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Thread: Max diazepam dosage

  1. #21
    bleepholder is offline Registered Pharmacist
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    Re: Max diazepam dosage

    Quote Originally Posted by Ashley View Post
    she said she is fine with trying others such as lorazepam and alprazolam............. Best of all she has no problem prescribing agomelatine and the other AD's I mentioned without trying SSRI's.
    I'm not surprised this private psychiatrist is happy to prescribe anything.....she is probably getting paid more than enough to just prescribe whatever you ask for!!

  2. #22
    johnep is offline Moderator
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    Re: Max diazepam dosage

    My thoughts exactly, patients like this are bread and butter to psychiatrists, no more so than in the US. Michael Jackson was the end result of pandering to a patient's obsessions.
    johnep

  3. #23
    hibernia is offline Prolific Poster
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    Re: Max diazepam dosage

    Quote Originally Posted by johnep View Post
    My thoughts exactly, patients like this are bread and butter to psychiatrists,
    Private patients like this are a psychiastrist's jam and cream cakes

  4. #24
    Ashley is offline Active Member
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    Re: Max diazepam dosage

    Quote Originally Posted by bobbin View Post
    Hi Ashley,

    Buspirone is normally used for a few months or long term. There doesn't seem to be any particular problem with using it for prolonged periods and it does not cause dependence.

    Take care with clonazepam. 3mg is actually quite a lot. Clonazepam is a very potent benzodiazepine and dependence can occur rapidly. Clonazepam is normally effective for panic/anxiety at lower doses eg. 0.5mg twice a day. If it isn't working at 3mg it might be best to try something else.

    Since the psychiatrist is private, I assume you are paying for private prescriptions. Agomelatine is pretty expensive! It might cost you more than your appointment.
    Yeah after 5mg didn't work for a presentation I did we decided to switch to alprazolam and low and behold it actually works! A short while after taking it I actually feel relaxed and strangely more confident and upbeat, social anxiety completely gone, it seems to have a paradoxical almost stimulatory effect which may be explained by some studies I read showing increased striatal dopamine concentrations after administration. The only problem is the drug doesn't last very long giving me a noticeable on-off effect reminiscent I suppose of levodopa therapy, extended release versions seem like a good option considering this, though they are no doubt more expensive. Once I get the dose perfected we can agree a prescription limit to prevent the chance of dependence occurring, I can see why this drug has such a notorious reputation compared to the other benzos and I wouldn't like to risk willpower alone. As for the agomelatine, I want to try tianeptine or bupropion first, bupropion seems especially suited to my situation because of the lethargy I feel a lot of the time, something to boost my energy like that would be ideal I feel despite the possible anxiogenicity. Cost is something that bothers me, but considering that the NHS doctors obstinately refused to consider these medications I have little choice. I wonder though if my uni would be able to help with treatment costs? The therapy on the NHS should go better now though considering that I will not have that anxiety, however I feel that the disinhibiting effects of Xyrem were much more suited to therapy, it seems a shame that doctors will not prescribe in such a fashion. Shockingly though my GP offered me quetiapine of all things, I'd rather risk pentobarbital than tardive dyskinesia and diabetes.
    Last edited by Ashley; 23rd, May 2010 at 04:48 AM.

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