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Doctor insights on: Long Acting Benzodiazepine Medication

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What's your opinion on taking a long acting benzodiazepine bid, in combination with a very short acting one (Xanax, Ativan) prn? I've been on Xanax 2m

What's your opinion on taking a long acting benzodiazepine bid, in combination with a very short acting one (Xanax, Ativan) prn? I've been on Xanax 2m

Not a good idea: The benzodiazepines such as Xanax or Ativan are addicting. I suggest you speak with your prescriber about alternatives such as behavioral therapy, alternative anxiety meds and serotonergic meds. ...Read more

Dr. Linda Callaghan
9 Doctors shared insights

Long Acting Benzodiazepine (Definition)

Long-acting benzodiazepines are a kind of sleep-inducing drug ...Read more


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Why are benzodiazepines no longer listed as schedule IV drugs?

Why are benzodiazepines no longer listed as schedule IV drugs?

Addiction: Benzos are schedule II drugs because of their high rate of becoming habit forming and addictive. ...Read more

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Can withdrawal from ssri, benzodiazepine, and antipsychotic create insomnia for over four weeks? Does medication make a condition worse than ever befo

Can withdrawal from ssri, benzodiazepine, and antipsychotic create insomnia for over four weeks? Does medication make a condition worse than ever befo

Yes: Sleep can be a fragile venture, so withdrawal from these potent psychoactive agents can certainly disrupt it. Someone thought you needed to be on these meds, so the underlying condition could also be contributing to your insomnia. Ssri withdrawal is very uncomfortable, but temporary (so it might feel worse than your original condition). ...Read more

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I am out of my anxiety medication which is a benzodiazepine. I do not have a primary care physician nor do I have insurance. What should I do?

I am out of my anxiety medication which is a benzodiazepine. I do not have a primary care physician nor do I have insurance. What should I do?

CALL A CLINIC: You must have a physician prescribe or maybe a nurse practitioner so it is best to try a clinic and they go by income and may be able to help you get insurance. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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I have severe anxiety with psychosis, depression. Psychotherapy hasn't worked for me so I have resorted to taking benzodiazepines and other medication?

Dr. Alan Ali Dr. Ali
1 doctor agreed:

Therapy: If supervised by your physician & they are helping your symptoms, I would recommend combining medications with psychotherapy for best results. ...Read more

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Hello Dr. Dhir I have a friend who is getting a new job and is worried because she takes the medication Zoloft and we have readt that it can show up in a urinalysis as a benzodiazepines but she has her prescription for the zoloft so she can show the nurse

Hello Dr. Dhir I have a friend who is getting a new job and is worried because she takes the medication Zoloft and we have readt that it can show up in a urinalysis as a benzodiazepines but she has her prescription for the zoloft so she can show the nurse

Zoloft (sertraline) and related: Medications are used by millions of people today. I don't agree that they are so widely used and prefer cognitive behavioral therapy but that's another matter. Your friend will likely have no problem because of how many folks are on Zoloft (sertraline). Peace and good health. ...Read more

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Do psychiatrists prescribe benzodiazepines with Adderall (dextroamphetamine and racemic amphetamine) or just ADHD stimulant medications?

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

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I'm tapering off rivotril slowly. When I'm clean, how long will it take before my benzodiazepine tolerance gets back to or close to zero?

Unpredictable: There are many factors that will determine when your tolerance will return. It should take several weeks tapering off of medication. Age, length of treatment, metabolism can all factor in to the answer. ...Read more

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How long can one be on benzodiazepines hypothetically when starting on a low dose (e.G Xanax (alprazolam) 0.25 mg) until tolerance induction?

No time limit: Tolerance can develop quickly with medications like xanax (alprazolam) and is the main reason fot them to get abused. It is advisable to be under a physician's care to ensure the medication is treating the symptoms for which it is prescribed. ...Read more

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How long do I need to be taking benzodiazepines to cure my social anxiety for?

How long do I need to be taking benzodiazepines to cure my social anxiety for?

Benzos aren't a cure: I agree with dr. Ali. Benzodiazapines numb you to your anxiety but they don't address the underlying cause. They can also be very addicting. A selective serotonin reuptake inhibitor would be a class of medication that could help with the underlying neurochemical problems but psychotherapy such as cognitive behavioral therapy would actually start to give you control. Look into deep breathing ex ...Read more

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Can benzodiazepines be in the same class of drugs perhaps be as addicting as opiates?

Can benzodiazepines be in the same class of drugs perhaps be as addicting as opiates?

Addiction: Benzodiazepines and opiates are different types of drugs, and act by different mechanisms on the body. But they are both habituating. Susceptible people may also use both in an addictive way: using more than intended, developing tolerance, and continuing to use despite adverse effects on relationships, work, and health. ...Read more

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Can you tell me some anxiolytic drugs you can suggest in alternative to benzodiazepines?

Can you tell me some anxiolytic drugs you can suggest in alternative to benzodiazepines?

A couple: Buspirone; vistaril; ssri's like paroxetine, sertraline, escitalopram; mirtazepine; trazodone, etc. Psychotherapy can be very effective. So can homeopathy; also certain herbs like lemon balm, kava, and theanine (a component of green tea). ...Read more

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Can eugeroic drugs and benzodiazepines be taken within the same 24-48 hour period safely?

Yes, but: Be careful because the eugeroic (wakefulness promoting drugs) can increase diazepam levels to some degree, so you will have to probably decrease your valium dose under the supervision of your sleep doctor or psychiatrist, until you find the dose that you tolerate without it making you excessively sedated. Be careful driving and operating machinery. ...Read more

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I have a serious question about drug overdose. Can you od on prescription benzodiazepine?

I have a serious question about drug overdose. Can you od on prescription benzodiazepine?

OD is over dose: If any medication, is taken as instructed by the physician is safe and not called as od. Substance abusers, get addicted and take several times the therapeutic dose reaching lethal levels of medication then called od, . ...Read more

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How long does Paxil (paroxetine) take to have a therapeutic effect? Why does it not work instantaneously, like benzodiazepines?

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

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I was previously prescribed Clonazepam taken occasionally when needed eg social functions but made me dopey. Can you recommend another benzodiazepine or other drug that can be used this way but less likely to make me dopey that I can ask my Dr about?

Propranolol: If you have some social anxiety, propranolol is often times used for people with similar symptoms. People may use it as needed for events such as public speaking. It works to slow down you heart rate and is historically a heart medication however it has benefits for people with social anxiety and typically is a safe medication. Discuss this with your physician as it will not make you drowsy. ...Read more

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How are drugs categorized as antidepressants or benzodiazepines different?

Very different: Benzodiazepines bzd develop tolerance and can be addictive. Antidepressants ad are not. All bzd effect GABA and are different only in half life and onset of action are used for anxiety or insomnia short term. Ad can help anxiety or insomnia as well as depression on a longer term basis by several different mechnisms effecting serotonin, norepinephrine, and/or Dopamine in various ways. ...Read more

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Is there any medical reason for an abnormally large number of false positives for benzodiazepines on urine drug screens?

Benzodiazepines: Nope. But remember benzos can stay positive in the urine for six weeks. One false positive is occasionally seen, but not repeated testing. ...Read more

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How long can patient's safely use benzodiazepines without becoming dependant or without having withdrawal symptoms when they stop?

Depends: 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

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Can taking benzodiazepines while on drugs like heroin, cocain, & meth be dangerous? If so, how come? ... Just wondering

Can taking benzodiazepines while on drugs like heroin, cocain, & meth be dangerous? If so, how come? ... Just wondering

Yes: The respiratory depression with heroin is additive. You can go to sleep, stop breathing, and wind up in heaven. Cocaine and meth can cause lethal cardiac arrhythmias...With or without the addition of benzodiazepines. Coming down off coke and meth commonly causes depression which benzos would exacerbate. Bad polypharmacy! ...Read more

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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

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Do GABA drugs always work for everyone? Mainly benzodiazepines and the z drugs. Ambien 5mg with lunesta (eszopiclone) 3mg combo isn't. What similar meds could work?

Do GABA drugs always work for everyone? Mainly benzodiazepines and the z drugs. Ambien 5mg with lunesta (eszopiclone) 3mg combo isn't. What similar meds could work?

Eval 1st, med 2nd: What "works, " depends on clinical need. For instance, you'd have to assess why there's a sleep disturbance in the first place. These have many possible causes, and applicable medicines & other treatments would change accordingly. Please consider seeing a psychiatrist who can help you with your individual situation and concerns. If needed, a formal sleep study can be done also. Good luck. ...Read more

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Which benzodiazepine drug is be most effective as a sleeping tablet, chlordiazepoxide or diazepam?

Which benzodiazepine drug is be most effective as a sleeping tablet, chlordiazepoxide or diazepam?

Neither is/are safe: Chlordiazepoxide (librium) has a half-life of 5-30hrs w/active metabolites staying in your system 3-200hrs! Diazepam (valium) has a half-life of 30-60hrs w/active metabolites staying in your system 30-100hrs. Neither are indicated (approved) for use in insomnia. All benzo & other non-benzo sedative-hypnotics are associated w/increase risk of injuries & even mortality. Http://bit. Ly/kbqlwd. ...Read more

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I suffer of social anxiety and depression related to it. I tried different drugs (several ssri, benzodiazepines).They didn't help me in no way. What nex?

I suffer of social anxiety and depression related to it. I tried different drugs (several ssri, benzodiazepines).They didn't help me in no way. What nex?

Social anxiety: Did you also do therapy? Medications alone will not be sufficient. The combination of medications with cognitive behavioral therapy is the recommended treatment strategy. In regards to antidepressants, you may ask your doctor to try snris like Effexor (venlafaxine) or cymbalta. In some cases augmentation with mood stabilizers/atypical antipsychotics might be necessary. ...Read more

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I took a urine drug screen and benzodiazepines showed up in my metabolites I haven't taken a benzo in three months but have a bad liver is that why?

I took a urine drug screen and benzodiazepines showed up in my metabolites I haven't taken a benzo in three months but have a bad liver is that why?

Drug testing: Urine drugs tests are quite accurate. When reported as +, it means it has shown positive on an initial chemical screening ; then usually also been confirmed by a test for a specific molecule. The confirmations generally do not cross react with other substances ("false positives"). With a sick liver, it can take some time for benzos to clear, but I have not seen it be more than 1 mo, at most 2. ...Read more

Benzodiazepine (Definition)

They are used for anxiety ...Read more