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#1 |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Hi everyone, I have been on Clonazepam 1mg and Fluoxetine 10mg daily for about a week now. I have never sounded more fluent. I would classify myself previously as severe blocker, but now I am 80% more fluent and when a mild block hits, i seem to be able to get out of it in a second or so without anyone noticing or my forcing or grimacing.
Just a thought for any people that have tried everything to control their blocking, this has worked better for me than countless speach therapy sessions. (Btw. the Fluoxetine is useless by itself and doesn't improve speech at all) |
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#2 |
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Stuttering Forum Member
Join Date: May 2009
Location: NA
Posts: 72
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Thanks for the info, so if fluoxetine is useless by itself why are you taking it? Shouldn't Clonazepam do the trick?
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#3 |
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Stuttering Forum Member
Join Date: Jun 2009
Location: Santa Teresa, NM
Posts: 1
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How do you go about getting prescribed for these medications. When I have gone to doctors, the always want to send me to speech therapists.
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#4 |
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Stuttering Forum Member
Join Date: Jul 2008
Location: Canada
Posts: 165
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Jaykay,
Who suggested this drug to you?....it seems to make sense as it works on GABA as does pagoclone.... Why do you need the other drug (prozac) if it does not affect the speech? Have you noted any side effects, i.e. tiredness, fatigue etc and do you know if you will tolerate the drug and you will need to increase the dosage over time? Most "good" doctors will prescribe drugs "off label" as long as you know and understand the risks and side effects. Good luck as I am a blocker too and keep us up to date with your progress. |
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#5 |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Fluoxetine is an antidepressant and helps with my depression / anxiety. I take that for the depression that accompanies my stutter, it also seems to complement the effects of the Clonazepam.
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#6 |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Your best bet would be to go to an understanding Psychiatrist. My psych understands that my stutter brings on depression, social anxiety, isolation etc... so he will give me a prescription for any meds that might help me with my fluency.
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#7 | |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Quote:
I have been taking Prozac (fluoxetine) for a few months for depression so my psychiatrist didn't see the point in changing me to Celexa, as they are quite similar drugs and I have been tolerating prozac very well. He recommeneded Rivotril (clonazepam) instead of Xanax because clonazepam also relaxes the muscles in the body...including the vocal chords which I think is what makes it so much easier to get out of blocks. I have been on it for about a week now...I find 0.5 mg works best and will increase my fluency by about 60% + whilst 0.25 mg will only have a very slight improvement in fluency. Effects seem to last for about 4 hours. Tolerance will start to develop after a few months but I will take my chances...this increased fluency has been a blessing. Side effects: more tired than usual, otherwise nothing! works great for anxiety. If it becomes a problem at some point my doc recommends I try the "safer" dopamine agonists, such as Abilify or Geodon. |
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#8 |
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Stuttering Forum Member
Join Date: May 2009
Location: EU
Posts: 12
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i had opened a thread about the xanax celexa combination few weeks ago
http://www.stutteringforum.com/forum...ad.php?p=36760 do you think xanax or rivotril alone can make my speech a 30\40 per cent more fluent? i'm having an oral exam in a few days and planning to use xanax 1 mg |
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#9 |
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Stuttering Forum Member
Join Date: Jul 2008
Location: Canada
Posts: 165
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JayKay,
Thanks for the reply. On the basis that I dont have anxiety/depression etc...I assume that I would not need the prozac and just the Clonazepam would sort out the blocks? I tried zyprexa a while back and that stopped the blocks, however the side effects were not worth it (weight gain, lethargy, feeling weak etc)....are there no such side effects with the Clonazepam?...... Keep us up to date with your progress |
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#10 | |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Quote:
I definitely think you will have an improvement, it varies from person to person but you can expect a 35-70% increase. I've never tried Xanax before but have heard it is a bit "harder" than Clonazepam and will make you more sleepy. I recommend 0.5 mg of Clonazepam. |
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#11 | |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Quote:
You probably wouldn't need an SSRI (Prozac, Celexa), as that helps more with the "social anxiety" that I suffer from because of the stuttering. I'm sure the Clonazepam will help you just the same taken by itself. As far as my experiment has gone so far I am a little disappointed by relieved to have found an "aid" of some sort in the process. Clonazepam 0.5 mg worked wonders for me from the first time I took it, that evening I was almost 100% fluent and it felt like my stutter has been completely eliminated. I continued taking a total of 1mg a day and have been benefiting from it, but it does not seem like the type of drug that can be used consistently. I feel like it is losing effect each time I take it, it is still an improvement compared to how I normally speak though, blocks are fewer and easier to get out of. My verdict: Clonazepam is great for planned social occasions (dinner party, night out with friends etc...) but it not a CURE for stuttering in the sense that you can't take it all day long and expect it to have the same effect and be perfectly fluent. Sorry for the long post but I have some questions I would like to ask you regarding Dopamine Agonists. Please tell me the dose of Zyprexa you took in mg and how much improvement you think it gave you, also, did you build up a tolerance towards it. I am quite keen to try one of the newer Antipsychotics (Abilify, Geodon, or Zyprexa) as I have heard that the side effects aren't to bad and some people can tolerate them fine. |
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#12 |
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Stuttering Forum Member
Join Date: Jul 2008
Location: Canada
Posts: 165
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JayKay,
I did the Zyprexa (Olanzapine) treatment for about 8 months - From day 1, noticed improvements, no facial ticks, reduced tension, blocking all but went within a week and it was great.....dose was 2.5mg (I think) of the zyprexa zydis (melt on the tongue tablets)....speech was great, wore off a little after a month or two, upped the dose to 5mg when I needed it, but mainly stayed at 2.5mg. Affects on speech was great, side effects not so great...weight gain, tired, fatigued, no energy...I was lucky with the weight gain, put on 20lbs...some people (on higher doses) have put on 100+ lbs. some now are diabetic, others worse....see the various zyprexa forums and the law suit againts Eli Lilly. I am hopeful for pagoclone, but will watch the results when they come out and see how it is tolerated, looks like little/no side effects to date and people have been on the drug for 3 yrs. Let us know how you progress |
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#13 | |
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Stuttering Forum Member
Join Date: Oct 2008
Location: nj
Posts: 36
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Quote:
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#14 | |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Quote:
Thanks for that info. As someone who has tried the anti-psychotic route...do you recommend I give it a shot? or just write it off completely due to the side effects? |
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#15 | |
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Stuttering Forum Member
Join Date: May 2009
Location: Cape Town, South Africa
Posts: 27
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Quote:
Overall, I think it worked the best the first time I used it, afterwards it led to improvements but not that close to 100% fluency of the first time. |
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