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XanaxForSocialPhobia
06-06-2008, 22:34
Xanax cold turkey experiment:

This thread is for those who is curious if Xanax is possible to use for many years (perhaps a life-time). Despite all warnings my friend ;) is determined to try using Xanax regularly as it completely makes his problems disappear. He has now used Xanax for almost four months.

A little background:
Despite a good childhood he got social phobia starting at high school. At the age of 27 he took contact with psychiatrist and got therapy. He tried different drugs (almost all the ssri:s, but the side effects where unbearable and/or did not help enough). His libido was non existant (because of the high doses) and he unfortunately split up with his girl friend. He has never worked with what he is educated for (it involves too much human interaction and even going for an interview would be impossible) although he had a masters degree.

Two years ago he was "prescribed" clonazepam and he was exactly the way he wanted to be. An active participant in society, not hiding at home all the time. Being able to apply for a much better job (though not within the field he is educated in). Helping out family members and so forth. However, after seven months his dose had escalated too much. He, had been too naive with benzos and started reading about the medication type. Then he understood that it would be impossible to continue. In order to quit (and be able to maintain his job) he felt the only thing to do was a cold turkey during a two week holiday from work.

He says that it was a real hell he had not foreseen. He was simply not prepared for the anxiety. Two weeks of vacation was not enough to go off of the clonazepam (with a long half-life). He did not dare to go out and shop food, so he lost about 4 kg before he dared go shopping. And during those two weeks all the good relations he had built up was starting going downhill as he was even more scared of those persons than before.

However, things got back to "normal" after a few months.

Aftern another roundtrip with ssri:s he firmly believes benzos to be the only good cure for his social phobia. So, despite the terrible episode from clonazepam he started studying a lot about benzos.

The "Ashton manual" was read, and many forums searched. Most of the posts declaring "cold turkey" withdrawal as inappropriate and dangerous. He did quite a lot of reading about half-lives, chances of epilepsy and so forth.

He decided that he wanted a "real life": thus he was willing to pay the price of going cold turkey again, but it had to be planned carefully. So he started taking Xanax with the following plan:

Using Xanax for almost four months.
Taking a vacation of two weeks + one weekend.
Stopping Xanax (with the Tegretol as a security for seizures).
Starting using Xanax again one day before going to work.
...and using Xanax for another four months until the next cold turkey.

He thinks it is best that no social encounters should happen during the cold turkey. Turning off the phone, with good excuses for being away...

Now, being armed with the awareness of severe anxiety, insomnia etcetera he will try to focus on working with the computer, updating the progress of the experiment (in this thread). Reading the paper, making some physical excersices at home. Watching movies and TV.

The experiment in detail:

Day 1: Start using Tegretol (as a precaution of all warnings of epilepsy).

About Tegretol: He has tried using the medication and found that he tolerates its side-effects (though blurred vision, itching and getting stupid was a real concern).

The half-life of Tegretol is about 36 hours, and he plans to go up to a "normal" dose quickly on two days.

Day 2: Quit Xanax completely.

Day 8: Phasing out Tegretol

Day 12: No more Tegretol.

Day 15: Try out a low dose of Xanax and see what effect it will have.

Day 16: Go to work with the proper amount of Xanax.

Follow the diary and post your comments. The experiment is starting by the the 25:th of June!

XanaxForSocialPhobia added 111 Minutes and 7 Seconds later...

I want to clarify that my friend is legally prescribed Xanax. But rapid detoxing is his own invention in order to keep the dose down to the level his doctor prescribes for (4 mg/day).
In the end of february an ordinary dose for him was about 1,5 mg/day. Now, it is 7-9 mg/day.

XanaxForSocialPhobia added 1377 Minutes and 18 Seconds later...

My friend thinks that there are four possible outcomes from the experiment:

Scenario 1: Getting intolarable withdrawals and not being able to lower the effective dose at all after the withdrawal period. Leading to protracted withdrawal syndrome, unumployment and a lonely life.
Scenario 2: Withdrawals were intense, but endurable. Being able to cut down the dose to about 2 mg:s a day during the first few weeks. Getting a good job and having good relationships.
Scenario 3: Withdrawals are severe to moderate. However the first few weeks he will need about 3-4 mgs.
Scenario 4: Withdrawals are severe to moderate. Cutting the amount of pills needed to about a half. During the four months the brain quickly adapts to the Xanax again making the dose high rather quickly.

moda00
09-06-2008, 21:46
Do let us know how it goes if swiy proceeds, and please do seek medical advice before proceeding (despite the fact of course swiy is doing it his way) from somewhere/someone. It sounds good that one has Tegretol for seizure prevention, but it may be advisable to discuss with a trusted professional if there are any additional preventative or protective measures swiy could take, or how to make it go smoothly.

I do know it can be dangerous, mainly due to seizures, but swiy has clearly done plenty of reading on the issue and is addressing that risk. Please, though, do run it by a health professional, and don't advise others to try this as it is experimental, results unknown, and not necessarily recommended by the medical professionals (although they can certainly be wrong, and each person is different of course) Best of luck!

XanaxForSocialPhobia
10-06-2008, 19:17
Hi, all! And thanks for your post Moda00!

My friend promises not to give any advice to anyone else to do the same thing. He will simply post the results here.

Yes, it is a bit dangerous. Benzos are really potent anti-seizure drugs. But, when used too long and/or in too high doses the reverse mode of action will happen between doses and ofcourse when quitting.

He believes professionals most certainly will try to taper him off of Xanax slowly. That is exactly what he does not want.

He is actually looking forward to do the experiment(!). Within six months he will know if the future looks good or bad.

Some additional information regarding the experiment:
He has no history of seizures (neither does it run in the family).

Any suggestions/questions regarding the experiment is appreciated!

XanaxForSocialPhobia added 550 Minutes and 52 Seconds later...

Suggestion when titrating down on Xanax.

My friend doesn't suggest anyone else to do a c/t nor quick tapering on Xanax.

However, for everyone about to taper from Xanax, there is a problem: Xanax is potent and difficult/impossible to split in small pieces.

His simple experiment included dissolving Xanax in water, cooking oil and pure alcohole.

Cooking oil did not dissolve the Xanax at all.

Water and alcohole did succeed to some extent - but the Xanax rather rapidly sank to the bottom.

His proposal:

Be ready to use pen, paper and tape.

In a small container... dissolve one tablet of Xanax with e.g. two teaspoons of water. Write down how many milligrams of Xanax that was dissolved (e.g. one milligram) and how much water that was used.

Put some jam :p in another container (e.g. ten teaspoons). Write down how many teaspoons of jam that was used!

Stir the Xanax-water solution before pouring it into the container of jam.

Stir the Xanax-water-jam solution even.
The solution should be rather solid, otherwise add some more jam (in that case remember to rewrite the amount of teaspoons of jam you have used).

Before you are finished:
Write down how much Xanax one teaspoon of Xanax-water-jam corresponds to. Finally attach the written note onto the Xanax-water-jam container.

And, each time you are about to take some Xanax-water-jam - stir again a little.

An example of a note attached to a Xanax-water-jam solution:
2 teaspoons of water
1 mg of Xanax
8 teaspoons of jam

A teaspoon will contain 1/(2+8) mgs of Xanax.

One teaspoon = 0.1 mgs of Xanax

radiometer
10-06-2008, 21:46
When my buddy Eddie tapered from Xanax, he was expecting to have to crush his pills and weigh portions using his milligram scale, however he lucked out and found the smallest dose he eventually needed was 1/4mg, which was easy to achieve with 1mg footballs and a pill cutter.

XanaxForSocialPhobia
11-06-2008, 02:54
My friend tells me that it indeed is possible to split one mg in quarters with a pill cutter.

Still, one quarter of a Xanax corresponds to 10 mgs of the widely prescribed "Sobril" (Oxazepam) in Sweden.

He normally uses quarters or halves to be able to work and meet people.

Fyi:
He took the first dose of Tegretol an hour ago. Thus, he changed his mind a bit. He will slowly increase the dose of Tegretol before phasing out Xanax by the end of the month.

He reports no side effects from Tegretol yet, but they will probably come soon.

radiometer
11-06-2008, 06:15
I'm glad that your friend seems to be paying close attention to what his body is telling him.

My buddy was taking .5mg three times daily, and what he did was slowly reduce one of those doses at a time to .25mg, then slowly eliminate a dose at a time. He had been prepared to extend that period using .125mg doses, but it was not necessary. Instead, he found himself accidentally missing a dose now and then, which gave him the comfort level to eliminate it. He was self-medicating for a general anxiety issue and occasional panic attacks which were brought on by the situation he had been living in at the time and which he resolved, and did not consider himself to have phobias etc. as does your friend. But he did feel physically and sometimes mentally dependent on it, he used it for about a year and getting off was no piece of cake.

Best of luck!

XanaxForSocialPhobia
13-06-2008, 15:30
Radiometer, my friend congratulates your buddy!

But as you point out, he did not suffer of any phobia.

XanaxForSocialPhobia added 1374 Minutes and 17 Seconds later...

My friend is to some extent familiar with some people having GAD. Though, not phobia, it really is a problem for those he have met. Worrying over small things is not good. Perhaps regular meetings with wellfare officers is a better approach then medicating? Just a thought from his experience with few GAD-patients. Benzos are though very effective in occational panic attacks. But what triggered the panic attack. Self reflection is sometimes very effective.

XanaxForSocialPhobia added 1049 Minutes and 18 Seconds later...

FYI: Tegretol... my friend is not feeling the side effects as bad as last time when he tried it. Cannot really say he is more stupid (then he use to be ;) However, can't stop him from scratching all the time. Hopefully it will subside. He wishes there were better anti-seizure meds as the side effects of Tegretol seems to be so darned common and hazardous. Though, slowly introducing Tegretol, and using it for less than a month hopefully does no big harm to him.

He is (as previously mentioned) thinking about to do a quick-taper. From using about seven mgs a dag (5-8 mgs depending on the circumstances) down to taking nothing on after five days. According to his calculations that would mean he is below 1% of the usual intake after seven days. Being totally free from the drug for just one day before going to work again. He is not sure if his neurons will have time to adapt and get prepared for another roundtrip of four months... what do you think?

XanaxForSocialPhobia
23-06-2008, 22:33
:eek::eek::eek:

Sorry, but my friend does not want me to continue posting in this forum.

Checking out some of the other topics here. He does not want to support that kind of talk in any way. He is neither addicted nor want to get "high". He is just looking for the best cure for his social phobia in order to function as a working citizen.

Jatelka
24-06-2008, 08:41
XanaxForSocialPhobia. Not all of the posts here are from people looking to get fucked up, many are from people trying to function, just as your friend is.

I looked forward to reading the experiment, and it could be helpful for others.

radiometer
24-06-2008, 09:38
:eek::eek::eek:

Sorry, but my friend does not want me to continue posting in this forum.

Checking out some of the other topics here. He does not want to support that kind of talk in any way. He is neither addicted nor want to get "high". He is just looking for the best cure for his social phobia in order to function as a working citizen.

Judgementalism - it's my anti-drug!