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The Benzodiazepine Thread v. IV

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WARNING: long and expressive post ahead!


people seem to be inherently scared into asking their doctors for a rise in dose especially when it comes to benzo's and opiates and it shouldn't be that way

I'm always scared that if I say they aren't working, they'll cut me off for "seeking drugs". This isn't ideal, because I can't function during certain situations without my meds.

These sentiments are close to my heart.

Most of my substance use and abuse has come from trying to self-medicate because GPs, Psychs, and various people in the medical system are bound to work within strict - and ever changing - guidelines and/or simply don't know what it feels like to live with psychological issues.

I've used ridiculous substances (RCs, dirty street drugs, diverted medications bought for insanely high prices) and put myself through all sorts of stupid situations to get them, and it's all because I just want to live a fairly simple life in my own way, while respecting the rules of the mainstream so as to stay out of trouble. But I have these issues (physical and mental) which I don't really understand, and nobody else does, and I can't even bring them up without the fear of being labelled/registered/stigmatised as some sort of drug-fucked menace who just wants to get high, wreak havoc, and undermine societies core values.


I am so sick of hearing:

"You don't want <medication>. That's addictive."

"It's better just to try getting some exercise and avoiding stimulating activities before bedtime. <medication> is not good in the long run."

"See a psychiatrist" - "I can't afford to" - "Take some (overpriced) herbal remedies, then"

"The X-ray shows that your scoliosis is worse than five years back. You need to do stretches and exercise. Take Panadol Osteo for pain."

"No, <medication> is for old people"


I haven't been able to keep a regular GP for more than a few years at a time due to moving accommodation and doctors retiring, and many clinics that are open during the hours which don't clash with my working schedule are busy places with high turnover where you can almost feel the doctor watching the clock and wondering how to get you out of there quickly so as to clear up this backlog of patients he/she has waiting.

They never ask about what I've done to address the issues and thus don't hear about the thousands of dollars and hours I've put into following nutritionists advice with very specific and expensive diets, going to gyms and working out to build up strength (I've done that on a semi-regular basis for the last decade - it just depends on my work schedule and if I can afford it), the meditation I've done for years, the alternative health plans I've tried...

Very frustrating to be told what you do or don't want/need by someone who doesn't know you and doesn't have the time or inclination to find out.

END RANT%)
 
Apart from your nose falling off, you should have nothing to worry about.

I don't know much about clonazepam but I think they work alright sublingually, letting them dissolve under your tongue. But bioavailability orally is 90%, so I don't know if snorting them is beneficial. You're probably better off just swallowing them
 
I have been on klonopin for years...3 mgs a day. I just snorted 3 mgs...will I be okay.

I think you'll be perfectly fine.

Tell us if you thought snorting it made any difference.
 
it's only going to drip down your throat to be go through first-pass metabolism due to it being only very slightly water soluble. snorting is likely only delaying the onset, unnecessarily putting inert powder up your nose.
 
I did feel a quicker onset but it was too much and made me sick. I think I'll stick to sublingually from now on.
 
Hektissity Ghb binds to the same GABA receptors as benzos so you really shouldn't need to add a xanny into the combo as the GHB is taking care of it. I found when I was taking GHB over a few days I didn't need any benzos and was on 6mg of xanax and 60mg of oxazepam at the time and missed doses and didn't notice. The GHB by binding to the same receptors has the same affect as benzos in alleviating anxiety.
 
alprazolam rescheduling on the cards

This came across my desk late last week: http://www.australiandoctor.com.au/news/latest-news/benzodiazepine-set-for-rescheduling

Alprazolam is on course to be made a Schedule 8 drug, following years of campaigning by drug and alcohol groups, Australian Doctor can reveal.
Notorious for its rapid onset and addictive properties, alprazolam is understood to be the only benzodiazepine recommended for rescheduling by a Therapeutic Goods Administration advisory committee, which met last month.
The TGA is not obliged to follow the committee’s recommendation, but it usually does.

Anouncement likely late May, according to the article...
 
Hey guys got a question for ya's. I got some Xanax a while back and im Not sure when it expires and have no way of finding out when it does. Just wondering if expired Xanax could be harmful? Also I'll be having some GHB (1,4-B to be exact) and MDMA tonight and was considering a zany when I got home if I couldn't sleep but I think I saw somewhere GHB and benzo's are a no no? I wouldn't have it until after the effects of the G have worn off but there might still be some in my system so should I not risk it?

yeah as rm2x said choose one or the other.im sure a few ppeople have died from mixing xanax with G
 
Hektissity Ghb binds to the same GABA receptors as benzos so you really shouldn't need to add a xanny into the combo as the GHB is taking care of it. I found when I was taking GHB over a few days I didn't need any benzos and was on 6mg of xanax and 60mg of oxazepam at the time and missed doses and didn't notice. The GHB by binding to the same receptors has the same affect as benzos in alleviating anxiety.

This is more or less wrong and very vauge. Benzos are allosteric modulators of the GABAa receptor, meaning that they change (benzos increase) the affinity of endogenous GABA for the receptors. GHB on the other hand is an agonist at the GABAb receptor as well as the GHB receptor. So without going into too much detail, they do not bind to the same receptor, nor do they bind in the same way.

To answer the question asked: leave at least three hours before your last dose of GHB before you consume any benzodiazepines to be safe.
 
I used to have a severe addiction to alprazolam, for at least six months my ex and I were consuming 50mgs of alprazolam a day. I kept having tonic clonic seizures and waking up in hospital or on the pavement somewhere bruised and battered, finally kicked that habit about 12 months ago. Now I just stick to diazepam to manage my day-to-day anxiety.

Ashley, I've heard so many stories like this, and have known (still know) people in similar situations, and it really gets me to wondering why alprazolam was ever deemed something that should be scripted - especially with repeats.

Diazepam is very effective at managing anxiety and IME experience has less dulling of the emotions. It's long half life means it can be taken once a day, and it can be tapered down from slowly and safely. For me it's hands down the most useful benzo. (Mind you, I'm not looking to get high, I just want help to manage persistent general anxiety disorder so I can continue working and functioning in day to day life.)

So given that there's something that's been around for ages, is well-understood, and has been effective for the last few decades: Why did big pharma and the medical systems decide that we needed a very potent, short acting, and (for some) kind of euphoric benzo?

I can understand using powerful shit like alprazolam in one-off crisis situations - to abort a severe panic attack, to sedate someone who's psychotic, etc.

But why script it, often in large number like the picture a few posts up shows, and with repeats?! How could a short acting substance, which creates very nasty rebound anxiety with prolonged used (sometimes just a few days in a row is enough to get a noticeable rebound), be considered a viable option for ongoing treatment of anxiety?

Strong, enjoyable (for some), short-acting, nasty come down.... sounds like a perfect recipe for addiction to me.

It is too cynical of me to think that the sole reason for its introduction into the world was to raise profits, because the pharmaceutical companies knew that people would get hooked quickly and would continue taking it for years?
 
Schedule 8 Controlled Drug (Possession without authority illegal)

Schedule 8 (S8) drugs and poisons, otherwise known as Controlled Drugs, are substances and preparations for therapeutic use which have high potential for abuse and addiction.

All drugs on schedule 8 require a doctor to have an S8 permit before prescribing treatment. For example, in NSW the prescribing of Schedule 8 CNS stimulant medication (e.g., methylphenidate, Ritalin®, Ritalin LA®, Concerta®, dexamphetamine) requires authorisation from the NSW Ministry of Health (Pharmaceutical Services) and is generally restricted to specialists, such as paediatricians and psychiatrists. A GP (General Practitioner) cannot initiate the treatment, although they can prescribe in very limited circumstances, e.g. co-prescribing on behalf of the specialist; and in rural areas, if the patient has been diagnosed with ADHD, a GP may apply for the authority to prescribe. Patients who may require Schedule 8 CNS stimulant medication should be referred to a specialist for assessment. It is illegal for anyone other than an authorised doctor to issue a prescription for a Schedule 8 CNS stimulant.

http://en.wikipedia.org/wiki/Standard_for_the_Uniform_Scheduling_of_Medicines_and_Poisons

yeah it would put it in the same class as narcotics such as fentanyl, morphine and oxy.
 
I have an important question for anyone who has sufficient, knowledge and expertise on the matter.
I am on the Buprenorphine program and I am prescribed oxazepam and nitrazepam.

My doc became aware that I had been using Xanax, and now I have to submit to a weekly urine drug screen.

So my question is. Since I am on prescribed benzos from the doc, does the Urine screen pick up individual benzo's, or does it simply say + or -.?
I live in Australia and have my tests done in Melbourne. I had a test today and then had a fair few clonazepam tablets (pretty much straight away)
So will this show up in 1 week when I have to have a test? or will it just indicate that the presence of benzodiazepines?
 
They can if they want test to find out different types of benzos, more costly than the standard piss in a cup + - tester though, but it can be done yes
 
What dose of Diazapam would you recommend for a good chill out. I am prescribed 2mg tablets and 4 mg does nothing.
 
^Take it as prescribed would be the safe answer.
When I have no tolerance 10mg is about right. First time I ever tried them I had 15mg and it made me pretty wobbly.
I would leave several days between doses also.
 
Has anyone else here experienced the problem whereby a psychiatrist is reluctant to prescribe benzos because of past drug-use? I was on Suboxone a while back for abusing codeine (damn CWE lol), and prior to this the psych was saying I needed to go on clonazepam, but after finding this out she sort of just never mentioned it again.

I have the most extreme insomnia imaginable and these are the only things that work.

Currently resigned to getting small amounts of temazepam from the GP who doesn't know about the Suboxone and drinking myself to sleep, but it's not a very ideal situation.

The insomnia is so bad that I am seriously considering going back on Suboxone even though I'm not at all addicted to any opiates.... fml :?
 
@Polluted_Mind how long ago did you come off the subs ? could PAWS be causing/contributing to your insomnia also drinking yourself to sleep every night is not a good way to handle it as it messes up your sleep patterns a fuckload. I know this from personal experience I find that if I drink anymore than 3 stubbies before bed with my axit I will zonk out fall asleap for 2-3hrs wake up sweating full on allround my face & head feel terrible. Just something to think about
.
 
Yep drinking to get to sleep is a terrible idea. Now I get the same thing- wake up after 4 hours sweating.
Of course your Dr will be reluctant to prescribe you benzos after hearing about your addiction issues. It's contraindicated for people with a history of substance abuse for obvious reasons.

Small amounts of temazepam is not a bad thing at all. Ration them out so your tolerance doesn't climb too much.
 
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