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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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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