Is It Ok To Double Dose Only The First Time You Start The Med To Get Levels Up Quicker?

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Vance Says:


My Dr just today prescribed me Clonazepam 1 mg a day for 3 days and then 1 mg 2x a day after that. I was on 2 mg 3x a day (total was 6 mg/day) for years but haven't had any for 1 year. I took the 1 mg tab when I got home at 12:30 PM and I felt it calm me down but in about 5 hours I was getting very anxious so I debated whether I should take another and as I became more anxious I went ahead and took another 1 mg although he said to take just 1 tab for the first 3 days. I know it takes time to build up the therapeutic range but was just too anxious. That's why I went to him because my anxiety is through the roof. Will this hasten the therapeutic level kinda like taking a double dose on your very first dose like some Drs tell you on certain medications. I forget the medical term for that. Will this hurt or help my regimen. Also if he finds out what should I tell him. Thanks for any help. And I do know from reading this forum that I will not get max benefit for a week or too but I had to have some relief.



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David Says:

Interesting question. Due to the sheer potency of this drug being available in dosage increments of 0.5mgs, I think 2mg was a very high dose to start off with - if you're trying to maintain a lower tolerance to the medication.

If you really felt like you could handle the extra 1mg pill then I don't think it would hurt your regime in the long run (since you can always taper down the dose overtime).

From an outside perspective, I don't think you should be too worried about the situation. I get the sense that you know what you're doing, because you've already taken this drug at a higher dose in the past. If your doctor questions you, you can always say that you felt very comfortable in determining/assessing whether or not you really needed to take more.

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Vance Says:

Thanks for the reply. I was thinking he may get upset that I did not follow his instructions because he must have had a reason to start me off at 1 mg/day for 3 days but like you said I was on a much higher dose for years and I with my severe anxiety 1/day just isn't enough and I have been without for so long enduring this without medication that I said to myself why should I endure it any longer when I have the med right here now. He may not see it that way.

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Vance Says:

The term I was looking for just came to me. Instead of saying double dose the term is "loading dose" when first starting some medications. That's what I did was took 2 tabs for my first dose instead of the prescribed 1 tab prescribed. I notice a lot of Drs do that with there patients with certain medications. But not all meds. But I think if when someone is extremely anxious that atnhhi loading dose is very appropriate for Klonopin

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