September 27, 2009 - 2:26pm
Hello,
I have always had a somewhat anxious personality but have not had any major anxiety issues (other than avoiding things such as public speaking/being the centre of attention etc.).
In the past my doctor has prescribed me things such as betablockers or clonidine (both non-addictive blood pressure medications) to take on an as needed basis for anxiety/shakiness.
I'm getting married soon and the medications that I have are not that helpful for the severe anxiety I expect I will feel that day being the centre of attention all day and having to speak in front of a large group (already nervous/losing sleep and it's over a month away).
My doctor prescribed me lorazepam (generic Ativan) 0.5 mg - the sublingual tablets. He said I could take 1 or 2 every 6 hours the day of the wedding as needed. He only prescribed 10 pills (doesn't like to prescribe this type of medication) so I don't have too many extras to try before the wedding.
Just looking for any tips. Has anyone tried the sublingual tablets and how quickly do they work? I'm a 110 lb female and am wondering if 0.5 mg to 1 mg will likely be effective to calm me down and also wonder if I would be likely to experience any major side effects from that type of dose (e.g. appearing drunk, tripping, etc - probably not fun for the ceremony!)
Thanks for any advice you can provide.
September 27, 2009 - 3:13pm
#2
Attivan for wedding.
Dear Canagirl,
I have also taken clonidine and it works in very low doses, but it will not (with my experience) prevent the level of anxiety that you may be feeling during your wedding day.
Everyone reacts differently to benzo's.. sublingual tablets will be activated within 2-5 minutes, but their half-lives will be shortened.
Basically, your doctor is providing you with re-assurance, and supplying you with a method of preventing what could possibly be a devastating incident.
Also, if you have never taken atti's before, then you will have a very low tolerance! I would take a 0.5mg sometime before your wedding to see how you react to the medication. Believe me (with low tolerance), 4.5mg will be more than enough to last your wedding day! :) especially with such low tolerance!
One other thing to take into consideration is that benzo's affect your GABA system (as does alcohol), and can cause memory loss and black-outs. So, if you want to remember your wedding day, then I would suggest using them only under dire circumstances!
Hope this helped!!... and congratulation on your wedding!!
Let me know if you have anymore questions!
- Pro-pharm.
September 27, 2009 - 3:40pm
#3
Thank you KK and Pro-pharm
Thank you KK and Pro-pharm for the advice. I will definitely start with 1 and see how that helps. The doctor did advise me it didn't mix too well with alcohol. He said I could maybe have a glass of wine but would suggest no more if I wanted to remember the day (just like you said Pro-pharm!) Not too big an issue since I'm not a big drinker and would likely only have had alcohol to try to relax a bit if the doctor had not given me a prescription. If the pills work, I would not mind not drinking at the wedding. Yes, the clonidine or betablockers work okay for everyday issues (I only take one maybe once every 2 or 3 weeks, not regularly), but wouldn't be enough for the wedding day.
I'm sort of hoping the Ativan gives a similar feeling to having a few drinks of alcohol, but I will try one before the wedding to see how it works.
Does anyone know if the sublingual tablets work fairly quickly do they wear off really fast? If I have a 2 p.m. ceremony, would I be best to take the pill at an earlier time (1 p.m.?) or wait until a few minutes before the ceremony so the effect hasn't worn off/doesn't wear off during the 1/2 hour ceremony?
Thanks for the advice (and for the congratulations - the wedding I'm happy about, but just not the anxiety that comes with the actual wedding day)
September 27, 2009 - 3:51pm
#4
One common side effect of
One common side effect of Ativan and other similiar meds is how they effect memory, namely causing impairment. If it were me I would do everything I could to avoid taking them that day. That being said I understand that may not be an option. So taking the lowest effective dose is reccomended. Like the other poster said, 10 pills is plenty to find out what the lowest effective dose is and have enough to make it through several weddings. You could even start with .25mgs if the pills are scored...
September 27, 2009 - 5:15pm
#5
Drinking and attivan(or any
Drinking and attivan(or any benzo) work the same GABA sysytem. So doing both would just increase the effects of either. DO NOT mix painkillers with attivan though!! very important...
I would test a 0.5mg atti a few days prior to the ceremony and see how it effects your brain.. if for some reason it doesn't work, try 1.0mg. Some people can become instantly depressed from taking them thoiugh so watch out!!
If everything turns out ok with the trial run, then I would suggest taking the same dosage about 10-15 minutes prior to the ceremony. Sublingual attti tablits tend to de-activate within an hour, two at best!
Cheers!
September 27, 2009 - 5:42pm
#6
oneir
has brought up a very good point...it is very easy to "blackout" on ativan..and other benzos.
You do want to remember your wedding don't you ?....please take it easy on everything on your wedding day and good luck.
September 27, 2009 - 5:42pm
#7
Ativan
I've never used the sublingual, only the regular ativan. But like somebody else said, it might be a good idea not to take it on your wedding day because it will make you kind of tired. I use them at night to help me sleep and they work better than Ambien for me. But everybody's different so I guess you will need to try one and see how you react to it. Wishing you the best! ~ Theresa
September 27, 2009 - 5:53pm
#8
Thanks everyone for the
Thanks everyone for the comments and advice. I would really prefer not to have to take any medication. I've never before been prescribed any anxiety/benzo medications since I prefer not to take medication unless absolutely necessary. However, in this case I don't think I'd enjoy the day (which should be a fun/happy day) since I'd feel sick the whole day with terrible anxiety.
I will try taking one pill before the wedding to see how it impacts me and make sure to avoid alcohol the day of the wedding.
My doctor is very hesitant in general to prescribe any medication unless he feels that it is absolutely necessary so I think he really thought it would be helpful to me for this one day. I'm almost wondering whether the regular Ativan would have been better than sublingual if they wear off quickly, but I think he likely did prescribe it because of its quick onset for the ceremony, etc.
Thanks for all the advice! Hoping the minimal dose works without making me forget the day/fall asleep and/or appear drunk...
September 27, 2009 - 6:10pm
#9
I am not being mean
I am not being mean but can't you just "enjoy the ride"? Getting married can be anxiety provoking but to take medicine for that, seems to me, is wiered. I mean you can look at as an experience that you will never do again and should be "all there" for that day. Millions of people have weddings and its just a natural part of it (being nervous). I mean what "excitement" will you come down from after you are married? I wish you the best but for that one, it might be best to just enjoy it to the max and why not have some champagne at your wedding to do the calming?
Good luck and Congratulations!!!
September 27, 2009 - 6:23pm
#10
Flyer1976 - I fully
Flyer1976 - I fully appreciate and understand what you're saying. I do wish I did not have to take something. It is hard to describe unless you're a person who has suffered from severe situational anxiety. I don't take strong medication in my daily life (I'm in my mid-30s and this is the first time I've ever been prescribed this type of medication)
In general I do not do anything that involves public speaking/being the centre of attentions etc. The reason quite simply is I cannot do it. In a situation like that I feel that I cannot breath, am going to pass out, feel nauseous, hands/legs are shaky, have trouble speaking and sometimes even break out in hives. Now - that sounds really bad, but I'm not like this in my everyday life because I avoid these types of situations because of what happens to me in those situations.
Typically everyone has wedding day nervousness, but for me it is worse than the majority of people.
I do wish I could do what you suggest, but am hoping with a low dose of a prescription medication I can at least enjoy the day:)
September 27, 2009 - 6:58pm
#11
Ativan was the very first
Ativan was the very first anti-anxiety medication my psychiatrist tried with me. He starated me on .5mg 3 times a day. I literally blacked out after my first .5mg dose. The reason I recall it so clearly is because my hubby made one of my favorite dinners that night, especially for me (shish cabobs). When they were done he noticed that I was acting sleepy, but though I'd just snap out of it when he gave me my dinner. He knew I was on a new med, but it didn't click with him yet. He gave me my dinner (this is all coming from him since by this point I was blacked out completely, but apparently still going through the motions of being somewhat awake...amnesia is weird) and he said he basically had to keep saying, "Baby, your dinner is there, are you going to eat?" Finally he said I picked up a piece of meat with my hands and took a bite and basically blacked out again in the middle of it and just let all the juices from the meat run down my face and onto my clothes. He was really worried at this point and ended up having to basically shake me gently to somewhat wake me. He said I was able to tell him I took Ativan, so he said he just moved me to the couch so he could watch me. The next morning I woke up out in the living room with him sleeping sitting up on the other couch and couldn't remember what in the world happened. He had to fill me in on everything. After that I had to start splitting the Ativan until my tolerance built up. The same thing happened to me after my tolerance was built up to benzo's each time I tried a different one too.
I'd really suggest trying one before your wedding day because you'd hate to make a fool of yourself because you can't even stand up at the alter. Even worse, you don't want to have no memories of your special day. I'm fairly certain you won't even need half of your prescription for the day. If your wedding day was anything like mine, you'll be so lost in your new husband that you won't even care about anything else that's going on. Honestly, the first thought that comes into my mind about my wedding day is my husband's face smiling. I can't even remember who came and who didn't because I was so focused on him. It's really important to go into the wedding knowing that things WILL go wrong too, but those things aren't important...your new hubby is what's important. On my wedding day the bakery forgot to give us the top of our cake and our wedding was an hour away from where we lived (fortunately a guest who hadn't left yet was able to pick it up), one of the groom's men thought our wedding was on Saturday, but it was on Friday, so he barely made it there on time, my hair-dresser totally didn't do a good job on my hair and I had to try to salvage it, and the biggest one of all...I got laryngitis the day before my wedding and completely lost 95% of my voice. I had to squeak out my vows, but I did. More than anything, I thought it was comical that I'd lose my voice for my wedding. I still tease my hubby now by saying I didn't really say my vows that day, I was just reciting my ABC's, hehe. Anyway, I have been diagnosed with agoraphobia and panic attacks and I survived my wedding by focusing on my hubby. I couldn't help but do that. We even made a promise to each other not to have more than a couple drinks because neither of us wanted to have any cloudy visions of our most special day. If you really feel like you won't be okay on your wedding without the Ativan, definitely try to take 1 first and see if you tolerate it. One should be more than enough to keep your anxiety at bay if you don't already have a tolerance to benzos...it kept my severe anxiety under control or a good chunk of time before I had to start taking something else.
Flyer makes a good point too. You DEFINITELY won't feel the same emotions you would have without it. Your level of excitement will be much less and honestly you may not feel as happy as you should. You may think that Ativan is going to help you on your wedding day, but myself and a few other posters think it may ruin it. I DO have VERY strong situational anxiety, agoraphobia, and panic attacks, but I was able to make it through my wedding day without taking anything just fine. My husband helped me quite a bit, but he's always been a great support. I did things ahead of time too like I planned my wedding on the opposite side of the counrty from most of my family so my wedding ended up being under 100 people. But it's already too late for you to do things like that I suppose. I dunno, I think if you just focus on your hubby rather than the anxiety you can get through it. Like T.Calderone said, this stuff works better than Ambien for sleeping than most. Not only could you appear drunk on your wedding day, you may literally fall asleep without knowing it (much like what happened to me). It just seems to me that the excitement of the day should be enough to overcome any anxiety you'd have. Have your new hubby be your alli and maybe form some sort of signal to let him know you need him by your side at any given point if your anxiety is too high. I hate to ask this, but are you sure this isn't cold feet? Please don't take that the wrong way, I don't mean any type of disrespect by it.
September 27, 2009 - 8:38pm
#12
Thanks for all the
Thanks for all the information kelly690. I will definitely try it before the wedding day and if I have a bad reaction (or immediately fall asleep) I won't take it on the wedding day. A friend of mine, a few years ago, was prescribed Xanax for her wedding day. I think that drug wore off very quickly, so she took it for her ceremony only, and says she was glad she did. However everyone has different reactions to different drugs and I want to know how I react before the big day.
Because of my anxiety issues, our wedding is also under 100 people. It is absolutely just my concerns about being the centre of attention. No cold feet about the actual marriage. I couldn't be happier and am more positive about this than anything else in my life...I'm just looking forward to being married after the ceremony is actually over! Thanks for the advice.
September 27, 2009 - 8:58pm
#13
Yeah
Yeah exactly. I mean its a situation where its new. Weddings are super stressful but then they happen and then..........its over and you are sitting on a beach on your honeymoon. Hey I want the best for you but wanting the best for ya makes us think its not such a good idea. Of course the choice is yours. Whatever choice, ENJOY!!!!!!!
September 27, 2009 - 9:14pm
#14
I'm guessing that your
I'm guessing that your future-spouse knows about your anxiety and is supportive of you, right? Maybe in addition to taking as little of the medication as you can get by with you can ask him to help you out? For example, I know on the day of my wedding there were people who were all in my face and wouldn't let up with all the questions, like, "so when are you going to have kids?", "what is your husband going to do for work?", blah blah blah. Some of the questions even bordered on being inappropriate. Anyway, my hubby promised to keep an eye on me, so every once in a while he'd make sure to scope out where I was, and if I was feeling uncomfortable we had a signal where I'd clench up my left fist so it wasn't obvious to anyone except us. In those situations he'd come over and politely ask to steel his wife for a minute, and who can decline a request like that? hehe. We also found a few moments throughout the wedding reception to just sneak away from everyone so I could kind of just decompress from everything. The day actually went so well that we ended up extending the reception by 2 hours! I didn't want it to end. Also, like I previously mentioned, going into it with the expectation that things WILL go wrong helps a lot. Seriously, what's wrong with a few things not being perfect? Plus if you let those little things get to you, it ruins your day. Three of my friends were also getting married right around the same time as I did and 2 of them were absolute bridezillas! Now when they talk about their wedding all they have is bad stories about how this person or that incident made their wedding day horrible. I'm not saying that you shouldn't expect your day to be great, but just make sure you know that things can go wrong, and if they do as long as it's not something catastrophic, the union between yourself and your new hubby is the absolute most important thing, and as long as you get the I-do's out the day was a success.
I'm glad you thought ahead about having a small ceremony/reception. That's probably one of the best things you could have done to help with the anxiety, at least from what I've experienced. It allowed for me to spend time with the guest, but also allowed for me to have PLENTY of time with my hubby. I really think that you'll find that the emotions of the day will be enough to overcome most of, if not all of your anxiety. I won't lie, there was one point where I was really nervous; it was when I rounded the corner of a building (we had an outdoor wedding on a beach at Lake Tahoe) and I saw my husband there and my dad met up with me so he could walk me down the isle. I think I just had an adrenaline rush at the moment and it really all hit me that I was about to marry the man of my dreams. It was more of a good kind of anxiety though. Like, wow, pinch me is this really happening?
Having the sublingual Ativan is probably the best choice also IMO. They will come on quickly, so you can feel safe that you only have to take IF you have anxiety. In other words, you don't have to take them for sure in anticipation of anxiety because the sublingual tablets come on really quickly. That way if you don't have anxiety you don't have to take them. If you do, you'll find that they provide very quick relief. I've taken sublingual benzos before and although I know they don't actually start working immediately, I often get relief immediately. I think it's a mental thing because my mind is like, 'okay, I have anxiety, but I just took something that will stop it so I know it's going to stop.' I guess it just provides instant relief to know that I'm getting relief. Sometimes, just knowing that you have the medicaiton on hand in case things get stressful is helpful as well. I always feel much better carrying a pill or 2 of xanax on me just so I know if I do have anxiety I can take care of it. A big part of anxiety is the stress of worrying if you'll have anxiety in a particular situation and also the stress of wondering what will happen (ie. will you be able to stop it or get relief from it) if you do have anxiety. So, knowing you have that security blanket will be nice. If you haven't already purchased one, they sell some really cute wedding pouches/purses on sites like eBay (or at any wedding store) that you can carry them in so you have them on hand at all times. It's also great to have one I discovered because people handed me a lot of money throughout the day and I needed somewhere to put it. Just be careful to have your pills in something safe if you're going to be going in an out of your purse.
I really think you'll be so filled with happiness on the day of your wedding that your fears will be put on a back burner. I think at the very least you won't feel as anxious as you think you might get. Even if you do, you have a security blanket in place to help you out. Try not to focus on the anxiety too much ahead of time because that can be overwhelming and cause a self-fulfilling profecy. Please come back after your special day (once you've had time with your hubby of course to enjoy being married) and let us all know how it went for you. If you need more support before the wedding in any way, shape, or form, you'll find that this is a great board with really caring people. There's always someone on here who is willing to talk and provide words of encouragement. After you do your test run with the Ativan it may help to come back here to let us know how it goes so people with experience on it can give you some pointers or just let you know if what you felt was normal. Try to do your test run on a day when you do have some anxiety so you can see if it does help. If you don't find yourself in a stressful situation before your wedding day just taking it to see if it makes you sleepy or have amnesia would still be a good idea. Are you having a rehearsal dinner? I suppose you want to be all there for that occassion, but if you think you'll be okay on the Ativan, maybe the rehearsal dinner would be a good time to try it out.
September 28, 2009 - 1:05am
#15
Flyer1976 - thanks! I am
Flyer1976 - thanks! I am looking very forward to the honeymoon. That will be nice and relaxing.
Thanks for all your comments and advice kelly690. Yes, my fiance does know all about my anxiety issues and is very supportive. Your idea of having a sign that just the 2 of us are aware of is a great idea. For me the most stressful parts will be the ceremony, first dance and speeches (actually I think my fiance will just give a speech on behalf of both of us to help with that part). After those parts I expect that the party/reception should be fun and enjoyable. I hope I have a great day like you did and I agree that the anxiety about having anxiety is also a big part of the problem.
I haven't yet filled the prescription but once I do I will post back about the trial run. Thanks for the comment about trying it when I actually have anxiety - it will be a more realistic trial run than just taking it one day while sitting at home. I am having a rehearsal dinner so that possibly might be a good trial run. Thanks for all your advice - I appreciate it!
September 28, 2009 - 1:26am
#16
My hubby and I did the same
My hubby and I did the same thing with the speech...he just spoke for both of us. It worked out well since I lost my voice anyway. We also had the maid of honor and best man give speeches, plus both of my parents did as well, so there was no lack of speeches without mine, hehe. I thought I'd be really nervous about our first dance too, but when it came down to it I couldn't take my eyes off of my husband, so it worked out. I mean honestly, it felt like we were the only 2 people in the world at that moment. I don't remember a single other person being there in that moment other than my husband. We love to dance together in the kitchen just kind of being silly, plus we took some dance lessons previously just for the fun of it so it helped. I have no dance skills, but he does, so he made us look good. My hubby and I also preplanned the cake cutting because I didn't want to have anxiety over whether he was going to shove cake in my face. I was okay with him somewhat doing that, but I had anxiety over getting cake on my dress and having it there in the pics plus I didn't want my makeup messed up for pics, so preplanned to just do frosting on the nose and giving each other a little bit too big of a bite of cake, hehe. I don't think it took away from the moment at all because it was still silly and I was able to keep my tidiness. He's a great guy like that where he respected my wish not to have cake shoved in my face and all over me, even though that's what the crowd seemed to want. I've seen weddings where the bride and groom get into an all out cake-war and I didn't want that. It sounds like you have a really great and understanding guy too, so it sounds like there's a lot that you can preplan with him. For people with anxiety it really seems to help to know what's going to happen next. There's really a lot that you can preplan with a wedding if you have a supportive groom. =) Good luck with everything.
September 28, 2009 - 4:58pm
#17
I know how you feel about
I know how you feel about public speaking!! Even speaking to someone I do not know, I get really nervous and break out in hives. The worst college class was public speaking. My professor knew I had to take that class and how shy I am and passed me. I think big weddings are beautiful but not for me. I think some people miss that it is a union and not a show. For that very reason I had a destination wedding in Jamaica. No family, just the two of us. It was the right decision for us and we have no regrets. Good luck, htmom
September 28, 2009 - 5:31pm
#18
good idea in post #14 about
good idea in post #14 about having him be able to steal you away for a few minutes and help you relax and regain yourself. Figure out some kind of non verbal, non obvious sign you can use to show him you need his intervention...just stealing kelly's idea seems fine...
Also she is right about Ativan in that some people are extremely sensitive to it. My grandpa took .5mgs in the hospital and within a short time he was so incoherent that visiting with him was pointless and he didnt remember it the next day. Starting with half of a .5mg tablet might be a better option, assuming ofcourse that the tablet is scored...
When is the Wedding, btw? sorry if its up there....don't feel like scrolling 
September 28, 2009 - 8:07pm
#19
kelly690 - thanks for all
kelly690 - thanks for all your tips and advice. I agree planning things in advance and knowing what will happen takes away some of the anxiety. For the cake, we won't do the "face smashing"! Sounds like your wedding was wonderful despite any anxiety you had, so hopefully mine goes as well. We have a couple speeches, but a lot of the wedding party also does not like public speaking and knowing how I feel about it, I made sure to say that no one has to give a speech if they don't want to. We'll do speeches during dinner so that everyone doesn't have to sit through the speeches before dinner.
htmom - I know exactly how you feel. I loved university and did well, but avoided any courses with presentations. I would have loved to go on to get a masters and Phd, but my public speaking issues prevented me from doing that. I thought about a destination wedding (and sometimes now really wish I had done more than just think about it!). In the end we decided to have a wedding here with a fairly small guest list (small compared to other weddings we have been to). I would have been happy to go away and get married or just have a small city hall ceremony and have a family dinner at a restaurant, but a lot of older relatives really would have been disappointed.
oneir - I agree that having a sign is a great idea. I will get the prescription filled soon and find out if the tablets are scored or not. I'm going to be going to a stressful event on October 10, so I figure I'll try the pill then. I'm sure if I took it at home where I have no anxiety it would put me right to sleep since there would be no adrenaline or anxiety or anything to counteract (or be treated by) the pill. Hopefully it doesn't cause major issues, but I'll see and report back. The wedding is mid-November so I still have a bit of time.
Thanks to everyone on this site. Your advice and support is very appreciated!
September 28, 2009 - 8:17pm
#20
Have a great wedding
the Ativan may not be neccessary if You can talk Dad into leaving the shotgun at home.
Woodstock
September 28, 2009 - 10:51pm
#21
Good idea about using it at
Good idea about using it at another semi stressful event.
September 30, 2009 - 4:47am
#22
I really think you're going
I really think you're going to have a great wedding day and you'll be able to report back to us that things went so smoothly that you didn't even think twice about your anxiety once things got underway. Of course there's going to be the normal anxiety over it being a special day, but EVERYONE goes through that even if they don't have anxiety issues ahead of time. It really sounds like you know how to deal with your anxiety and have planned for things that are going to come up. That is even more important and more helpful than any medication IMO. I'm glad you found this board to come to for support. It's been a Godsend for a lot of us. If you need any pep-talks before the big day, this is the place to come! Also, please feel free to send me a private message if you want. I'd be more than happy to answer any questions you have about my wedding and how it went with my anxiety. Good luck to you.
September 30, 2009 - 12:42pm
#23
Thanks so much everyone. I
Thanks so much everyone. I too am glad I found this board. I will for sure report back after October 10 letting you know how my "trial run" with the medication went! Thanks for your support and encouragement kelly690. It is very appreciated. I will be sure to PM you if I have any specific questions. Thank you!
October 6, 2009 - 12:27am
#24
I filled the prescription
I filled the prescription today, but won't try them until Saturday. Unfortunately I don't think splitting these pills is an option. They are tiny, tiny, tiny pills - the smallest pills I've ever had and don't think it would be possible to split them. I will update after Saturday!
October 6, 2009 - 1:41am
#25
The actavis ativan is really
The actavis ativan is really small, even the 2mgs...the .5 are like insignificant. You could probably fit like 500 tablets in an average sized prescription bottle...
October 9, 2009 - 10:59pm
#26
yea an they
are real fun to look for if you drop one Woodstock
October 11, 2009 - 7:04pm
#27
Yes - I can imagine they are
Yes - I can imagine they are very difficult to find if you happen to drop one!
So, I tried one 0.5 mg Ativan yesterday for the first time. We were out at a party and I told my fiance to monitor me in case of any "unusual" behaviour before I took it. Oddly...it really had no effect on me at all. I'm not sure why. I took it and kept waiting for it to kick in and feel something but nothing at all seemed to happen. It didn't make me feel especially calm or detached or tired or anything. I'm not sure if 0.5 mg is so low a dose it had no impact on me, or if the medication just doesn't work at all for me. When my doctor prescribed them, he told me that if 1 didn't seem to work for me I could take 2, but since I'd never taken any medication in this class of drugs before I figured a low dose should have some effect, but strangely nothing.
Has anyone else had this happen?
October 11, 2009 - 7:16pm
#28
It is probably just the dose.
It is probably just the dose. I think .5mg is the lowest one they make so try 2 of them...if you go as high as 2mgs without a significant change in your anxiety then talk to your doc about another medication.
When is the wedding, btw?
October 11, 2009 - 11:46pm
#29
drinking
does increase benzo s effectiveness , esp. after the 1mg theshold, I don t know which is stronger xanax or antivan, but my experience has been 1 xanax 1mg, one 16 ounce bud light an fifthteen minutes later I dragging my feet to the bed an usually I m out in 5 minutes.
glad You asked your boyfreind to watch
would keep taking at least .5mg at bedtime until your wedding day
May God bless You an Your Beau that YOU AN HE, may have many splended days together, an give Your MOMS&DADS some grandchildren to keep up with, and if they complain tell m take a Ativan, they re babysitting.
Woodstock
the effect most time is very mild an takes time for steady stream to built up, up to 30 days, only thing other than sprits that will effect it that I know of is grapefruit juice.
October 12, 2009 - 4:35am
#30
I don't think she was Rx'd
I don't think she was Rx'd enough pills to take them every day. You are right about some anxiety medications having to be taken regularly for maximium effect...klonopin being one of them maybe?
I've never heard of grapfruit juice effecting anxiety meds in particular...could be though...
October 12, 2009 - 7:36am
#31
yeah grapefruit juice
yeah grapefruit juice enhances the effect, i know my bodys used to benzos. i take enough that would put a normal person to sleep
October 12, 2009 - 12:37pm
#32
For some reason grapefruit
For some reason grapefruit causes the body to have a higher concentration of the medication in the bloodstream. It can be dangerous, and there are several other medications that it affects. The reason is that our small intestine has an enzyme that destroys part of the medication we take preventing full absorption. When that natural process happens less medication is used in the body than we took. Now grapefruit juice destroys that natural enzyme. The same way that lemon destroys the pepsin enzyme that helps digest meat. (making lemon on fish & seafood a complete contradiction digestively speaking, although tasty) With that enzyme blocked more of the medication is absorbed into the body, and can rise to toxic blood levels. Since many people take pills in the AM, the same time many eat or drink grapefruit for breakfast, its even worse.
Here are some of the medications you have to be careful NOT to have grapefruit with:
- Cordarone
- Benzodiazepines
- BuSpar
- A/Ds
- Immuno Suppressants
- ED meds, that little blue pill
unless you want to be "ready" for the weekend, the whole weekend. LOL. J/K , I think? On the flip side ED meds are vasodialators, and opens up constricted arteries & veins, allowing better blood flow to the lower regions, but to everywhere else too. Too much flow can cause your blood pressure to drop dangerously low. - Pain medications, especially methadone with its already long half life
- Allergy Meds
- Lovastatin......actually all the statins Im pretty sure.
Hmmmm.....Maybe I shouldnt have explained that.....attention all silly little people that like to get hurt, do not rush out to chug your illegally purchased pain meds down with a grapefruit martini.
I would start out with 1 tablet, not 2. Also, if you are going to be drinking any alcohol, the alcohol will add to the effects of the Ativan so it is probably best to do one or the other not both.
Good Luck.....KK