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Goucho, My Kpins come 1mg tablets so I dont have split anything. Why do you ask. Why would a nurse have a problem going to the ER or Asking the Doc for more benzos Nanc? Well anyway, I already called my psychiatrist about this, she said no to any xtra kpins and I dont see her until Oct 22nd. thats in 10 days. If I end up seizing or dying, which can happen, wouldnt she be responsible for not treating me with some more kpins or anything at all???? I know It was my fault for taking too many and running out of them but common, as a doctor, she should know what will happen to me. Am I right??   She told me to go to the hospital and they will treat me.  (yeah, they will try to get me into a rehab, been through it before and Im not doing it again !!!!!)

registered nurse

No I dont think I am wrong, If the dr gave me more benzos until my next appt with her how could she be wrong, that is what they do anyway. Its not like Im taking my regular dose of benzo's now plus the extra ones she would be giving me. So how could I crash my car. Id just be taking the same dose of benzo's that I normally take. Not extra on top of my regular dose. If she replaced my normal dose of kpins until my next appt. and I took them as directed cause I learned my lesson, How would that be abusing my meds? Thats what my other dr. did when I ran out of xanax 3 days before my new script would be ready so I wouldnt go into withdrawl. Just enough to hold me over and to keep me out of withdrawl. That makes more sense. This Psychiatrist lady is gonna make me wait about 2 weeks! Not good, not good at all, Im actually thinking of changing shrinks, not cause she wont give me xtra benzo's but because I think that she doesnt care about her patients and that she has poor judgement. And she diagnosed me as Bipolar???? I think the meds she is giving me are making me worse than before, I just went to her for anxiety attacks!!! Now I do such stupid things, Im worse than I was before. How does she come up with bipolar? Just because I use my hands when I talk, and I have a bad habit of butting in when someone else is talking? Bipolar is when you go for days in bed all depressed then you get manic with grandios thoughts, and are really hyper and act like things are so great and they are so excited and crazy like. Or really loud and dont stop talking etc... That has never happened to me either. And Whats with all the other meds: I dont need all them. They are making me crazy and she took me off of prozac wihich I was on for years and was my miracle medication, would never go without it. And I told her that. And I told her I was really scared to go off it. It helped my depression like no other SSRI ever did and I tried like almost all of them, and she changes it????? How

idiotic She gives her patients her cell phone # and every time I called her, Like 3 times for different reasons, like when I had this manic episode, I never had a manic episode before she sounds annoyed and trys to get off the phone really fast? She had me cut my lexapro in half 2 times. Besides my car is in the shop now. (It's true Goat, but just messin with ya) I think I should drop her.

registered nurse

have to agree King's statement.  If you are experiencing manic episodes than it sounds like you are bi-polar.  

This is no offense to you but being a RN means nothing if your going to a hospital as a patient. Just because you are a registered nurse doesnt mean you deserve to be treated any different. I know a bunch of RN's who abuse pills and other drugs occaisionally so just because your an RN doesnt mean your a saint and will be able to get extra pills because you are. This is no offense to you but i have seen a couple people now on this forum who say they are RNs who think they will get special treatment. To a doctor a patient is a patient it doesnt matter your profession as we are all human. Also chances are if you were gonna have a seizure it would be when the withdrawals are the worst not a couple days later. And also like you said chances are if you go to a ER saying you ran out of benzodiazepines and are asking for more...they will probably try to put you through detox and then rehab like you said. Also since you say you have been through rehab before chances are you did abuse your script and ran out early so i know this sounds harsh but its your own fault you ran out early unless someone stole them from you. You cant expect a doctor to just give you more because you ate them all too early. If your dose is not appropriate and you really need the extra pills and are not abusing them but using them for a legit reason then discuss it with your doc/psychiatrist that they arnt as effective and ask about an increase in dose. 

I am sorry if i read the post wrong i think i took my anger from something else out on you. Also is your prescription prn? I would assume if he is only giving you two a day it is probably an "as needed" script because a doctor should know that two pills of alprazolam will not last throughout the day. Are you prescribed the benzo for a daily anxiety problem or for an as needed for panic attacks because this could be why you are only getting a small amount. My doctor will only prescribed .5mg twice a day as needed and wont give refills...which coincidently is exactly what you are taking. If your doctor is prescribing them as needed then he doesnt expect you to take them every single day so that could be why he doesnt want to increase it. I definitely feel for you cause i know that .5mg after 6 months wont do anything because of tolerance. Also you said you were taking klonopin also...i guess you arnt prescribed it or is your psychiatrist prescribing it? If your psychiatrist doesnt prescribe xanax would they prescribe other benzos like klonopin or ativan? And as always there is always the possibility of just switching docs or going to a different psychiatrist cause a doc who wont go any higher than 2 .5mg after 6 months is not going to help you in my opinion. so perhaps ask for an increase or an extra pill per day saying they dont last all day and if all else fails just switch docs. And once again i am sorry about earlier  

Sweet P what other meds are you talking about that would help with benzo withdawal? I always thought that the only thing that would help benzo withdrawal safely was another benzo (preferably a long acting one). It isnt like opiates where they sometimes give you clonidine or something like that. 

Sweet P, To tell you the honest to god truth/. I really dont believe that I took a months worth of kpins in 2 weeks, I somehow feel that someone who lives with me that is 17 years old may be taking a handful out of the bottle or something. This is the 2nd month that Im out early from kpins, & my dose really seems to work well, so why in the heck would I be taking like 4-6 per day instead of 2. (I know everyone will say cause Im addicted, Im a junkie, whatever, again, dont just judge me. The xanax, yes I know  that I take extra, cause the dose was so small and doing nothing so I always took extra. Thats my primary care doc that gives me them, and I have asked him for an increase a coulple times and he is getting madder and madder, sometimes I wonder if he really has a license to practice  medicine.   I asked like, 2-3 times and Im not asking anymore cause he isnt thrilled giving me them in the first place, ummmmm I never even asked him for them though. I had a lot of anxiety, developed a duodenal ulcer, so he asked me, if I wanted something to help with my nerves so i said yes. I lost my job because of call outs from pain and having dr. appts.  I thought that going to the shrink would help me with my problems, and thats when my bosses really got mad. I had to go on my 1/2 lunch break.  They told me it was alright to take longer on the days I went to the shrink which was just arougnd the corner, then I got fired before I even got used to the dose of kpins.  I was all f'd up the first day or 2, thats when I was bribed into going back on disability.  I thought going to see a shrink, with their permission of course, could only help, not hurt me, they "were" the nicest, best bosses I ever ever had and I still cry about this. They still pay me my regular pay check and I still get all my bennies Only till I hopefully win my case again.  Id just rather be working for them at their crappy pay. They all made me feel like family.  Im sorry, going on and on. Im assuming this is so I dont  sue him. One of my bosses is an employment discrimination atty. and knows hecould be sued for firing me due to being ill.  Ive seen it happen plenty of times.  (I worked for lawyers this past year) Geez, sorry again, Well my point here is that hon, my career has already been dumped into the toilet due to my anxiety problems, disabling pain in my neck and back for which I won my 1st disability case, and for unmentionable reasons, was forced by a lie, yes forced, to go go back to work, I did this for 2 years, making my chronic back and neck pain/condition worse, and that stupid pain management doc wont give me narcotics...... Just epidurals and facet blocks with steriods so he can make tons of money off me, so Im going through mental and physical pain right now. Oh, he seems to like giving me ultram. Which seems to do nothing either and Im already on 400mgs per day.(which is supposedly the highest dose you are supposed to take, 200mg's ER and 50mgs 4x's per day which I use all the time. so I just feel as though no doc gives a poop about what I go through or for how long I have to go through it for. . Im going for another xray (dont know why they wont just give me another MRI for comparison to the last one years ago. ANNNNDD, as for my personal life, already dont have one cause of the pain. SOoooooo I would say 1) in your posts about me, even though you dont see me, I am still here, so please address me, not everyone else about me, 2) dont judge a person like that, you dont know what I have been through. Why do you think I needed these stupid benzo's in the first place. Obviosly not buying them on the streets!!! And P.s. to whom ever said I made a contaradiction, sorry, maybe I didnt explain myself enough. I did say I never had a manic episode before, and thats because I have not, The reason I said I called her on the phone about this first ever in my life manic episode, was due to the lexapro that she decided I shoud take instead of my prozac. So yea, I never had one before, "before" I started seeing her. Thats why I was calling her about a manic episode I was haveing, cause she put me on a bunchof drugs, messed with my head, so now Im getting manic from the lexapro, thats why I called her, get it? Hope I explained it better this time, although I probably didnt. WHEW. PSS. The pain in my muscles is a tiny tiny bit less, but Im having some really weird dreams, and I have a whole bunch of bruises on my arms and legs. (like, a lot) no seizures, thank god, just that shakingthat 1 time, and thanks for the link sweet p, definately gonna read it. Hope I didnt offend you by what I said but I was a bit upset with what you were saying. And sayingto other people, not taling to me, well whatever. Oh for some reason my lower back has started hurting even more than usual since this withdrawl thing started.

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registered nurse

If you took your medication improperly it is NOT your doctor's responsibility to give you more.  If you are afraid of having a seizure from benzodiazapine abuse, you need to have inpatient detox.

On the bright side, you are unlikely to have a seizure and die from the relatively modest dosage of benzodiazapine you report using.  Also on the bright side, with a diagnosis of bipolar disorder, or feeling manic and a history of drug addiction, I am surprised that your psychiatrist is willing to give you any benzodiazapines at all.

Sweetie,

Your posts are all over the place.  I can relate to that.  When I was coming off benzos, I couldn't keep my thoughts in line.  Now, I am going to tell you this about myself, I never took more then 1.5 mg xanax and that was when my father passed away.  I had been prescribed xanax like this: up to 1 mg. per day as needed.  I took no more then that (except for what I said) and that was for more then 6 years.  It did what it was supposed to do for me and I never felt the need to up the dosage.  I was feeling very good for a while and decided not to take it anymore.  I stopped cold turkey and felt absolutely fine.  3 days later while making dinner for my hubby, I had a grand mal seizure.  So yes, that can happen at low doses.  I feel that you may be having even more trouble right now due to your  taking tramadol.  That is one weird drug.  I just want you to really think and  perhaps go back and re read your posts so that you can see what we are seeing.  I do think you need to go and start fresh with a new doctor.  2 of them - one psych and one pmc.  When and if you do, please be absolutely honest with them.

I hope you don't take this as being harsh.  I say these things out of a genuine concern for your well being.

You have all my very best wishes - even if you don't want them.

Sincerely,

Luv

In people with bipolar disorder taking an SSRI may cause a manic episode.  This has been well established for several years now, and some people believe that it is diagnostic for bipolar disorder.

" Never had a manic episode till she started with all the new medicine and changed my prozac to lexapro, thats what she said was causing it, thats why she had me cut it in half, (the lexapro) "

It is very clear you believe that you had a manic episode on Lexapro.  A manic episode on Lexapro is consistant with a diagnosis of bipolar.  Regardless of the meaning you want to give to your apparent manic episode, with your history and your lack of insight into your behavior, it is amazing to me that your doctor would give you benzodiazapines.  

"And she diagnosed me as Bipolar???? "

I believe the "she" you are referring to is your psychiatrist. 

The psychiatrist interviewed you with your MOTHER in the room.  That alone would undermine his credibility!

It is abnormal and substandard care in most cases to interview a patient for any reason in the presence of a parent or spouse or anyone else.  The parent, spouse or significant other may be asked back for part of the interview with the CONSENT or at the REQUEST of the patient.  In no case should a sensitive or sexual question be asked of an adult patient in the presence of his or her parent.  Even if a patient is declared incompetant he or she has the right to privacy! 

There are of course exceptions.  Non-psychiatric exams of very small children are usually done with a parent or guardian in the room since the very small child cannot ask or answere questions.  But since every exam should include age appropriate questions regarding physical and emotional abuse and sexual health certain parts of even routine physicals should be done without a family member present. 

Psychiatric evaluations of an adult should never be conducted entirely in the presence of a parent, spouse, or guardian except in rare conditions whrere the patient is completely mentally incapacitated.  The patient must give express permission to have anyone else brought into the exam or questioned about his behavior except in certain legal investigations.

I am glad you found a doctor who knows what he is doing!

"They say it is more addictive then heroin. "

who is they?  i am not giving you a hard time...just wondering where that tidbit came from

 I am not a Dr. I just play one on tv.

I was put on different types of BZD"S,ect. It took several visits before I was diagnosed with adult ADD. Actually, the last drug I needed to be on was Xanax or any other type of trank. Before the Xanax it was Equinil.(sp)

The one related to Soma. I mean that was a LONG time ago. 

I don't really blame the doctors, as it was a while before Adult ADD was really recognized.  Most docs thought I was high-strung. I knew as soon as I took the tranks that they were not what I needed. At the time I didn't know why, just didn't like feeling tired all the time, and that's what they did.