Hello all,
I realize there are other threads on this subject and I have read through them, but I wanted to get information/opinions on my specific situation.
I've been on fluoxetine for almost 5 years to treat my clinical depression, panic attacks, and general anxiety. I started out at 20mg per day, then after about 3 years I noticed some symptoms starting to return. After trying a number of other SSRIs, my Dr. and I settled on increasing the fluoxetine to 40mg per day and it's been working great ever since.
At times, I have stressful circumstances that are beyond my control which can flare up my anxiety and sometimes even panic attacks. I've had friends and family let me sample some of their benzo's (yes, I know, sharing Rxes is bad), among which I've tried diazepam, clonazepam, and alprazolam. The most recent events to trigger my anxiety sent me to an urgent care center where the Dr. prescribed for me diazepam 10mg tid. I quickly found out that this seemed like way too much for my system in a day, and have found a happy medium at 5mg bid or pm.
There are two side effects I'm noticing, however, that I'm not too crazy about. The first is because diazepam has such a long half life, once I go to bed I don't want to get up for at least 12 hours. The extra rest is great, but I have to be up for work and then school. The other symptom, which isn't quite as severe, is a slight increase in my depression. I love taking this medication to help with my jittery nerves, but I don't need to be down in the dumps as a result.
I've never been prescribed alprazolam or clonazepam, but have tried both (never long term). As has been stated in other threads, the alprazolam has a shorter half life, hits you harder, but doesn't last as long. 1. While I haven't had this problem, I realize that this can lead to a dangerous increase in self-dosing. 2. My panic & anxiety can take quite some time to subside, so the longer acting benzos really seem to help the best with this, not to mention not giving me a woozy high.
So far, out of these 3 benzos, the clonazepam has been my favorite. It lasts long enough to keep me calm and/or keep me from waking up in the middle of the night in a panic. It also doesn't make me groggy and not wanting to get up in the morning. Lastly, I never noticed the slight increase in depression with clonazepam that I've experienced with diazepam. Thus, IMHO, It'd be better for my Dr. to switch me from diazepam to conazepam.
I realize that my best course of action is to talk to my PCP, but as I said before, before I make an appointment I'd really like to get some feedback and information from a forum of people who are knowledgable on the subject.
Thanks for any responses.