suboxone and klonopin

[Tyler of Arc]

okay so i currently take 60mg cymblata, 2mg Klonpin and 8mg Subox all daily. my anxiety has increased to the point where the panic attacks are coming bad and my dr wont increase my klonopin due to the *suboxone (edit)*. its there somethig else i could my my dr to prescribe to me

thanks for any information


.

[arth67]

if you recently started the cymbalta maybe it hasnt yet started working, optherwise it looks like it will never work for you

[Vini Vidi Vici]

yes..if you recently started the cymbalta, it can make anxiety really really bad. you might benefit from taking an SSRI (zoloft, lexapro) instead of the Cymbalta...SNRIs like Cymbalta can sometimes lower the effectiveness of Opiates like Suboxone. Also, i don't know if this is an option, but maybe the naloxone in the Suboxone is counteracting some of its effects...it does this to a certain extent to prevent abuse...but too much naloxone can cause opiate withdrawl and anxiety. Maybe you could somehow get your doc to give you Subutex instead of Soboxone. you are not in a very fun predicament..i wonder what is causing the anxiety. You could ask your doc about prescribing Lyrica (Pregabalin).

if you want, you could always ask about adding Mirtazapine or Mianserin onto the Cymbalta or SSRI....Mirtaz and Mianserin can help ALOT with reducing panic attacks and anxiety. and they reduce alot of the negative effects of SSRIs/SNRIs. they are commonly used in conjunction with SSRIs and SNRIs because the synergystic action is very anxiety reducing. on second thought....this would probably be a really good idea...it could reduce your anxiety greatly. and your doc should approve of it....

[Vini Vidi Vici]

yeah please diregard my reccomendation of Lyrica. i have no personal experience with it....and its very similiar to Klonopin, anyway. it probably wouldnt help anything in the long run. mirtazapine might be a much safer, much more effective add-on treatment to what you are already taking, if your doctor approves.