Doctor insights on:
Valium Xanax Klonopin Affect Male Fertility
Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more
Is it safe (non lethal) to have 2 drinks with 0.5mg Klonopin? I've done it several times. Is Valium safer than say Xanax (alprazolam) w/regards to having 2 drinks?
None are good: None of these are good to mix w/ alcohol. It may never kill you, but it's not safe and depending on other variations in your input (diet, illnesses, state of general health) it may suddenly be more risky. Talk frankly w/ your Dr and consider quitting drinking while you need the drug treatment. Talk therapy is am option and CBT helps anxiety mgmt best! ...Read more
I'm a huge dental phobic. Was given 10mg Valium but it didn't help. I heard Xanax (alprazolam) or percocet works better. Is this true? Which is better. Help!
Best plan of action: If you're a dental phobic, this would be my personal recommendation. Start by finding a well respected dentist in your area that caters to patients with dental phobias. Call the offce just for a consultation. Discuss your fears & have that dentist suggest appropriate ways to deal with having your dental treatment done. Please don't listen to friends or try to find the answers via the internet. ...Read more
Benzos: Not clear with your circumstances, but such inquiry needs to be directed to them. ...Read more
I'm on 5mg Valium 3x per day for anxiety. I had a panic attack today and had 2 Valium + a xanax (alprazolam). Now I can't sleep - would having another 10mg be okay?
How often do you see paradoxical reactions to Valium and xanax (alprazolam)? Is it often or infrequent
Not very common: A paradoxical reaction to a med is one that causes the opposite of usual expected effect. In a benzodiazepine it would be anxiety, insomnia, over-stimulation or agitation. If this occurs, one would suspect an unidentified underlying problem as associative cause (such as bipolar disorder, thyroid disease, drug abuse). In any case, discontinuation would be indicated & a search for other causes made. ...Read more
I don't have health insurance aside from VA coverage. They don't prescribe what's worked in the past. Can you help me get Xanax (alprazolam) or Valium for my anxie?
No, I can't: Benzodiazepines, most of us feel, should NOT be the primary treatment for anxiety in the majority of people, and actually makes things worse in a lot of people, including producing abuse and addiction. The primary treatment of anxiety is psychotherapy, and the primary medication should be an antidepressant, most of which will also work for anxiety without the problems of benzos, but takes more time ...Read more
Benzos and Benadryl (diphenhydramine): First I need to question doses of xanax and valium and why you are taking 2 different benzodiazepines. Most people do not realize xanax is about 10x more potent than valium. So I don't see 25mg of Benadryl (diphenhydramine) as the primary issue. Do u have 2 different practitioners rx benzos? If so have only 1 captain running your ship & rxing meds. Discuss this with your rxing practitioner. ...Read more
Minor: Grapefruit juice inhibits the liver enzymes that break down certain medicines, resulting in a small increase in the medicine's effect. This definitely occurs with valium; there is some uncertainly whether it affects xanax (alprazolam) as much, or at all. It takes a lot of grapefruit juice (at least a pint, probably more) to have this effect. Tell your doc if you drink lots of grapefruit juice regularly. ...Read more
Correct!: Grapefruit and grapefruit juice can interfere with your body's breaking down medicines like xanax (alprazolam) and valium. They could build up in your system, making you drowsy or having other side effects. Avoid grapefruit juice and grapefruit-containing foods while on these medicines. You can enjoy orange juice, though! ...Read more
What your Dr prescr: Prescribes. The decision regarding the dose of any medication like this is extremely personalized. People have tolerances to this class of medication all across the board. As physicians we try to provide just enough to treat the symptoms while adding in an antidepressant that has been antianxiety effect as well as psychotherapy. We try to keep the dose as little as possible and the treatment as short as possible with the realization that there are people who require extremely low dose short-term treatment and others who require the opposite. Severity of the anxiety interestingly does not always predict dose response. Some people with high anxiety get by on low doses and some people with relatively low anxiety require higher doses. This is why the practice of psychopharmacology is so individualized. ...Read more
Have been tapering down from 1.5mg of Xanax (alprazolam) down to approx.. 20mg experiencing insomnia and increase anxiety should I switch to 5mg of Valium or continue my taper w xanax (alprazolam). Because vali is long lasting?
See below: That is an approach I would take. There are other meds that arehelpful. ...Read more
I need a tapering seclude for getting off 40mg valium, 2mg Xanax, 800mg Morphine, and 40mg IR Oxycodone The VA has had me on them 30yrs 365 24/7?
Talk to your doctor: Why not speak to your prescribing physician in order to have a tapering schedule taking into account your past medical history, rationale for being on these medications, and overall health status? Without these details, it is difficult at best to be able to provide a way to address this issue. Strongly suggest you speak to your local doctor regarding this. ...Read more
Paradoxical reaction: Some people do experience agitation or arousal in response to benzodiazepines, including diazepam/valium & alprazolam/xanax. Sometimes this is because of partial sedation or loss of focus, which can be upsetting; this should improve with dose reduction. Sometimes it is due to impaired ability to read/respond to your surroundings, which can be frightening. ...Read more
Duplicative: There should be no reason to duplicate the effects with those meds. ...Read more
Short vs long acting: Xanax (alprazolam) works for shorter periods, typically 4-6 hours, while valium works for 12-16 hours. Both are in the class of medications known as benzodiazepines, which work by increasing the effect of gaba, the generally inhibitory neurotransmitter in the brain. ...Read more
There is NO way to: Be able to answer this question with the info provided. It depends on the condition being treated and the doctors prescribing preferences. I am a psychiatrist - I would personally try to avoid treating a young person with benzodiazapines if possible (especially the two that you mentioned). ...Read more
Could having rapidly detoxed off of 80mgs a day of Valium + Xanax (alprazolam) as needed and 10mgs of Ambien a night trigger narcolepsy down the line?
Is Valium safe for occasional use for muscle spasms? Scared of side effects. I have taken xanax (alprazolam) in the past with no issues.
I understand your concern.
Thank you for informing about Depression, Gastroesophageal reflux disease, and use of Omeprazole, Xanax (alprazolam) and Nadolol.
Valium is safe for occasional use for muscle spasms.
Nadolol side effect may be anxiety and depression
Gastroesophageal reflux is likely due to Anxiety
Xanax (alprazolam) helps with Anxiety.
See Psychiatrist for Diagnosis, Therapy, and monitoring of Medications. ...Read more
A Pre employment urine screen, does it differentiate between a xanax (alprazolam) or a Valium, or does it just show positive for benzos?
I take Prozac and have been taking duromine 30 for the past 2 weeks, is this safe and can I also take Xanax (alprazolam) or Valium at night for anxiety?
BZD+stimulant+SSRI: Duromine (phentermine) is a stimulant which can lead to worsened anxiety and insomnia. It can also cause or worsen depression. Similar to Ativan and xanax, (alprazolam) this medication can be habit forming, tolerance and dependance can occur, and a vicious cycle may set in. The question is best answered by the prescribing physician. ...Read more
What is better for severe dental phobia? Valium or xanax (alprazolam). Was given 10mg of Valium but was still nervous. Please help. I'm extremely worried...
Many options: Most people will do well with valium. However, other options are available that perhaps your doctor does not provide. Nitrous oxide (laughing gas), oral sedation, IV sedation are some options available for nervous patients. Sometimes you just need to get a little bit of work done at a time and ease into treatment. You may choose to go to another provider who offers these options but expect $$$. ...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 more
Was on xanax (alprazolam) and Dr is switching me to valium for ic. Should I wait a day for xanax (alprazolam) to get out of system before taking valium?
Xanax (alprazolam) has a short: Half-life meaning it will leave your system quickly but may cause withdrawal symptoms. Valium has a long half-life meaning it stays in your system longer and will likely counter any withdrawal symptoms from Xanax (alprazolam). It is wise to follow your doctor's directives. Best regards for relief. ...Read more
Xanax (alprazolam) has short effect: Your gp is probably about right in terms of the immediate effects of xanax (alprazolam) versus valium, but the two are quite different in terms of how long effects last. In my opinion, valium is a much safer medication than xanax (alprazolam), because it stays acts for much longer and gradually tapers. Withdrawal symptoms, on the other hand, can occur within three or four hour of having taken a dose of xanax (alprazolam). If on xanax (alprazolam) for a long time, it has to be tapered very slowly even if valium is being taken at the same time. ...Read more
New gp has cut my dose of 30mg Valium to 25- but is prescribing a friend 3mg of Xanax (alprazolam) with no problem- is this fair to pick & choose?
Your doctor is: Basing their decisions on the issues, symptoms and concerns that you have brought to him. Your friend is not you and has other issues that he is taking into account. Speak with your doctor if you are not sure the medication is the right one for you. It is not a matter of fairness, but clinical judgement, which is why he spent years in medical school and training. ...Read more
I used totake xanax (alprazolam) laxa valium. Very high dosage. Does it effect sexual power. Can it be normal? I used 15 or mre tablets daily but now I have quit
I commend you for overcoming your Xanax (alprazolam) and Valium Dependence.
They can affect sexual desire, interest, drive, or performance, both increase and decrease. It is also affected by use of Alcohol at the same time, and your relationship with your partner.
Have heart to Heart talk with your partner about need for emotional, physical and sexual intimacy; and to see a Physician for Diagnosis and Therapy ...Read more
I used totake xanax (alprazolam) laxa valium. Very high dosage. Does it effect sexual power. If it does. Now how can become normal. I used 15 or mre tablets daily?
Unclear: Are you still using this medication? Tell us more details about how long you have used it and what is the current amount you are using. We can guide you as to how to reduce it and get you off of it slowly but safely. Yes it can impair your sexual performance and it will come back to normal if you succeeded in getting off the other drugs. ...Read more
24 hours ago I took the last 0.75 of xanax (alprazolam). But now I want to try Valium, maybe it is better for me post stress anxiety. Is it ok to take Valium now?
Is taking Xanax (alprazolam) and Valium okay for treating GAD (generalized anxiety disorder) and chronic back pain?
I cannot get more that 2-3 hours of sleep every night. I havetried all the natural routes and had elavil, valium, xanax (alprazolam). Also, there is no psychological component. Nothing is helping. What should I do?
Med to consider:
I agree with dr koenigsber's recommendation for a formal sleep study a trial on all subsequent recommendations.
If a med is still needed, talk with your doctor about trying low dose Chlorpromazine 25-75mg at bedtime. ...Read more
Klonopin (clonazepam) belongs to a class of medications called benzodiazepines. They are also referred to as sedative-hypnotics & anxiolytics. These medications are used for a variety of indications to include anxiety, insomnia, muscle spasm, seizure, & alcohol withdrawal. All benzodiazepines including Clonazepam are potentially habit forming. Alcohol should be ...Read more
Alprazolam is a short acting benzodiazepine, it does not last long in the system. So when used regularly with multiple doses to treat anxiety, it is associated with inter-dose withdrawal, tolerance and a resulting increase level of baseline anxiety. So in anxiety clinics, we use it only in cases of " flight, dentist or other infrequent anxieties, ...Read more
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