I will be attacked, so I'm prepared, but EVERYONE HERE IS DIFFERENT AND WE HAVE DIFFERENT NEEDS.
I was on Valium, Ativan, and Xanax back in the 1980s. They did NOTHING for my DP/DR (my first concern which was completely disabling) or much for Anxiety! I don't recall doses, but I never became addicted, never abused them, and had no trouble withdrawing from any of them. I can tolerate very high doses of many meds without any side-effects.
At that time (in my late 20s) they did NOTHING for me.
In 1987 Klonopin was being used at Sheppard Pratt Hospital for those with DP and was found to be effective in some patients. At the time the hospital was for those with MPD. My doctor, Richard Loewenstein, a founding member of the ISSMPD at the time gave me Klonopin.
He recommended pushing it to 8mg where my DP/DR were SIGNIFICANTLY improved, to where I didn't want to committ suicide. I was on no other med at the time. First drug since I was 15 that touched the DP/DR at all.
We pulled down to 6mg which I have taken 2/2/2 since 1987! EIGHTY SEVEN. I have never abused the drug, I have never increased it, it has never lost its efficacy.
I had a cocktail of Klonopin, Celexa, Pamelor and Lamictal since 1999... note never having dropped the Klonopin since 1987 -- never increasing it. Decreasing below say 4mg brought back the DP I HAD BEFORE ANY MEDICATION (since I was 4/5).
I have recently successfully withdrawn from Pamelor. NO SIDE EFFECTS and was on that since @1997?
The goal now is to next decrease the Celexa a bit, and possibly increase the Lamictal, then pull back the Klonopin.
I went off Pamelor (Nortriptyline) 50mg, 10mg at a time over a period of about 2.5 MONTHS. Any other med will be tapered that slowly if not more slowly.
My metabolism is different. I have GAD? Borderline Traits, Depression. DP/DR. Chronic, 24/7 since a kid.
My case is different, my treatment is different, my metabolism is different, my risk/benefit is different. Now, Joe go fire away at me. I just had to clarify we are all different, and I DO NOT ABUSE, and NEVER HAVE any benzo.
Oh, recently I was panicking over a miserable situation re: my mother's death (2001), her lies to her attorney about me, etc. Once a Xanax helped. After that, it felt like I had too much wine. Note, I don't drink at all anymore and only used to tolerate wine. NEver been drunk in my life and no rec drugs. I have not taken any other benzo since. So since 1987 on Klonopin I then found Xanax to be very uncomfortable. I think I took 3 1mg pills/or 2mg pills in total. Made me feel awful.
Also I've never gotten a "high" from a benzo. I can't drink as mentioned. Bad side effect = hangover from one glass and severe DP/DR upon ingestion.
I am obviously not an addictive personality, have never experiemented with rec drugs/cigarettes for various reasons, no pot, etc.
Klonopin has been the most effective drug of EVERY DRUG I'VE EVER TAKEN in reducing the symptoms of DP/DR and in helping with my anxiety.
Iknow as I get older I may have to lower the dose. My doctors over the years have not been concerned. More than one. I will take all the time in the world, and would bet that the DP/DR WILL come back, as I always had it!
This is my unique case.
I hope to God no one attacks me, but I have to say my piece. I'm almost 47 years old. Been there/done that. No doctor has ever "distrusted" me.
We are all unique. My DP/DR is obviously from a different cause, or of a different type and is tremendously disabling and I've had it chronically for YEARS. Very different from others here.