Moving Pictures pretty much answered the OP's questions.
Although I would say that .5mg of Xanax on top of clonazepam
should have an effect if taken during an acute anxiety attack
, which is generally why a doctor would prescribe both. Usually the (long acting) clonzepam is taken daily for generalized anxiety, with the (shorter acting) alprazolam
taken as needed for acute anxiety attacks.
Did the patient try to take the alprazolam (Xanax) instead of the clonazepam
)? Did the patient take the Xanax for an acute anxiety attack or "just because"? I would think that would make a difference.
Having said that, it very well may be that due to being benzo
tolerant via the Klonopin, the patient may need .75mg-1mg of Xanax for acute anxiety. Perhaps trying .75mg-1mg of Xanax during the next anxiety attack, and if that works better tell the doctor that on the next visit & see if the patient can get a dose increase.
I, too, have heard people state that (all different brands of) Xanax is one of the foulest tasting pills on the planet, but don't understand that myself. I've had a few small 'scripts for Xanax over the years, & my husband has a monthly 'script for them; he's absolutely HORRIFIED that I just let them dissolve under my tongue, whereas he likes to have a big glass of water when he takes his, to try to get the taste out. However, I don't need much of my prescription (.25-.5mg, so a quarter to half a pill), so I don't know if that has anything to do with it. But I really don't think they taste THAT bad.
Valerian gelcaps - now THOSE are some foul-tasting pills! *shudder*