You : You presented a history of suffering from generalized anxiety disorder (gad) for many years which has been unresponsive to selective serotonin reuptake inhibitors. Your anxiety decreased with use of Clonazepam but only at a dose of 2mg and you would like to know a permissible dose for yourself. Clonazepam (klonipin) is a prescription medication which is used for anxiety (antianxiety) and convulsions (anticonvulsant). It is in the family of medications called benzodiazepines. One can develop both physical and psychological dependency on benzodiazepines. Although you stated you are not worried about addiction, you should keep in mind that while taking Klonopin (clonazepam) you may become drowsy and /or cognitively impaired. Additionally, if this medication is abruptly stopped (especially if you have been on a high dose for a long time) you can develop withdrawal symptoms that in a worst case scenario could be fatal. In other words, as effective as this medication can be to cut through anxiety; it is not without significant risks. You mentioned that your heart rate goes crazy when you walk down stairs. Have you been medically worked up to ensure that you do not have underlying cardiac problems? If you have not have not had a thorough physical examination, this may help to evaluate causes for your symptoms. Was the diagnosis of generalized anxiety disorder made by a primary care provider or a psychologist/ psychiatrist? Your description of your body going numb, a crazy heart rate & inability to function is suggestive of panic attacks. The concern for developing tolerance to this medication should not be under-estimated. You have already used medication that was prescribed to another person and self -increased your dose of klonipin. I can understand the desperation to find relief. I deliberately avoided advising you on the amount of Klonopin (clonazepam) you should take; as that would be rendering a specific medical recommendation. It is strongly recommended that you have a thorough medical evaluation if not already done. Because you had an inadequate response to a number of psychiatric medications, your case is more complicated and you may benefit from evaluation by a psychiatrist for thoroughness and accuracy of assessment. A psychiatrist could make individualized medication recommendations for you. Have you tried non- medication approaches, such as cognitive behavioral therapy, behavioral therapy, breathing exercises, progressive muscle relaxation, biofeedback or acupuncture? Many individuals are able to obtain relief of symptoms without psychotropic medications. The combination of psychiatric medication with some of the above listed approaches can also be very effective. Consider the services of a psychologist or other behavioral health provider who is experienced in dealing with anxiety. Good luck with your road to health.
Answered 10/3/2016
5.3k views
7 doctors weighed in across 2 answers
A doctor has provided 1 answer
A doctor has provided 1 answer
5 doctors weighed in across 2 answers
A doctor has provided 1 answer
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your question