Clonazepam : Clonazepam is a highly effective medication for panic anxiety. In most cases of panic anxiety, it should be taken every 12 hours, without extra doses, and should not be taken as needed. Some alcoholics have panic anxiety as an underlying cause. If panic is specifically diagnosed by psychiatric interview, then Clonazepam is one option that can be considered. In someone with a history of alcoholism, there is reason for extra caution about the potential for abuse, about the ability to stay rigidly on an exact dose schedule, about possibly existing medical consequences of alcoholism, and other factors. Although some clinicians do fear that Clonazepam may hinder sobriety, it is very possible that proper use may make sobriety more likely and more comfortable.
Answered 10/24/2017
5.3k views
Hello. : Hello. I agree with dr. Kahn's response. Does the prescriber know that your family member is alcoholic? I try to avoid using benzodiazapines (like clonazepam) when possible for patients who have substance abuse problems. Medications in the selective serotonin reuptake inhibitor class can be helpful for anxiety (if your family member suffers from an anxiety disorder) as well as non-medication forms of therapy: cognitive behavioral therapy, deep breathing, progressive muscle relaxation, biofeedback, yoga and acupuncture. Your relative could consider aksing his doctor if there are an options that would be a safe alternative to use of clonazepam. This was an excellent question.
Answered 10/3/2016
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