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Can Be Serious: It depends on the length of time the person took tranxene (clorazepate) and the daily dose. If a person takes tranxene (clorazepate) everyday for at least month, he or she may have mild to moderate to severe withdrawal symptoms, again depending on the daily dose. The symptoms would be anxiety, irritability, tremors, insomnia and even withdrawal seizures. It is important to discuss slowly tapering off with your doctor. ...Read moreSee 1 more doctor answer
Yes: Ativan (lorazepam) is a benzodiazipine, this class of meds can be addicting, even small doses used over an extended period of time can be very difficult to stop. Some people take them as prescribe and find it very hard to stop, others can be more overtly addicted and continue to take higher and higher doses. In general best for short term use only. Try to avoid if history of addiction like alcohol. ...Read moreSee 1 more doctor answer
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
Not fun: Usually the strategy is to slowly taper off the benzo and use a long-acting one, and sometimes it's really, really slow. Here's a trick i sometimes suggest to my patients: when your dose is pretty low, gently drag you pill across an emery board before you take it. One time the first day, two times the next, etc. That way you're very gradually cutting the dose down. Good luck and stick with it. ...Read moreSee 1 more doctor answer
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
Benzodiazepines: The medications that you have listed are benzodiazepines and used to treat anxiety, panic disorders, seizures, and are sedatives. These medications vary in the onset of action, side effects and all can be habit forming. The best medication is the one that best fits the patients clinical problem. ...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
Klonopin (clonazepam) addiction: Good question. For vulnerable people, the pleasurable sensations that make addictive drugs disastrously attractive occur when Dopamine levels in the brain’s reward area surge abruptly. Usually there are neurons in the brain that inhibit this result, by downregulating dopamine-producing neurons. Benzos like Klonopin (clonazepam) inhibit these "inhibitory" neurons -- taking the brakes off the Dopamine surge. ...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
Rare: In clinical trials, patients that stopped Lunesta (eszopiclone) typically did not have noticeable withdrawal symptoms, but anything is possible. Sometimes if you have gotten used to taking a sleep medication at night and you try to stop it, your body can have a little more difficulty in falling asleep without the help of the medication. You can try cutting the dose more slowly. ...Read moreSee 1 more doctor answer
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
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