Doctor insights on:
I keep on getting panic attacks, and Xanax (alprazolam) doesn't really help. What other benzodiazepine should I try that might help me? Thank you, please help!
Not a benzo: Better treatment for panic attacks would not be another benzodiazepine, but probably an ssri such as celexa, zoloft, or even prozac. Other antidepressants such as Effexor (venlafaxine) may prevent panic attacks also. Thought they can help when appropriately dosed, benzodiazepines are a temporary solution because tolerance may develop. Cognitive behavioral therapy is an important part of treatment also. ...Read more
Increased risks: There are risks of dependency including increased dysfunction with either relationships or work as well as the possibility of increased risk of depression that some describe. There is also a higher chance for respiratory suppression when combined with other medications or alcohol and this could lead to death if severe. ...Read more
Sedation / coma: Benzodiazepines are a class of medication which can help with anxiety and sleep disorders. Well known drugs include valium, ativan, and klonopin (clonazepam). Too much benzodiazepine typically causes sedation ranging from drowsiness to coma. Combining benzodiazepines with other drugs, especially in excess (such as alcohol) is exceedingly dangerous. ...Read more
Do psychiatrists prescribe benzodiazepines with Adderall (dextroamphetamine and racemic amphetamine) or just ADHD stimulant medications?
Benzos and ADHD: This is not a usual combination. Benzodiazepines are antianxiety medications and may cause sedation countering the effect of adderall (dextroamphetamine and racemic amphetamine). If anxiety complicated your adhd or is contributed to by adderall (dextroamphetamine and racemic amphetamine), considering an alternative to Adderall (dextroamphetamine and racemic amphetamine) should be discussed with your prescriber. ...Read more
Anxiety, generally: Benzodiazepines are a class of medications known as anxiolytics meaning anti-anxiety. Many who take benzos do so chronically for anxiety disorders that are long-standing. Others take benzos as needed to sleep or when anxiety suddenly becomes overwhelming. As for how to have this class of medication prescribed, I recommend an open conversation with your doctor. ...Read more
How long can patient's safely use benzodiazepines without becoming dependant or without having withdrawal symptoms when they stop?
The risk of withdrawal is a function daily dose, duration of treatment, individual characteristics.
Low dose for less than two weeks is not likely to produce dependence or withdrawal. ...Read more
What is safer for long term use and short term for all types of anxiety, benzodiazepines, paxil, zoloft, lexapro, buspar, (buspirone) or marijuana (used correctly)?
Not benzo's.: Hello - long term use of benzodiazapines can lead to tolerance. Marijuana can cause marked psychiatric problems in some people including anxiety, psychosis & paranoia. Paxil can be used long -term but most of my patients have experienced more side effects with it then from Lexapro & zoloft. I see you are on Lexapro -it has an excellent side effect profile. Buspar (buspirone) is very safe for long-term use. ...Read more
Any equivalent drug as effective as benzodiazepines when taken only as needed in an anxious state (1-2 times a week)?
Unfortunately: Benzodiazepines are the gold standard for prn anxiolytics. ...Read more
How long does Paxil (paroxetine) take to have a therapeutic effect? Why does it not work instantaneously, like benzodiazepines?
4-8 weeks: It takes about 4 to 8 weeks to see the full effects of a particular dose of paxil (paroxetine). This is because the immediate Paxil (paroxetine) effects of increasing serotonin levels in the areas that connect brain cells (synapses) are not correlated with changes in mood or anxiety; instead, receptor changes and nerve growth factors stimulated by weeks of elevated serotonin seem to be. ...Read more
What benzodiazepine works better for social anxiety? I tell my doctor 1 mg a day of clinazapam don't work but he ignores it.
So it don't work?: Using benzodiazepines as first-line treatment for anything psychiatric is a bad idea, clinazapam as much as any of the others especially if 1 mg a day don't work. You got your chronic dependence, got your sedation, got your drug & alcohol interactions, got your impaired judgment, got your tolerance, got your liver issues...your doctor is ignoring "it" for a reason: "It's" a bad idea. ...Read more
How long does it take to safely detox from benzodiazepines? After eight years of using them, I was told I could get off in 10 days.
Depends: Really depends on the daily dose. .. Probably will take longer than 10 days. ...Read more
Yes: As a pathologist, I've seen this. The benzodiazepines are quite safe and unlikely to kill alone even if abused, which unfortunately some people do. But add alcohol to the mix, and these people perish. I've found life too rich to want to live it with anything but a clear head, and confronting its inevitable difficulties -- and it's been rough -- without numbing myself. Peace and love. ...Read more
Depends: Some people get side effects at low dosages because theyt are sensitive. Others need higher doses. It usually is trial and error to see which dose will cause dise effects in people and people have different sensitivities to different side effects like nausea vs sedation. ...Read more
Name 4 common principles of CNS depressants. How do they differ from benzodiazepines I just want to know the 4 common principles of the central nervous system and how does it differ from benzo's
Don't understand: What you mean about "principles" of CNS depressants. I am not aware of any such classification. CNS depressants are a highly variable group of drugs, ranging from alcohol, barbiturates, barbiturate-like drugs (ghb, glutethimide, methaqualone and others), benzodiazepines but also antihistamines, anticholinergics, antipsychotics and others. All activate gaba, some chloride ion channels (more lethal). ...Read more
How long do benzodiazepine withdrawals last? Tapered down off of klonopin and took Xanax (alprazolam) as needed after (usually. 5 mg every 3 days); its been rough
May take a while...:
There can be both physical as well as psychological dependence. If your life is harried and you have taken a lot of klonopin (clonazepam) for some time. It may take longer. The need for treatment may be evident and hope you have been seeing your doctor. Would get further advice on treatment from your doctor or psychiatrist.
Best wisehs ...Read more
Benefit of cimetropium bromide in controlling ibs-c. Does it interact with perindopril, indapamide or bisoprolol. Can it be taken with benzodiazepines?
Multiple medications: Cimetropium bromide is an anticholinergic medication and smooth muscle relaxant, used to decrease bowel spasms, pain and abdominal distention in ibs. It's not available in the us., but your note says you're from india. I didn't find interactions with your other BP meds. You don't say which benzo, but i'd be watching for possible sedation or dizziness. Ask your prescribing doctor specifically. ...Read more
Benzodiazepines produce relaxation, sedation, and at times euphoria. Their risk is accentuated by addition of other drugs. Benzo's don't play well with others!
the combination of narcotics (opioids) and benzo. Is the leading cause of death in florida.
The short acting benzo's produce a quicker, stronger effect, and are more dangerous (xanax). Lorazepam is also risky. Valium in low doses safer. ...Read more
There is no "best": Benzodiazepines all work on the same receptors, and pretty much do the same thing. Some are short-acting, others intermediate, others long-acting. Some are rapidly absorbed, others slowly. Some hit the brain very fast, others much more slowly. If you want something for temporary anxiety, a rapidly-absorbed short acting drug (like xanax (alprazolam) or ativan) may be best, for gad, Clonazepam or librium. ...Read more
Yes: They may be taken together. There are no drug interactions listed on www. Drugs. Com, but you must realize that both of these can cause sedation and that the sedation can be combined. ...Read more
Yes: And this is true, for the same reasons (the same receptor systems are involved) with alcohol. It also occurs with opioids, which involve a different receptor system. The nervous system seems to retain a "memory" of prior use and tolerance, just as the immune system remembers exposures to allergens. The tolerance doesn't re-emerge with the first or second use, but within a few days, it does. ...Read more
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