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Clonazepam 4.5mg/day. is it too many...?

I am using clonazepam 4,5/day for biporlar disorder and anxiety,and insomnia.
additional, Levomepromazine 50mg,Lamotrigine 200mg,Aripiprazole 6mg etc...
Is clonazepam 4.5mg/day dosage is have problem?
in Japan,Clonazepam is administration for only treatment of epilepsy. dosage is up to 6mg/day.
But.actually, clonazepam is using anxiety(as Panic Disorder),Bipolar Disorder,insomnia etc. like other benzodiazepines.
According to equivalent table, Clonazepam is very high potency.
But Japanese docters think"Clonazepam is mediam potency drug" and don't show high pocency and efficacy for me.
Is this my tolerance?
Best Answer
Avatar universal
おはようございます. I was on 6 mg a day for anxiety with my bipolar disorder for 10 years.: 2 in morming, 2 mg at noon. 2 mg at bedtime (6 mg total/day). It's ok. In the USA, it is given for anxiety not epilepsy.. 6 mg/day is highest dose for anxiety. You may be  tolerant and require the 4.5 mg for your anxiety. Do not lower your dose on your clonazepam without your doctor knowing about it, if you've taken clonazepam for a long time because you will withdraw. Since it works for you like it did for me, you are ok. Do not worry. Your doctors who are  giving you this medication in combination with your other medications are prescribing correctly.

Do not drink alcohol with your medications. Alcohol is a bad combination with the medications you are on.

I have been to Japan, by the way and lived there for a  short time as a child and later for a few months to visit my best friend and travel with her through Japan by train. She  lives in Kasukabe. My Japanese is not as good as your English.

I wish you well.
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Avatar universal
ありがとうございます!
I understood what my prescription is OK.
And I stop worrying.
Problem of alcohol and drug interaction is OK too.because I don't drink alcohol. rather than I can't drink alcohol.in Japan what is called "下戸"...
If I drink two shot of whisky I vomit instantly lol

Kasukabe...in fact I don't know how place is KasukabeI well...
I live Kanazawa city.
I will study and train up English.
Thank you. Hope to see you again.
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