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Benzos valium how many times a day for therapeutic use?

Lopez

Lopez

Bluelighter
Joined
Oct 21, 2010
Messages
416
i was on ritalin for adhd (mostly anxious symptoms) and i eventually developed a complete immunity to it regardless of [therapeutic] dose.

my doc refused to switch my meds so i went to another doc who prescribed me 10 mg valium. this doc however was the careless type of doc. i mean, i walked out with the prescription in like 15 minutes... and... he forgot to tell me HOW TO TAKE IT. all he said was once a day and if it was too strong to divide the dose into 2x 5 mg daily.

anyways i just decided to drop one before bed last night. i had a strange reaction where i actually got WIRED from it, did a little house work, and finally went to bed... the reason i chose to take it before bed was to sleep off the "haziness", but today it only worked up until around 5 pm... it only worked for about 19 hours (i have a horrible baseline anxiety)? so i waited a few hours and popped it again at 7 today.

i thought valium was a once a day thing? did i sleep of the anxiolytic effects as well or should i start dividing my doses to 5mg tomorrow? any advice is appreciated. thanks in advance.
 
I used to take the majority of it at once, and the other part later on. So when I was scripted 10mg I would take 7.5mg during the day, and then 2.5mg at night. You have to figure out what works best for you though.

Remember that this drug causes physical dependence and horrible withdrawals that only take about 1 month of daily use to develop.
 
i was on victan for 2 months at one point, the usual dose of 2 mg, and i was able to quit it cold turkey along with depakote (yeah, i know it's extremely foolish but part of me was actually hoping to die at that point in my life). not saying i'm immune to the anxiety, but i think i can handle valium addiction...

the way i see it, i can't live a "normal" life without medication anyway... (anxiety/mood swings, impulsivity, etc..)

honestly the only thing that has ever helped my anxiety/depression was daily marijuana use but being a stoner in texas and trying to find a decent job as a pharmacist isn't likely.
 
Valium totally loses any balls it has for me after six hours, which was okay as I was on 40mg daily.

I really don't see any issue in how he told you to take it, once daily or twice in divided doses if it's too strong? What's wrong with that advice?

Also, as you're in Texas and not certain parts of europe where they give boxes of meds out at the doctors, it will have the prescribing info on the bottle, they literally won't fill it if there is any ambiguity in the script, and well you're a pharmacist, so...? Eh?
 
If you're a non-smoker or have a slow metabolism, a dose of diazepam should work for 9-10 hours and start into rebound anxiety around the 14th or so. If you're a smoker or have a fast metabolism, I'd say 6-8 hours and rebound anxiety at the 12th hour. I usually took my Valium at noon when I woke up and then at 9 at night but lately I've pushed it to 12 hour dosing for the purpose of tapering and trying to keep my plasma level as stead as possible.

Most people do just fine with diazepam on a twice a day schedule as opposed to clonazepam which is typically three times a day and alprazolam or lorazepam which is more like three to four.
 
MagickalKat777 said:
If you're a non-smoker or have a slow metabolism, a dose of diazepam should work for 9-10 hours and start into rebound anxiety around the 14th or so. If you're a smoker or have a fast metabolism, I'd say 6-8 hours and rebound anxiety at the 12th hour. I usually took my Valium at noon when I woke up and then at 9 at night but lately I've pushed it to 12 hour dosing for the purpose of tapering and trying to keep my plasma level as stead as possible.

Most people do just fine with diazepam on a twice a day schedule as opposed to clonazepam which is typically three times a day and alprazolam or lorazepam which is more like three to four.
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i'm aware of the enzyme inducing properties of polyaromatic hydrocarbons in tobacco smoke but does this apply to cannabis smoke as well? i ended up smoking a few bowls last night and i'm paranoid i've hindered my valium now..

Morphling said:
Valium totally loses any balls it has for me after six hours, which was okay as I was on 40mg daily.

I really don't see any issue in how he told you to take it, once daily or twice in divided doses if it's too strong? What's wrong with that advice?

Also, as you're in Texas and not certain parts of europe where they give boxes of meds out at the doctors, it will have the prescribing info on the bottle, they literally won't fill it if there is any ambiguity in the script, and well you're a pharmacist, so...? Eh?
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i'm in an extremely rough economic situation and as such i've been going to mexican docs or a while now. the only info on that box is the dependency disclaimer and the "do not sell without prescription" stamp.

crestfallen said:
lol good luck

Personally, it usually works almost 24 hrs
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well i mean, if i'm not planning on quitting, why should i worry about addiction.

is there a longer- acting benzo i can ask for my doc though? victan was long acting however, it wasn't very anxiolytic and completely nonsedative. (i'm looking for something less sedating however. valium seems to be less sedating and even somewhat stimulating compared to clonazepam which floors me)
 
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Lopez said:
well i mean, if i'm not planning on quitting, why should i worry about addiction.

is there a longer- acting benzo i can ask for my doc though? victan was long acting however, it wasn't very anxiolytic and completely nonsedative. (i'm looking for something less sedating however. valium seems to be less sedating and even somewhat stimulating compared to clonazepam which floors me)
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Dependence on a substance for the feeling of normality isn't fun.
 
Captain.Heroin said:
Dependence on a substance for the feeling of normality isn't fun.
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And has a limited half-life as a way of being. They will become less and less effective for feeling normal and you'll just retreat from people more and more, it's easier (I know I did).

It's easier in the long run to try to get better via other means (meditation, self-actualization, etc...--they will help) and use the Valium as needed. No reason to just admit defeat and start a daily regimen.
 
You should keep it for as and when required pop 1 or half of 1 when the symptoms get bad like you would a Xanax or Lorazepam, Or if it is so bad that you need prevention f your symptoms then either full tab in the morning when you wake up or half it then the other half 8 hours later, simples ;)

Be carefull with valium tho, dangerous drug, dependence is different from addiction, I'm sure someone will elaborate on that, stay safe good luck buddy ;)
 
Benzo's also have a stimulating effect on me as well, just like alcohol. Not in a stim way but it seems the pleasurable effects provide some sort of motivation and the desire to do things, and not sleep. I would never want to sleep even on high doses of xanax, same with alcohol, keeps me up all night doing things.

Plannin to be on benzo's forever is a cop out. Sounds like giving up. You cant improve your life with that type of thinking.
 
Benzos offer diminishing returns when you take them for a long time... Actually what ends up happening is you gain a tolerance and dependency on them but you also start developing new conditions that you didn't have before as well. I started off with the occasional panic attack 9 years ago and now I have agoraphobia and generalized anxiety disorder as well. I'm tapering off of my Valium and as the dose goes down, the severity of the other two is going down as well but I feel closer to having panic attacks now than I have for years - so I'm basically heading back to where I started which was panic attacks induced by caffeine or stims.

You won't have much of a life if you rely on benzos to live it.
 
i can't really deal with it in any other way..

ssri's = bad reaction, suicidal, uncaring
antipsychotics = ssri's x10
wellbutrin = great med but too expensive
adhd meds = great as well but too short acting and i have a fast developing tolerance to stims
epilepsy meds (at one point it was my DX) = make me foggy and gain weight


i have a generalized anxiety and around the clock ruminating thoughts that are debilitating, sometimes even disturbing, vivid mental imagery. i have had to rely on some kind of med since i was 14 and have had anxiety since i was 8. so really... benzos seem like my only solid choice.
 
smoked again last night and got absolutely baked. my anxiety is at a 2 compared to the usual 6-8 this morning (mornings are hell for me).. but once again, THC isn't really a line of treatment for my condition.
 
I usually only use it if I need it. Take some when anxiety strikes then a lil later sleep. They can become really addicting.

If you can wait till night time to dose. That's when its most effective for me.
 
I typically start off with 10 and add 2.5-5 later, depending on how I'm feeling. most of the time, i don't need the second dose, but I have it there just in case.
 
Heavy smoker, Heavy benzodiazepine tolerance. I take my diazepam (20mg) four times a day, it's like methadone for chronic pain, it may have a long half life but it's anxiolytic and all it's other 4-5 properties all have varying lengths of efficacy. For example, the reason you hear most doctors order Ativan 4mg IV STAT patient is seizing, is that IV diazepam which used to be to Ativan what Hydromorphone did to Morphine, essentially making it the new gold standard, just like Ativan/Lorazepam is because it is able to keep seizures under control for a longer amount of time and they have more room to work with it, I've seen 12mg lorazepam given, but I've never seen any doctor who thinks they won't raise eyebrows even for a seizing patient if they used the equivalent amount of diazepam, which would be 10mg per 1mg of ativan, so 120mg diazepam seems like a lot even though it's IMO a moderate dose given the circumstances. So like methadone, which only kills pain for the same amount of time as oxycodone basically, it needs to be dosed at least 3-4 if not more times a day when taken for chronic pain.
 
i was prescirbed just 5mg a day, 2.5 morning and 2,5 evening, but it made my concentration drop and so i took all 5mg after work, then i stopped taking it because im at a new job and need all my focus right now.
 
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