Doctor insights on:
Metoprolol For Opiate Withdrawals
No reason for that: Doctors say "No!" They also suggest that you work w/ a doctor to help you go through opiate termination. It's the safest way and you deserve all the support you can get. You're almost certainly be doing the right thing - don't select our own assistance drug. ...Read more
Define "help": Opiate withdrawal's tough & can be dangerous if not supervised. You'll have to be more specific on the word "help?" It can attenuate symptoms but is no guarantee or panacea and must be used along with other measures. A novel agent that deserves attention is NAD+ I've seen remarkable results with NAD infusions compared to virtually anything else. Google it. Questions? www.healthtap.com/dr-saghafi ...Read more
Not necessarily: I have heard patients tell me that suboxone withdrawal is not as bad and have also heard it's worse. It depends on from how high of a dose one is stopping whatever opiate they've been taking. It is much easier and safer to try and gradually decrease the opiate dose until one is stopping from a very low dose and not a higher dose. The higher the dose, the worse the withdrawal when stopping. ...Read moreSee 2 more doctor answers
No: I would not recommend using an potentially addictive drug to ease a side effect of withdrawal from another drug. Not sure if you are working with your doc on tapering schedule or not, if you are may need to slow it down. Discuss with doctor, there may be other options. For some of my patients i've had success putting on Prozac to wean off paxil, (paroxetine) then wean off prozac. It's longer half life helps. ...Read moreSee 1 more doctor answer
Not first choice but: Gabapentin has no cross-tolerance with benzodiazepines, so would probably not be first choice for xanax (alprazolam) withdrawal. However, there is at least one case report of using this for xanax (alprazolam) withdrawal -- successful results. As an anticonvulsant it might be effective when other options fail or are unwise. See the abstract: http://www.Ncbi.Nlm.Nih.Gov/pubmed/17124639. ...Read more
Controversial: There are studies on both sides of this issue, with some researchers finding that tramadol did reduce withdrawal, while others finding that it either did very little, or in some cases actually made it worse. A problem is that doses of ultram in the therapeutic range (300-400 mg/day) can cause seizures. My patients have told me mostly that ultram did very little for them, but a few got + results. ...Read more
Not recommended: The best thing is to seek help for alcohol withdrawal, which can be dangerous. Check with your doctor and get her/his recommendations for withdrawal treatment. Xanax (alprazolam) doesn't last as long in the body as valium or librium, and there could be a risk of seizures if it wears off and the alcohol withdrawal breaks through. Don't try this at home! ...Read moreSee 3 more doctor answers
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
It would be worse: The treatment of withdrawal syndromes is with drugs that are longer acting than the drug from which you are withdrawing. Klonopin should be gradually tapered over several months in people who are on appreciable doses for a long time. Xanax (alprazolam) is short-acting, will relieve the symptoms but produce more dependency than the Klonopin did. Anticonvulsant meds (depakote. Neurontin) can help. ...Read more
Not a good idea: While Xanax (alprazolam) could help with some symptoms, it is never used this way in a medical setting. Xanax (alprazolam) is short acting and one of the most addictive benzodiazipines. It itself has the highest risk of seizures if withdrawaling from it. Since not doctor who is familar with treating alcohol withdrawal would use it, i suspect you are trying to withdrawal yourself. Don't do it find a qualified physician. ...Read moreSee 1 more doctor answer
Request Ambien (zolpidem) taper schedule. Current dose = Ambien (zolpidem) 5mg and Ambien (zolpidem) cr 6.5mg q.D. At bed for ssri taper. 1 month clear of ssri, doing well...Desire taper from ambien (zolpidem). Otc meds (melatonin) help?
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