How long would a doc feel comfortable keeping a patient on klonopin (clonazepam) for social anxiety if it was the only med that works for them and they wanted it.?
Depends . Depends on the doc. Klonopin (clonazepam) is a benzodiazapene, with addictive properties. However, ive come across quite a few patients who have said the same thing as you. For some reason it works better than any other benzo or non-benzo for social anxiety or generalized anxiety disorder. If you're going to stay on it, limit your dose and take it only when needed!
It varies. Many physicians feel that clonazepam is appropriate for use only for a short time to help a patient long enough for other drugs, like Lexapro or Effexor to begin to work. There is a risk of dependence, abuse, or diversion with medications like clonazepam. Most treatment guidelines recognize that some people do require long term treatment with medications like clonazepam to control their anxiety.
Would feel comfortable prescribing klonopin (clonazepam) to a patient for more than a year for social anxiety if it was the only med that worked for them?
Depends. Klonopin (clonazepam) is a very good drug medicaiton but not all physicians are trained to use it or feel comfortable prescribing it. Some psychiatrist believe that only they should prescribe this medication. Many physicians including internist and family physicians have great experience usig this medication. Prescribing should be very carefully done, for proper reasons and 1 year is not a problem. Read more...
Yes, but... ... This is rarely the case. Ssri antidepressants are usually better treatments for social anxiety. And even in the tranquilizer category, less sedating alternatives (ativan, xanax) might be preferable. But sure, if nothing else worked. The best answer, though, is to look for non-medication treatments. Psychotherapy, especially cbt, decreases social anxiety itself, it doesn't just numb you. Read more...