-life and smaller dosages, instead? This "specialist" is talking nonsense. What? He wants you to stabilize on K and then cross over and re-stabilize on V? Can you see my point?  :thumbsup:

 

Tony

 

Tone, she/he (sorry tiff, I don't know!) had already attempted to cross over to valium with bad results.

Tone, she/he (sorry tiff, I don't know!) had already attempted to cross over to valium with bad results.

 

Oh. I thought she was going to go to Valium. Oops.

 

Still gots a benzo brain sometimes. I simply misunderstood. Sowwy.  :crazy: