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How to get your doctor to add the Benzos you need?
#1
I currently taking 3x1mg of Kpins a day.. its not enough at all.. I used to take ( for 2 years 2mgX3 a day of kpin and 1mgx2 a day of Xanax..

Benzo's are the only thing keeping me going. as in from going insane with my horrible PTSD and GAD and HORRIBLE memories that seem to pop up out of nowhere and feel as if theyre happening all over again...

I want to switch to at least 2mg twice a day of kpin with the option of taking 1mg extra..  and instead of Xanax, id rather take Triazolam ( it doesnt make my tired) and it absolutely makes my anxiety disappear.  If not that then the Xanax 1mg 3x a day..

I'm keeping a notebook now of all the anxiety and panic attacks I get.. I doubt my doctor will look at it..


I plan on basically inducing myself into crying

Also He's been wanting me to move forward with a job.. So I'm going to say I found one but that to keep it I'm going ot need my anxiety meds raised or else I will lose the job..


Has anyone used any tactics?  Ive been on Benzos for 16 years and its a gosh darn joke that im only on 3mg of kpin..  These medications are saving my life.. How can I really bring how the point?  Like I said I plan on crying and saying how the anxiety is ruining my life worse than ever and that I need to get on the right dose and stay on it.

I also take Adderall and Subutex from this doctor..  

please halllpp! Huh
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#2
You are quite lucky your doctor is prescribing you the amount benzos you've described - Most won't prescribe both Alprazolam AND Klonopin at the same time, and when they prescribe one or the other, they rarely exceed 1mg 3x per day.  On top of the Adderall and Subutex you're already prescribed from your Doctor, he's likely going to express concern that you are using all of these medications recreationally, and you'll risk being blacklisted as well.

My suggestion would be to use IOPs (I saw your other benzo thread) to supplement your dosage if you really need to - Not worth risking your Doctor refusing to script any benzos at all for you because he thinks you are exhibiting drug-seeking behavior.

Best,

- b2g
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#3
(04-16-2016, 01:09 PM)Back2Good Wrote: You are quite lucky your doctor is prescribing you the amount benzos you've described - Most won't prescribe both Alprazolam AND Klonopin at the same time, and when they prescribe one or the other, they rarely exceed 1mg 3x per day.  On top of the Adderall and Subutex you're already prescribed from your Doctor, he's likely going to express concern that you are using all of these medications recreationally, and you'll risk being blacklisted as well.

My suggestion would be to use IOPs (I saw your other benzo thread) to supplement your dosage if you really need to - Not worth risking your Doctor refusing to script any benzos at all for you because he thinks you are exhibiting drug-seeking behavior.

Best,

- b2g

Sadly, this is the only realistic conclusion that I came to.

You've got to keep in mind that many people don't get a script for even ONE of the medications you're taking, let alone all them at once, and in decent dosage too. Alprazolam and clonazepam together? That's the first account I've heard of that, not to mention the Adderall and Subutex.

Benzos are meant as a short-term "band-aid" to anxiety issues. They are meant to help you teach yourself to cope with the problems over time. This means that you should expect to eventually stop taking them.

And as a final thought, isn't Subutex used to aid withdrawals? Are there any on or off label uses that don't involve addiction?
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#4
Chikenizlla, 

Sorry to hear of your problem.  It ranges across the medical spectrum.  When I was in cancer rehab from treatment, the people on my cancer forum called it the "medical tap dance".  The ethics of RX for pks and benzos for short range, long range, open range, etc., seems to vary from doc to doc, usually ranging from slim to none.  The thumbscrews--as suggested in new hospital and medical rulings in the North East--are being tightened as RX in general has now been associated with escalating behavior leading to smack. 

It's an emotional and inflating political, football.  How to maneuver any doctor into a compassionate position depends on a lot of factors.  Crying, and on-the-spot siezure, kidnapping a doctor's family member--I'm kidding here; any may or may not work.  I've mentioned before that I'm a senior, living alone, and I travel in a small RV.  If I show up in a new town, present myself to a doc for the 1st time, and tell them I need to have RXs refilled, my RX refill behavior immediately registers as "drug seeking"  behavior, which is is.  What can I say?

Wish I had an answer to your problem.

Good Luck, Spanky
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#5
Hey guys, I feel like I made it sound like I didn't have a severe problem.. I can't even leave my house sometimes... I really need this doctor to understand.. IN the past he used to RX me 3 different types of benzos at once.. I fucked it up by relapsing one 2 many times on heroin..


So now hes taking charge of me again.. its a long and very weird story... But basically my best friend died.. and his dad new my old Dr. and well I met him and we didn't recognize each other.. its was funny and weird..

So anyway.. he's pretty cautious. I have a emergency Nalaxone needle (pen) specially made for emergency on my desk.. But I never get like that anymore so ya..


The way I see it, is whats the harm?? I if I can't operate without benzo's ( which I hate to say is true )  then I need them.. And since that's the case why half ass it? I mean 3 mg? thats not enough!! I've been taking them for 16 years.. I got this thing called a tolerance... Sigh... I'm really going to plead... My doctor goes to Burning Man, so hes basically a hippie kinda.. Also he see's me for free (since he knows I'm screwed up in the head)


Anyway.. Yeah I'm going to tell him if  he doesn't then I will just have to get them from an IOP and that I don't want too...bleh... I will have to just beg and say I can't live without them and I think he'll see that.
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#6
Chickenzilla, I can only say then that I wish you luck. I sincerely hope though that if he doesn't increase your dosages, which a good chance he might not, that he doesn't also decrease or cease the other meds he is Rx'ing you.

These days with all the media and Federal attention on addiction and OD'ing Dr's just aren't budging anymore to help patients. Many if you read are just stopping providing PK's and Benzos and giving patients the minimal amount to wean them off.

I would be happy to have a Dr for free and supplement without telling him from IOP's. Additionally with your history if you tell him you are going to the Internet to purchase Benzo's he might assume then that you are purchasing other drugs as well and may suspect you already are.

Tread lightly or you may lose more than you gain.
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#7
Sigh I hate to admit this.. but without my benzos I feel like killing myself. my anxiety is that bad.. I wish my brain would just shutoff.. I'm done with opiates.. did H for 14 years.. sigh.. the last couple years I've only cared about benzos as they allow me to function and just take that edge off so I can enjoy normal things.. you know?

Does anyone have a quick opinion on Vals, vs Kpins? what if I combine them? Also as I've mentioned elsewhere I take cimetidine to stretch my benzos out further and bring more euphoria.. I know people rave about different brands.. and yes some brands aren't as good. but cimetidine will really make a 1 mg kpin feel like 2 . and so on with any other benzo.. its a thing of beauty

My point being if i can only get 90mg a month from my doctor.. then I'm gonna do everything possible to stretch them out.

I'm really butthurt that I was at the old ioplist and worked my way up to see everything and then it was gone a few days later... now I'm missing out big.. I wish someone would help me so I can get some better prices ( im unemployed at the moment- my friend died and I had a mental breakdown at work.. shit sucked.. I was crying and everything.. they never had me come back in.. which really hurt because i never missed a single day of work and I ALWAYS took the hard stuff just to help out, but they kicked me out..
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#8
I agree with Harley.  Doctors, as a general rule, don't like patients telling them what meds they should receive and good chance the doctor will see this as 'drug-seeking' behavior - even if you do really need it legitimately.  Demanding meds may offend the doctor and cost a patient big time.

Chickenzilla, wish you luck on that triazolam.  My old doctor used to prescribe that med intermittently when I had long bouts of insomnia, but I haven't been able to find a doctor who will prescribe that for long time.  Newer doctors often seem unfamiliar with it.
As you know, where we can even find it online is limited. 
I also have PTSD, panic attacks, social anxiety, and all that goes with it (nightmares, flashbacks, feeling so terrible you can't describe it)
Do you practice any alternative methods of controlling your anxiety?  Music, for example, really helps me.  Meditation does too.
Of course, nothing stops the panic attacks, can't change "self-talk" or anything to stop those and doctors admit that to me.
Maybe with doctors, focus on debilitating parts of your anxiety such as panic attacks which interfere with your ability to function in life, rather than how you feel. 
I don't think they care how we feel anymore.

Doctors want a clear cut set of symptoms they can easily diagnose & treat.  They don't want complicated these days, no time for it (or patients who annoy them) and unfortunately doctors/govt are in charge over us.

Think presentation.  When I went for S.S.D. doctors (due to my permanent work injury disability) they had me see medical doctor but also the psychiatrist.   All I can say is after I saw SSD psychiatrist, when I went to my doctor appt next month- he upped my alps to 4x/day and I had not said one word...  I believe he read the SSD report from their doctors.  Something he read from psychiatrist made him increase my meds...  This was just few yrs ago. 


Anxiety is horrible.  My heart goes out to all who have problems with it.
"Let your tongue speak what your heart thinks."   --Davy Crockett
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#9
HI Chicken zilla, 

I am wishing you the very best. Depression and anxiety can go hand in hand. And KUDOS to you for kicking pks and H. 

Now, I think crying will have the opposite reaction you are looking for. I know what u want to hear, but I'm going c to give you my honest opininion.

First off, go in and request an authorization from your primary care physician to see a psychiatrist. They are more tolerant of such prescriptions, and I think if you feel suicidal, they really can help you.

Be honest with your psychiatrist. I don't think they can report anything you tell them, but check on thst. Then you can tell them of your iop behavior. Slowly start titrating down on one med at a time, but at the same tim, I'd strongly advise you to start taking long walks, bike rides, or swims. It helps anxiety and depression tremendously, but you must make yourself do it EVERYDAY. 

I wish you luck, Chickenzilla, and love. Keep posting.

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#10
(04-20-2016, 09:26 AM)Dancing Wolf Wrote: I agree with Harley.  Doctors, as a general rule, don't like patients telling them what meds they should receive and good chance the doctor will see this as 'drug-seeking' behavior - even if you do really need it legitimately.  Demanding meds may offend the doctor and cost a patient big time.

Chickenzilla, wish you luck on that triazolam.  My old doctor used to prescribe that med intermittently when I had long bouts of insomnia, but I haven't been able to find a doctor who will prescribe that for long time.  Newer doctors often seem unfamiliar with it.
As you know, where we can even find it online is limited. 
I also have PTSD, panic attacks, social anxiety, and all that goes with it (nightmares, flashbacks, feeling so terrible you can't describe it)
Do you practice any alternative methods of controlling your anxiety?  Music, for example, really helps me.  Meditation does too.
Of course, nothing stops the panic attacks, can't change "self-talk" or anything to stop those and doctors admit that to me.
Maybe with doctors, focus on debilitating parts of your anxiety such as panic attacks which interfere with your ability to function in life, rather than how you feel. 
I don't think they care how we feel anymore.  

Doctors want a clear cut set of symptoms they can easily diagnose & treat.  They don't want complicated these days, no time for it (or patients who annoy them) and unfortunately doctors/govt are in charge over us.

Think presentation.  When I went for S.S.D. doctors (due to my permanent work injury disability) they had me see medical doctor but also the psychiatrist.   All I can say is after I saw SSD psychiatrist, when I went to my doctor appt next month- he upped my alps to 4x/day and I had not said one word...  I believe he read the SSD report from their doctors.  Something he read from psychiatrist made him increase my meds...  This was just few yrs ago. 


Anxiety is horrible.  My heart goes out to all who have problems with it.




Thanks to both of you ^^


Yes I do have alternative therapy.. And that thing is walking over 3 miles everyday at my local lake.. I come back home much more relaxed and I feel a lot better. It's interesting I take Adderall and Subutex for the many years now and they mean nothing to me, but I see they mean A LOT to others.. then others have benzos that mean nothing to them and I'm sitting here wishing I could trade places!



I have mentioned to my doctor about my IOP.. The doctor I'm seeing is an addiction specialist. ( interesting i know considering all the meds he gives me are controlled) But we have a deep history.. And even a direct link to an outside event. In short my best friend died from some H I helped him get awhile ago even though I wasn't doing it I felt like it was only 10 dollars worth and hed be fine and he had naloxone on hand that I gave him ( a vial I have about 5 of them from the harm prevention clinic I go to to help others ) 

 Anyway, my friend died, and his father coincidently knew the doctor I used to see back in 07-10 and the father wanted me to see him,  well when i was at the eulogy for my friend I met him and I didn't even recognize him and he asked he if id been treated and I said yes by doctor xyz, and he said .. wait how do you spell that? X Y Z .. OMG it's you!! We were both taken aback ( he had to kick me out of his practice back then because I kept relapsing, also back then he RX'd Temazepam, Ativan, Kpins all in in the medium dose range, plus 60mg adderall IR and Subs lol. 

So a little time went by and by now I was already consistently having to resort to IOP's because I can't afford a psych and no psych would give me benzos with my record, but i knew he would.. I talked to the mother of my friend.. who he also knew.. and eventually I was able to see him.. He see's me for free.. He's very nice and understanding but he keeps his distance because he knows i have the ability to reel people in( I don't do it in a malicious way) He's aware I that I have a good heart but a muddied conscience.. 

So that's some background on the doctor.. I already talked to him it once and I wrote an email about 7 days ago saying that please note in your file for future reference that my anxiety is now unbearable.

My sincere conviction at this moment is to not blank out my memory, but if were going to use Clonazepam(benzos etc)  than why not actually do it right. At least 2mg x2 a day kpin and 2mg x 2 a day alpz, or Valium.. One benzo I can't tolerate which I used to think was okay, is ativan, stuff is disgusting, it makes me dizzy and uneasy.. very odd.. Anyway I've told him directly on 3 separate visits that no matter what.. I will take these medications.. you can help me legally administer them and work with me so I don't self medicate or you can tolerate that I have to find them else where. I asked for AlPs already, so now im thinking of asking to adjunct my Kpins with valium in the evening. or something?!!? 

I will never go in there with a positive opiate UA I promised him.. I think that's what worries him the most, if he does RX them and I happen to relapse.. Well from my history I can promise you guys and him that wont happen because of my ridiculous tolerance and well I don't even like opiates anymore( really turned off by them since they killed my best friend + my involvement.

I'm sorry for the personal blog post!!  Also yes I'm in rehab and have been for the last 4 years I go once a week. My body is weird.. I'm not kidding you when I say i stopped Subutex on june 1st 2015 and it wasn't out of my system till 45 days later.. amazing huh? So amazing that they didn't believe me till day 30 when they could clearly see I wasn't using anything. 

Anyway, I'm going to see the doctor in 15 days and I'll report back to this thread.. I'm also thinking of mentioning Serax maybe as a background benzo to add with my Kpin. I really wish there were some other fast acting benzos out there like xanax.. I mean I can think of many but none of them seem reasonable that he would think are conservative.. As Kpins are a pretty conservative benzo as it is.. maybe he could just raise the dose on that? AGH.. Huh


Thanks guys! I will keep walking as my other medication.. I'm in my low 30's and I am happy about the summer and all the girls are out.. And not to sound conceited but I'm considered handsome and that is my only other joy in life.. my love for the ladies!  Angel Tongue    When I walk by them and they smile, well lets just say thats like a really good high..
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