Some positive changes have helped my PAWS Gabapentin Question

So as I see it, here is how I would dose during the various stages of withdrawal. I will include my benzos only once, as I do think they are very helpful, but this is about Gabapentin. As it says above, 2mg Clonazepam x2/Day and .25mg Triazolam x1/Day at night.

Disclaimer: This is what I did, discuss a plan with your doctor as some people are allergic, etc.

Now for Acute Withdrawal (24 hours after stopping the drug you are coming off of):
Day 1 - 6: I was taking around 6 to 7 300mg pills per day. Two in the morning, then noon, then night (sometimes one extra at night so three at that point).

Symptoms Alleviated: Sweating, Crawling Skin, RLS, and Muscle Pain. Some symptoms quieted, others non existent like RLS and Skin Crawling
For Nausea: I used Marijuana, I'm not necessarily advocating that if you live where it's prohibited like I do, but I did not vomit once coming off a 6 year 160mg/day Oxymorphone habit. I find that to be pretty impressive. I also only lost 6 pounds during this process (I'm really skinny, loosing weight was something my Docs feared). And for diarrhea, everyones favorite opiate withdrawal symptom, I used loperamide HCL aka Immodium. There are threads on how to dose that.

-Note: While doing this I was in the sever withdrawal stage, sweating, nausea, the whole deal. And that much Gabapentin made me feel like I weighed 1000lbs. I had trouble getting out of bed. However, at that point, no one feels good enough to do anything anyway so drifting in and out of sleep, as any addict will tell you, is heaven compared to lying in agony fully awake the whole time. Also, at this point I did not have many benzos as the police had confiscated some.

Gabapentin use for PAWS:
After everything is calming down and your starting to feel like a human being again. First of all, congratulate the hell out of yourself, your deserve it.

Along with my benzos, which if I take Gabapentin I can take much less of, or even none sometimes, here is how I dose all of that out. After, I will explain my reasoning:

Morning: 300mg if I'm feeling anxious but not every day
Noon: 300mg for the same reason but not every day
Night: 300-900mg for anxiety, RLS, and insomnia

So the reason for only taking 300mg is because at that dose it works as an anxiolitic, at higher doses (600mg) it works as a muscle relaxant in a way, at 900mg you'll feel like laying in bed is just about your only option. That is, if you do not take it daily as tolerance does build. I do my best to save it for my bad PAWS days, however this drug has been known to be very safe. If you do end up taking it everyday, talk to your doctor before stopping to make sure you don't need to taper off of it.

Cheers, if anyone sees a mistake I made or you have any questions please let me know, again this is just how I do it, do what's right for you,
Love and respect,
FRF
 
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So my psychiatrist upped my dosage of clonazepam to 2mg/3x daily. He also prescribed trazodone to go with my triazolam at night. Does anyone have any experience with trazodone mixed with benzodiazepines? I did use the fucking search engine, but I was just wondering if anyone had any personal experience with it. Do they potentiate each other? Do they negate each other? And is it worth trying if I feel somewhat alright just taking Gabapentin. He did suggest that I tried trazadone instead of Gabapentin. I was wondering what people's thoughts on that might be. Because of Gabapentin has been working for me so far. He was simply concerned about coming off of it if I took it for too long.
 
An update on a switch in meds. After seeing a general practitioner and psychiatrist, they suggested I take trazadone instead of gabapentin for sleep. They were concerned that I could become habituated to it, and suffer muscle pain if I stopped, and they were right. They said after all I've suffered, why feel that again in a few months. My pain is mild and mostly in my arms and legs.

As for trazadone, they mentioned it would knock me out, it does, and that it could actually as a mood stabilizer during the day. It seems to be working. Just a small doses at night, 100mg.

Unfortunately, I also found out I had confused my 80 days off of Suboxone, staying in a house is disorientation. I'm actually 2 months 2 weeks clean after a 7 month taper. I have to say though, I feel pretty good. Is that normal? I thought it took around a year? I still have low energy, but my motivation is slowly returning. Occasionally I get easily agitated, but the trazadone seems to cover that fairly well.

So, all things considered, guess this is a positive update?

Cheers,
FRF
 
That's great news! I'm really glad to hear you're still doing so well! I was on trazodone for 15 years - actually got off it a few months ago. I took it for sleep as well, and it would knock me out. One word of caution though if you take it and you don't immediately go to sleep you can be awake for the rest of the night. I found that it was a decent mood stabilizer, it's very subtle. All in all I think trazodone is fairly benign as far as sleep aids and antidepressants go.

As far as feeling good in early recovery I think it varies by person. You did a slow taper and that has a huge impact on the why you're feeling decent now. Wanting to be sober also has an impact. You may still have some mood swings, periodically, so don't be surprised, and just remember they're temporary.
 
I'm just so impressed with how you, your medical team and your family are all working together. I wish this were available to everyone suffering through the hell of addiction.

You are doing so great, FRF. Have you ever looked into any reading materials or podcasts about mindfulness? I found that the anxiety that I thought was unavoidable in my life was in fact learned and can be unlearned. I don't mean to say that it was as easy as reading about a concept and suddenly thinking and perceiving differently but it gave me a lighted path to continue down. I think that there are a lot of people with very sensitive natures and strong emotions that fall into all sorts of maladaptive behaviors (addictions, unhealthy relationships, workaholic or lack of motivation) because we do not live in societies that teach us how to embrace being the full human beings we all want to be. We learn early on to be afraid of strong emotions, that they will inevitably overwhelm us. I see feeling as being akin to swimming in the ocean. Life is a huge, unpredictable, ever-changing force. It can go from serene and calm, where you can convince yourself that it is you in control, to churning and raging and your best bet is to learn how to be rolled by a wave.;) It does you no good to have an unhealthy fear of the sea (you'll never go in and deprive yourself of all the ecstasy!) but a healthy fear is simply a respect for the power of the sea. Learning how to feel emotions but not be drowned by them seems to be what being human is about.
 
That's great news! I'm really glad to hear you're still doing so well! I was on trazodone for 15 years - actually got off it a few months ago. I took it for sleep as well, and it would knock me out. One word of caution though if you take it and you don't immediately go to sleep you can be awake for the rest of the night. I found that it was a decent mood stabilizer, it's very subtle. All in all I think trazodone is fairly benign as far as sleep aids and antidepressants go.

As far as feeling good in early recovery I think it varies by person. You did a slow taper and that has a huge impact on the why you're feeling decent now. Wanting to be sober also has an impact. You may still have some mood swings, periodically, so don't be surprised, and just remember they're temporary.

Thank you for your kind words, yes the trazodone is working fairly well. I still have Gabapentin on hand but I'm not sure if taking it with trazodone is bad or not. I plan to ask my doctor next time I see him. So far it has worked so well that I do not need to take triazolam to go to sleep anymore. I pretty much keep it on hand for any breakthrough anxiety I may feel at work, which I'm taking very slowly right now, I'm fortunate enough to be able to work for my family and they understand my condition. I go in for pretty much just half a day to get used to being around people again after being stuck at home for several months. I feel like that's the hardest part for me so far is just interacting with other people. Unfortunately, it's a family business, and the people that do work there saw me as an addict and do know pretty much everything. Dodging those questions is quite stressful. However, overall, I think I'm doing quite well. Really all I'm dealing with right now is a lack of energy and occasional muscle cramps but it's pretty manageable.

Thanks, cheers,
FRF
 
I'm just so impressed with how you, your medical team and your family are all working together. I wish this were available to everyone suffering through the hell of addiction.

You are doing so great, FRF. Have you ever looked into any reading materials or podcasts about mindfulness? I found that the anxiety that I thought was unavoidable in my life was in fact learned and can be unlearned. I don't mean to say that it was as easy as reading about a concept and suddenly thinking and perceiving differently but it gave me a lighted path to continue down. I think that there are a lot of people with very sensitive natures and strong emotions that fall into all sorts of maladaptive behaviors (addictions, unhealthy relationships, workaholic or lack of motivation) because we do not live in societies that teach us how to embrace being the full human beings we all want to be. We learn early on to be afraid of strong emotions, that they will inevitably overwhelm us. I see feeling as being akin to swimming in the ocean. Life is a huge, unpredictable, ever-changing force. It can go from serene and calm, where you can convince yourself that it is you in control, to churning and raging and your best bet is to learn how to be rolled by a wave.;) It does you no good to have an unhealthy fear of the sea (you'll never go in and deprive yourself of all the ecstasy!) but a healthy fear is simply a respect for the power of the sea. Learning how to feel emotions but not be drowned by them seems to be what being human is about.

Always love your responses because they are so beautifully worded, and yes I think your metaphor is correct. I have purchased a few books on mindfulness meditation. A guy named Sam Harris, I am not religious, so he pretty much just goes through mindfulness meditation without any of the religious mumbo-jumbo. Apologies if any of you are people of faith I do not mean that negatively, it's just how I perceive it. I am learning to roll with the punches, and I am now becoming more aware when I've become a bit monopolar if that's even a word? I don't tend to curl up in a ball if something goes wrong I tend to flip out. But that has become noticeably less, each day that goes by it happens less each time. Really my only symptoms right now are pretty unpredictable stomach issues (sure you know what I mean), absolutely no energy and motivation or very little, and the occasional muscle cramps. However I am grateful because I know that some people at this point are dealing with a lot worse. I may have had a monster addiction at one point, but that slow taper really did make a big difference. Right now I'm cleaning off of everything except what is prescribed to me. I have court in a few days, I hope everything goes well, I have been lobbying my local government to change their Draconian laws so hopefully that will help. Also the media here did a piece on me so I feel like if they threw me in jail for any amount of time there will kind of be a media shitstorm.

I live in a part of the country where there is a prescription epidemic, that's the term they use anyway, but for someone who got clean and has stayed clean, I just hope they take that into consideration. I think my anxiety will lessen after this court date.

Thank you so much for your thoughtful response.

Cheers,
FRF
 
Since I just responded to all of that and bumped everything up I figured I might as well ask a question. I'm currently taking 2 milligrams of clonazepam three times a day, triazolam as needed .25 milligrams, and 150 milligrams of trazodone at night to knock me out. If during the day I experience muscle cramps or extra anxiety, is it safe to take gabapentin? I know it was safe to take with benzos but they have just added Trazodone. Thank you so much for anyone who responds. And thank you to all who have posted in this thread you guys and gals are wonderful.
 
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