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    valium dosage?

    I've been discussing valium with my doctor, as we continue to try to find something to make me feel like I'm not totally tight and cramped in my abdomen and back. I know valium helps some people with actual spasms, but spasticity is not a big problem for me - it's much more the feeling of tightness than actual muscle tightness. Anyway, I was just wondering what dosages of valium those that use it are taking.
    Alan

    Proofread carefully to see if you any words out.

    #2
    With non-descript, not too bad, problems you describe I'd really advise against starting to take valium on a regular basis. It's a serious and potent sedative that can lead to dependency problems.

    Comment


      #3
      I take 10mg once a day, at bedtime. That helps me get to sleep and takes care of my spasms. That's the only meds I take, for 17 years. Don't need any thing else for spasms.

      Just my $.02

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        #4
        valium dosage

        Alan - I would suggest that, if you decide to start valium, that you begin with the lowest possible dosage. It may take only a small amount to offer some comfort and relief; if not, then either the frequency or dosage could be increased. CRF
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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          #5
          Valium and I

          I take 10mg once a day, at bedtime. That helps me get to sleep and takes care of my spasms. That's the only meds I take, for 17 years. Don't need any thing else for spasms.
          I am down to the same dosage as Dougie. I am twenty four years post and didn't take anything stronger than tylenol until about twelve years ago. I had started working and had been going to school ... in other words sitting in one spot much longer than wheeling around... this caused a lot of spacicity and pain.

          I now feel it just ain't natural to be so sedentary / all mental and no physical. I was using up to 30 mgs. a day and also seeking relief from baclofen and a number of other things at different times.

          I am down to the 10 mg at night and really waiting for the right time to make changes and get off valium. It is tough and I think has a pretty long half life in your system.

          If I had it to do over again I would not touch the stuff. My doctor was real liberal with it, but it was my choice. I have built up a tolerance and even though I am down to a fairly low dosage I feel it effects quality of my rest, memory, dreaming and mentally makes me foggy.

          I feel like I want 100% my brain back.

          With all that said I agree with crag. Think long and hard before you go on it. Do some research on effects and withdrawal.

          I would look in to possible causes like seating position, exercise , ROM and treat it natural.

          Just my opinion...
          Paul

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            #6
            Dude, you're getting dull...

            Alan, when are you going to get off the drugs? Valium, methadone, oxycontin, baclofen, 4ap, valeriian root (this is just in the past couple days) etc., etc., etc. All you whine about is scoring the "drug du jour". I don't know who you think you are kidding. I'm not anti-buzz on by a long shot. Drugs are apparently a lifestyle and obsession for your hypochondriacal existence. That ain't cool dude-it's irresponsible and cowardly.

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              #7
              I'm probably using less drugs than you, since I'm not taking anything other than stool softeners and senna at present. Drugs are far from a lifestyle for me, as I'm sure is the case for everyone else on this site who takes prescription meds for pain, spasticity, bladder, bowel, etc.. Proper medication is no different than any other thing (wheelchair, adaptive equipment) that enables us to live to the fullest in our condition.

              SCI Nurse, do you concur with my last statement? Am I doing something wrong by seeking effective medication, and asking about it here, among peers and persons with medical experience, such as yourselves?
              Alan

              Proofread carefully to see if you any words out.

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                #8
                valium dosage

                Alan writes, "Proper medication is no different than any other thing (wheelchair, adaptive equipment) that enables us to live to the fullest in our condition.

                SCI Nurse, do you concur with my last statement? Am I doing something wrong by seeking effective medication, and asking about it here, among peers and persons with medical experience, such as yourselves?"

                Yes, I would concur with your last statement. I also urge those of you responding to the post of another to offer constructive and positive responses. Please avoid being judgmental and unnecessarily critical.

                It is important for all of us to remember, professionals and those with SCI, that each injury is unique unto that individual. While you may experience similar problems, the solutions are as varied as we are as individuals. This is true for both the non-disabled person and the person with SCI. Yet, for the latter, that is compounded by the presence of a SCI. Whether it is a cold, the flu, a broken bone, spasticity, pain, etc., we seek medical care to try to correct and alleviate whatever the condition/problem/complication is with the goal to restore us to an improved and/or healthy state of well-being. The majority of people would prefer not to take medications, however, inherent in this process and goal may be the need to take medications or other treatment regimens. CRF
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                  #9
                  drugs

                  Alan,
                  I know from your posts that you have possible neuropathic pain, severe scoliosis and have to be belted in your chair. I've heard you say you'd be happy just being a quad if the never ending painwould leave and you have,I believe, an elderly mom helping you. If you can find a drug that helps, take it. If they improve the quality of life that's what counts. I ran out of my pain meds on a weekend and I was close to tears from the pain by Monday. I am opiate dependent like a diabetic is insulin dependent. If I didn't have a Baclofen pump I'd be flopping around like a goldfish on the floor.I function just fine with fentanyl, darvocet, xanax for pain and florinef for low B.P. If it were not for these drugs I could not function. Do I enjoy them? No. I can't even have a beer. Some self righteous types should just be thankful they don't need them. It reminds me of the people we all have met who have been in a wheelchair or have a friend that was in a chair who walked through sheer grit and self determination. They look you in the eye and tell you they know what it's like, as ifyou could do it, you just don't try hard enough B.S. they walked because their injury wasn't as severe. Kind of like "you wouldn't need those drugs if you were as tough as me".WR

                  Comment


                    #10
                    P.S.

                    I forgot to respond to your question. I was on valium, demerol baclofen etc. before my pump and my valium dose was .10mg 2x a day. I was on it for months and after the pump, I haven't had any and don't miss it.WR

                    Comment


                      #11
                      Response to Alan

                      Here are the facts (not my opinion). Alan's posts in the past 2 weeks; 8-1; Alan's advice on marijuana brownies, 8-2; Alan's taking Stadol nasal spray opiate, quote "we're running out of PDR entries-we've been through the whole book",8-7; Now Alan's taking Methadone, 8-10; Alan's dispensing advise on Phenergen, Vistiril and Oxycontin, 8-11; Alan's now taking Benedryl and Valerian Root, 8-12; Alan's now on Marinol and more Valerian Root,8-14; now we like 4-AP, 8-15; now we are going to try Valium, 8-15; Alan dispenses more marijuana advice. I think you can do the math. You can take whatever drugs you want, I don't care. Moreover, I enjoy many of your other posts. However, there is no denying you are focused on drugs as the answer to your unhappiness. Clearly, you need psycological help. "My life is in a rut"-your words, not mine.

                      Comment


                        #12
                        Valium, etc.

                        We may be living parallel lives. I have a C 3/4 inc. sci, almost 10 years post. I think that perhaps 70% of my muscles have some function, ranging from minimal to almost normal, however, I have such high spasticity (stiffness - 24/7)that it overrides this function. I have a central cord injury, so my upper body is much stiffer than my lower body. I do not have muscle spasms. I tried a baclofen pump for 3 years but it did not help my arms, which is the worst area for me. The best combination for me, and it is big and ugly, is Baclofin, 80 mg per day, Valium, 20 mg per day, and dantrium, 75 mg per day. I play around with different combinations as each works a different way. Oh, and 4-AP allowed me to reduce my Baclofen from 160 mg to 80 and I will be knocking my Valium to 10 mg shortly. Without this huge amount of drugs, my body would be completely rigid and I would have severe muscle pain and lack of movement. It is unfortunate when members of our own sci community can sometimes condem those of us that must rely on medications as being weaker. It doesn't bother me as I perceive it as a reflection of their ignoranace and nothing to do with my strength or weakness, but I have seen others that have been hurt or forced to needlessly suffer believing someone that knows far less than they think that they do.

                        Karen M
                        Karen M
                        C 3/4 inc. central cord
                        10/29/1992 - 18 years, but who counts?

                        Comment


                          #13
                          Smokey, I believe Alan posts about pain so much because it consumes such a large part of his life. He suffers everyday and has yet to come across anything effective. I believe his complaints are legitimate.

                          Comment


                            #14
                            Actually getting a buzz might be the best thing for me, but I don't like my brain clouded. My last "high" was 21 years ago, from post-fusion pain medication. In 21 years of SCI pain, I've unfortunately gone through many medications (about the whole PDR, while an exageration, isn't much of one), and discussed medications with many other pain and SCI patients, so, when someone asks about any of them, I answer. That's why we're here, to share experiences. Some folks have experience with various kinds of equipment, I have experience with medications (and, as I said elsewhere, my opinion plus .50 is worth a cup of coffee - always discuss meds with your doctor.)

                            Stadol wasn't covered by insurance, neither was Marinol. Methadone taper ended last week, a few days after the episode I mentioned. Valium is still under discussion. Valerian root was suggested for help with sleeping. Right now, as I said, I'm on no prescription medications - I don't continue meds that don't help, or cause bad side effects - what's the use of that?

                            Marijuana is something I'd try, if it was legal, though I wouldn't smoke it. If it didn't help, I'd ditch it.

                            I'd love it if I didn't have to take any pills - not vitamins, stool softeners, laxatives, or anything else. That's not how my injury worked out. After you douse your body from your chest down in gasoline, light it, and live with that sensation, you'll be better qualified to judge me and my attempts to relieve that sensation.
                            Alan

                            Proofread carefully to see if you any words out.

                            Comment


                              #15
                              Smokey, you've given me a lot of good advice over the last year or so. Big thanks especially about turning me back to Theravac after years of the MB cause it had stopped working as well for me. But I think you're being a bit harsh on Alan. I'm lucky that although I have a lot of leftover codeine sitting in my medicine chest from the abdominal pain that finally was DX'd as irritable bowel syndrome and I no longer take, it was there when I needed it and it worked. I can also understand Alan because about 4 months post I developed the all over burning pain in my legs, especially my thighs. Again, I was lucky that the rehab I was in had a pain specialist and he did some trials of this drug and that drug and finally we found that methadone did work and still left me awake to do my rehab. I was also tuned into a behavorialist/pscyhologist who taught me biofeedback for the distinctly different pain in my feet. Turned out I could reduce that pain myself by raising the temperature of my skin.

                              By the time I was a year post I was fairly med free and the burning pain, thank you Goddess!, was gone. After trying baclofen, dantrium, clonidine and later Zanaflex for spacticity I found that I only needed medication on bad days or during infections. My doc switched me to valium and while he has to write a dosage down on the script, I take it as I need it and that's cool with my doc. He knows that I'm not taking it long term where dependence and withdrawel will be problems.

                              So while it may sound redundunt Alan is just trying to find what I did, what many of us did or are doing. Finding what we need to cope with our specific problems. Like CRF said, all SCIs are different. Geez, we're even different as we age. And something I have learned from Alan's posts are that men are different (you know what I mean!) in that he has to balance his pain/spacticity meds against his preferred method of bladder management. If valium doesn't work maybe he will need to speak to a counselor about maybe trying a different way of dealing with his bladder. Let's face it, bladder problems are enough to drive anyone to a head shrinker. But this is his call and those who have ideas on how to help should try and help. If not, just skim right on by.

                              Alan, valium will also effect bowels but not as much as opiates. If you switch to every other day then I'd try a twice daily dosage of 2.5 mg of valium. If anthing valium may help your urinary sphincter relax some.
                              Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                              Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

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