Doctor insights on:
Alzheimers And Valium
Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more
sometimes: It is not indicated for any dementia; and some controvery and opinions exist about the limitations when using benzodiazepines in older patients; but still, it can be used to address certain symptoms (like severe anxiety) if the potential benefit outweigh risks, in the eyes of the prescribing dr. It is not routinely prescribed for this, ask the dr for the reasons in this particular case.Best wishes. ...Read moreSee 2 more doctor answers
How come of the seizure medicines; depakote, tegretol and klonopin (clonazepam) -why is klonopin (clonazepam) only known for withdrawls?
See below;: It is important to note that discontinuing any of those medications abruptly puts a person with epilepsy at risk of increased seizure frequency. The same is only true for clonazepam in a person *without* epilepsy, and therein lies your answer: clonazepam works differently than the other two and is associated with withdrawal disorders, like alcohol and certain drugs. ...Read moreSee 1 more doctor answer
Does Valium have muscle relaxer usages in addition to anxiety usages? What is the main differences between Valium and klonopin (clonazepam)?
Helpful in LBD: I routinely use donepezil effectively in my lewy body disease patients. Although only 40-50% of them actually have cognitive improvements in the here & now, but we suspect it slows the progression of cognitive deterioration anecdotally. Can't comment on personal experience with vascular dementia. ...Read moreSee 4 more doctor answers
Rx for Alzheimer's: Normally, valium and ativan (lorazepam) are not very helpful for people with Alzheimers. These medicines, which are sometimes used to relieve anxiety, may have paradoxical effects in people with dementia. They may cause them to feel excessively sleepy or irritable. Most providers who handle people with these illnesses use antipsychotics in gentle doses. Quetiapine is an example. ...Read moreSee 2 more doctor answers
Possibly fine: Remeron, (mirtazapine) aka generic mirtazepine, is often used for depression, anxiety, and to increase the appetite. It seems to be well tolerated in elderly people with dementia. It causes sedation, so its taken at nite. Klonopin aka generic clonazepam. This is used for anxiety, panic attacks,and restless leg syndrome. It is long acting, causes sedation and can worsen balance, so I'd suggest caution with it. ...Read moreSee 1 more doctor answer
Take Klonopin (clonazepam) for anxiety and sleep,Fetzima for depression,what's an alternative for Klonopin (clonazepam) that I can use,take1mg 1am,1noon,2 bed?
Many alternatives: There are many alternatives, but it depends on why you're looking for an alternative. Is Klonopin (clonazepam) not working? Perhaps the dose in wrong. Are you looking to get off of benzodiazepines (the drug class that Klonopin (clonazepam) is in) altogether? If so, then your doctor should slowly titrate you off the medication (10-25% weekly or biweekly, depending on how long you've been taking) while initiating another med ...Read more
Clonazepam: Not for daily use. Absolutely not. This is setting you up for a lifetime of being medicated. Neither of these drugs are curing a problem. The underlying problem needs to be solved. ...Read more
If person with Advanced neurodegenerative disease, taking seroquel Zoloft (sertraline) for dementia but Develop contraction and rigidity, how is EPS treated first?
Stop offending meds: By first intention one needs to be sure that the symptoms of EPS in fact, are real. Secondly, stop offending meds (taper depending on which ones) and replace with others which do not have EPS as side effect. Third consider treating with antiparkinsonians if pushed against the wall but typically those medications are not robust at all for these types of problems. I don't like cogentin (benztropine) in Alz. Dz ...Read more
Hi, I am taking celexa 20 mg for depression and anxiety and klonopin (clonazepam) for anxiety and panic. Could I replace the klonopin (clonazepam) with amitriptyline safely?
Not enough info: Switching medications requires knowledge of your entire clinical situation. You need to discuss with prescribing doctor reason for changing any med and how to do so. Also you must be seen and carefully monitored for symptoms and side effects. I hope this helps. ...Read more
Bipolar II and anxiety disorders. Take klonopin for the anxiety, Neurontin (gabapentin) for mood stability. Recommendation for antidepressants for the depression?
Your doctor: is the best person to answer this question. The answer requires detailed knowledge of your situation, no two are alike, and your struggles with depression. The medications you are taking may, over time, work on your depression as well as your other symptoms. Ask at your next visit or schedule one. If at any time you feel you may harm yourself, have any thoughts of suicide, go right to ER ...Read more
Im on Zoloft and Buspar (buspirone) and Risperdal for deeprassnt can Risperdal bi replace to remeron? For insomnia and anxiety and deeprassnt? ??
Different rationale.: The Buspar (buspirone) is often used for anxiety but it may take time for it to work. Zoloft is an antidepressant of the SSRI class , Risperdal is an antipsychotic but is used in small doses for severe anxiety. Remeron is an atypical antidepressant and is used more to stimulate appetite or improve your sleep. Please discuss this with your doctor. He has specific reasons for the use of each drug. ...Read moreSee 3 more doctor answers
Yes.: Celexa (citalopram) helps with depression which is often associated with anxiety. GAD causes excessive anxiety and worry fatigue, irritability, restlessness, muscle tension, poor concentration and sleep disturbance which then causes depression. Sometimes minor tranquilizers work but when the anxiety reaches psychotic proportions, Risperdal and drugs in this class are used. ...Read more
Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.
No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read moreSee 1 more doctor answer
Why is it that baclofen interacts with Clonazepam?Took baclofen and felt more anxious. Currently tapering off of 0.5mg clonazepam. GABA interaction?
CNS depression: and increased seizure activity, if epileptic, may be the consequence of the combination.I'm not sure why you take the clonazepam, but it is wise to avoid the combination if possible, till done with the baclofen. Clonazepam is a controlled drug, and better confer with your provider regarding dose change. GABA effects: this is how the clonazepam acts, and adding baclofen might increase such activity ...Read moreSee 1 more doctor answer