Since we are talking benzos, I thought I would share a few thoughts on "addiction" vs. "dependency". Addiction would imply several things including, but not limited to, taking more than prescribed, "doctor shopping" to get an additional source of prescriptions, and many other possible "addict" behaviors to get more meds.

Dependency on the other hand, simply means that a person is dependent on taking his or her prescribed dose or risks going through withdrawals. There are no signs of addiction (see above paragraph) or other drug-seeking behaviors. The body "needs" that particular dose and may have withdrawal symptoms if the medication is not taken.

I have been taking the same dose (as prescribed) of clonazepam since 2000. My dose has never escalated, BUT, on the one time that I had forgotten to take my one dose of clonazepam, I paid for it dearly (sweating profusely, extreme anxiety, feeling like bugs crawling on my skin). I am dependent on my dose of clonazepam. Do I like the fact that I am dependent on benzos? Not really, but my pdoc and I have mutually agreed that the current benefits outweigh the fact that I am dependent. When the time comes, my pdoc indicated that he will give me a tapering schedule.

As for clonazepam losing its efficacy over the long haul, I can only say that for me, this has not proven to be an issue.

Lastly, the decision to start on any medication, including benzodiazepines, should be prefaced by the patient having a thorough understanding of the risks, benefits, and possible side effects. Laurie