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From: John on 6 Aug 2008 19:55
Hi,

I just wonder what procedure you (and your doctor) followed when you decided
what was the right benzodiazepine dose for you? Did you just keep increasing
the dose until you were free of any anxiety symptoms? In that case, did you
after that try to increase the dose further to see if additional benefits
were noticed? Or did you try lowering the dose to see if the anxiety
symptoms got worse again?

Also, in case you started to notice tolerance (which is common) during any
time, did you just keep increasing the dose further until you reached a
level where you no longer had to increase to dose to keep the same level of
anxiety relief (i.e. until a stable state was reached and there was no
longer any further tolerance experienced)?

Thanks.

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From: Sebastian on 7 Aug 2008 04:12
Scribo "John" (2008-08-07 01:55):

> Hi,
>
> I just wonder what procedure you (and your doctor) followed when you
> decided what was the right benzodiazepine dose for you? Did you just
> keep increasing the dose until you were free of any anxiety symptoms?

Yes. (And it is bensodiazepine).

> In that case, did you after that try to increase the dose further to see if
> additional benefits were noticed? Or did you try lowering the dose to
> see if the anxiety symptoms got worse again?

Increasing it. Could not lower it on my own.

> Also, in case you started to notice tolerance (which is common) during
> any time, did you just keep increasing the dose further until you
> reached a level where you no longer had to increase to dose to keep the
> same level of anxiety relief (i.e. until a stable state was reached and
> there was no longer any further tolerance experienced)?

I increased it, but it no longer had any effect.

S.
From: John on 7 Aug 2008 18:52
>> Hi,
>>
>> I just wonder what procedure you (and your doctor) followed when you
>> decided what was the right benzodiazepine dose for you? Did you just keep
>> increasing the dose until you were free of any anxiety symptoms?
>
> Yes. (And it is bensodiazepine).
>
>> In that case, did you after that try to increase the dose further to see
>> if additional benefits were noticed? Or did you try lowering the dose to
>> see if the anxiety symptoms got worse again?
>
> Increasing it. Could not lower it on my own.
>
>> Also, in case you started to notice tolerance (which is common) during
>> any time, did you just keep increasing the dose further until you reached
>> a level where you no longer had to increase to dose to keep the same
>> level of anxiety relief (i.e. until a stable state was reached and there
>> was no longer any further tolerance experienced)?
>
> I increased it, but it no longer had any effect.
>
> S.

Ok, so I guess in your case benzodiazepines where no long term solution. I
suppose it's very individual, since I've heard others who do fine and reach
a stable dose after some time. Probably the only way to find out if it works
long term for a certain individual is to try it? Sad, since there are
usually very severe withdrawal symptoms associated with discontinuing usage
that has been ongoing for more than a month or so.

Is there anybody who successfully is using benzodiazepines long term that
can describe how they found the correct dose? Also, in that case, how long
did it take for you to reach a stable dose?

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From: Sebastian on 8 Aug 2008 00:45
Scribo "John" (2008-08-08 00:52):

> Ok, so I guess in your case benzodiazepines where no long term solution.
> I suppose it's very individual, since I've heard others who do fine and
> reach a stable dose after some time. Probably the only way to find out
> if it works long term for a certain individual is to try it? Sad, since
> there are usually very severe withdrawal symptoms associated with
> discontinuing usage that has been ongoing for more than a month or so.

I used Xanax for about 20 years, and it worked most of the time, so you
could say it was a long term solution. But in the end I had to increase
the dose, and it still did not work.

I think using Xanax (or any other benso) is OK for some months or even
years. For this sort of short time usage Xanax works very well indeed,
and I think it should be used that way. The drawback is that it is
extremely difficult to stop using it (as you wrote above).

S.
From: John on 8 Aug 2008 15:27
>> Ok, so I guess in your case benzodiazepines where no long term solution.
>> I suppose it's very individual, since I've heard others who do fine and
>> reach a stable dose after some time. Probably the only way to find out if
>> it works long term for a certain individual is to try it? Sad, since
>> there are usually very severe withdrawal symptoms associated with
>> discontinuing usage that has been ongoing for more than a month or so.
>
> I used Xanax for about 20 years, and it worked most of the time, so you
> could say it was a long term solution. But in the end I had to increase
> the dose, and it still did not work.
>
> I think using Xanax (or any other benso) is OK for some months or even
> years. For this sort of short time usage Xanax works very well indeed, and
> I think it should be used that way. The drawback is that it is extremely
> difficult to stop using it (as you wrote above).
>
> S.

So, in the beginning, how long did it first take to reach a stable dose? And
how many mg Xanax were you using per day then?

Also, how long time did it go between each dose increase after that (I
assume that you periodically had to increase the dose to keep the same level
of anxiety relief), and how much did you increase the dose each time?

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