The extended release tablets should never be broken or split. Don't mention that it's more than your usual dose or anything, just tell them you took lorazepam just in case something goes wrong somewhere. Can you bring someone with you? Having the mirror there in my face made me feel a bit like a parakeet in a cage, but it was very helpful in making it seem like I was not, actually, trapped in a very loud coffin. It just helps pass the time. No as the article mentions it could be in their head, that they feel depended on it.
Regular alprazolam will work for about 5 hours; extended release about 11 hours. Lorazepam has a more rapid onset of action, 30 60 minutes, and may last up to 8 hours. Both are cleared by the liver, so they will last longer in folks with liver disease. Xanax and Ativan tablets are both scored, so pill splitting is an option. Xanax comes in 0. The extended release Xanax or the generic alprazolam XR comes in 0. The extended release tablets should never be broken or split.
Your generic will always be cheaper than your brand name, immediate or extended release. Ativan is available as a brand name or generic lorazepam in 0. The generic lorazepam is quite cheap. Long term use of both alprazolam and lorazepam carries the same risk of the development of physical and psychological dependence and withdrawal symptoms when discontinuing them.
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I do think people need to look at both sides of the stories of these meds. Weigh the pros and the cons and make a well informed decision with your doctor. Just because Jane Doe had this and that happen to her when she was on it, doesn't mean you will. Always be vigilant and be an advocate for yourself, because frankly, no medical professional can do this for you. In all honestly, and I am a humble person, I know more about this stuff than any doctor who hasn't experienced the same things as I have, and taken the same medications.
I'd make a great psychiatrist because I could tell you the possible symptoms of most medications used to treat various mental illnesses. I chose not to go into the field when I realized how crooked, misinformed that most psychiatrists are. Some do give pills out like candy. Some just collect a check and send you on your way. Some call you a guinea pig which I was actually called when I was seeing a neurologist and decide to does you up with 5 extremely powerful medications at one time and then yell at you when you say you feel out of it, or your tongue is swelling up and you don't think you want to take that medication anymore.
Yes, this happened to me when I was My parents believed in this doctor, so I was forced to take these medicines that effected me so badly I almost killed myself. But that is my story. I am glad I feel better and know that benzos aren't right for everyone, but do work for others. I am a concert level pianist. I froze up mentally, and my hands shook and sweated. Klonopin didn't help because one can't play when "drunk.
One day a doctor prescribed what's called a beta blocker. It is something that I believe is used for heart patients? It left me completely calm, but completely alert and co-ordinated. For the first time in years I was completely relaxed at the piano despite the audience. This experience caused me to want to play for people, and before long I didn't need the beta blocker. I had regained my confidence. I just needed help to stop anticipating the panic, and to again learn to enjoy the experience.
I'm not a doctor and I don't know why more don't prescribe this for situational panic such as flying. It really worked for me without the side effect of being "tranquilized" with lost coordination mentally or physically. The physiological effects of beta-blockers drugs used primarily as anti-hypertensive agents include slowing the heart rate and diminishing trembling in the voice and hands. They have been studied in musicians, and they are given, also, to social phobics who are overly concerned about other people noticing their hands shaking.
The effect is primarily on the outward manifestations of anxiety. A number of patients have told me they continue to feel anxious inwardly, but that their pulse is slow and their hands do not shake. If a patient comes to me already on these drugs, I will continue them; otherwise I do not recommend them. As Anonymous indicates, playing his instrument publicly is a matter of self-confidence. The symptoms he complained about are what are usually referred to as "stage fright.
I think there is a psychological advantage to coping naturally with these feelings which are a natural consequence of confronting danger. Sometimes I see patients who are taking sub-clinical doses of beta-blockers in order to address business meetings. They are then largely a placebo; but patients hang on to them for years,nevertheless.
Having said all that, I am willing to try anything that works, even if the effect is minor and transitory. I am currently in the last year of my bachelor's degree. I have always had anxiety as far as I can remember. Typically I self medicated with alcohol and other drugs, but I also know I have a proclivity for "getting high. It was a tough tough time, so eventually I sought help and got prescribed SSRIS, but I didn't like being on them - thought they caused a lot of side effects and gradually lost their efficacy, so I tapered off.
When I decided to get my degree and returned to school as an adult student at 30, my anxiety went off the charts as my program was incredibly competitive and my desire to succeed was exacerbated by my perfectionism. This caused me to find a Doc. I found one who would. I have been on them for three years now. Initially they worked like charm, but now I may be in trouble. While, I never abused the Benzos- staying at a relatively constant 1mg to 1.
As you have mentioned you rarely prescribe them to collage students, is this something you routinely encounter? I have done very well in my program, however I am very concerned that this drug even at a stable dose is eroding my memory, and I persevere often by brute rote, doing what other students aren't willing to.
When it comes to complicated classes like calculus and 3rd year economics, I manage to get through the classes, but a month after exams I can not remember nearly anything I supposedly learned. There have been times where I have gotten the highest mark in the class in a subject, yet I cannot communicate what I have learned a little while after the exams or have nearly any of the knowledge available when I take more advanced classes in the same subject that require me to build on the previous class.
It's like I have to always start over from the ground up. I also seem to forget simple things routinely, like how to spell a word I have written and read thousands of times. It also seems harder and harder for me to maintain my attention on tasks in school and in life in general. When I said I am in trouble before, it is because I would like to taper off Ativan because I fear it is impairing or even destroying my memory, however the stress of the withdrawal and the anxiety of exams in the final year of my program are too powerful to cope with.
My doctor says Ativan is probably not affecting my memory and that I shouldn't worry, but I chose him because he is liberal with prescription pad- guy would prescribe me oxycodin for a headache if I asked. I'd like a real doc's opinion on the matter! I cannot reasonably make recommendations to someone I do not know.
I will say that many of the failures in memory you report can happen when someone is not on drugs. I think my memory is probably worse. I remember memorizing all of neuroanatomy for a test and not knowing any of it the day after. On the other hand, benzodiazepines do affect short-term memory. I do not think they are a good way of dealing with the stress of examinations.
There are psychological interventions you should consider. I understand your points, and well taken. It is good to learn to overcome fear naturally, but then again one can't "fall apart" and ruin a concert for an orchestra and a conductor in front of 3, people either, can he? Well yes, I suppose he can because I have. When I first took the beta blocker, I walked out and sat at the piano and immediately knew that my hands and body were still, that they weren't sweating, and I had immediate complete control just as if I were home alone.
The benefit for me was that I had fun playing for an audience for the first time in years. If a pianist can't control the shaking and sweating of his hands, he will fail. He will fail himself and everyone else in the room. But after just 3 or 4 experiences without those problems, and enjoying myself, I never needed the med again. Being certain that I would fail became self-fulfilling, just as being sure I wouldn't fail put the confidence back.
Turning a nightmare into fun was all it took. I just needed a little boost. I'm not a doctor. I don't know what's right for anyone else. I had stage fright so bad that I don't think I would have gotten over it without help. After all, it is all about what we think, isn't it? At least it was for me. I'm just happy that the drug usage was so temporary, and that the change occurred so fast for me.
I have been on Ativan, lorazepam , for almost 30 years. I have no brain damage, no liver or kidney damage and this anti-anxiety medication has allowed me to lead a fairly normal life. When a person has chronic depression doctors have no problem putting them on anti-depressants for the rest of their lives and many anti-depressants are much more toxic that benzos.
I have chronic anxiety, PTSD, social phobia and agoraphobia that made me home bound for many years until my psycho-pharmacologist prescribed lorazepam. I was then able to go to school, get a job and support myself instead of relying on social security. Why is chronic anxiety medication used under a doctor's care any different or worse than any anti-depressant medication? Some people need it their whole lives.
It's a fact and it saved my life. I do no believe if you only need it for short term it is the right choice. Long term it is. I believe the opposite of what is written in medical manuals and I am living proof that for some it is the right choice. Every person is different. Let's get back to idiosyncratic diagnoses and medication distribution instead of consistently trying to group individuals into categories.
I have been on lorazepam for 10 years. It has literally saved my life. It helps to calm me down and I feel if I didn't have it I may have turned into an alcoholic like the rest of my family. Mental disorders are not fun and if you have never had to deal with it you can't pass judgment. Over the years the dosage has had to double for me at times. I try to monitor my dosage and cut back on days that are not so difficult. I am glad my doctor understood my condition. I hope that people reading the post don't get scared off of taking it if needed.
Like everything in life you need to make wise choices. I have a job, and have been successful. I've never missed a day of work. I exercise, eat well and I am healthy. Before I was prescribed lorazepam I had high blood pressure, migraines, constant worry, nightmares. It isn't always perfect and there are still very bad days, but just knowing that I have relief, I get by.
There are benefits to benzos, it just seems to me all you hear is the negative. I also strongly urge you and all prescribing doctors read the Ashton Manual as well as the research papers she and other reputable researchers who have spent careers focused on this medication have submitted. Benzodiazepines curb and sometimes completely block slow wave and REM sleep.
I was on them for 6 years and slept long hours. Only after stopping them did I truly experience real, healthy sleep. I see no benefit to using them as a sleep aid ever. It's very easy for doctors to claim to know the difference between a psychological dependence and a physical dependence because the science of neurology is rudimentary when understanding the complexity of the organ it studies.
This gives doctors like yourself far too much power to judge behavior. I'm glad you're conservative in prescribing these medications but I honestly believe you don't fully realize how much you don't know about the brain, psychology, neurology and psychiatric medications you prescribe. I'm sorry, I was given Xanax. I took it fir 3 months and thought I was doing much better in therapy until I tried to get off it because I was experiencing difficulty with memory and analysis, interfered with my work.
I ended up having to do. I had extreme head pain and other effects. It took me two months to get off. Now when exhausted I will take. You should do your homework on benzos like Xanax, they are immediately addictive due to the way they interact with GABA receptors, these withdrawal symptoms are not our imagination. They are very real. I have never taken Xanax. I have been using Klonopin for about 20 years?
About a year ago I had a couple of terrible things happen in my life and I lived on it for 2 or 3 months until I got a grip. Then I didn't use it at all for at least a month and no problems for me. I do believe that a drug can affect different people differently. For instance Percocet which is a sched. II narcotic Opioid given to me by a dentist for tooth pain didn't help the pain and wired me up all night instead of making me drowsy. I switched to Advil which killed the pain and allowed me to sleep.
It started out with. I was petrified to take it at first and now that I have I regret it. My doctor gave me klonopin next but I have yet to try it. I have an aversion to medication, however I have panic disorder and it has steadily gotten worse. I found the statement about feeling immediately better after taking the pill despite the fact it takes a while to kick in interesting. I find this true for myself and even despite taking it the panic attacks still occur especially if I have to leave the house.
I would be more interested in finding more information on how to cure panic disorder as you put it. That in itself would be a blessing because I don't enjoy being on medication especially when I feel it is treating a symptom and not the source of my issues. I've used only Klonopin. It helps me in more than one way. Just having one in my pocket gives me confidence and then I might not need it. I do suggest that you take one the instant you feel an attack coming on.
If you wait until it's a full-on attack it will take more meds and longer to knock it down. As for a real cure, I don't know. I suspect my problem is chemical and it takes a chemical to put me back in balance. Your results could be different. I should have read better. I would never take it 3 times a day whether I needed it or not. I'd talk to my doctor about that. I don't want to be a zombie, and I don't want to be dependent. I take it only if I feel an attack coming on, which now isn't even every day.
I truly think just having the med available helps me. I used to panic over the possibility of getting a panic attack, LOL. Ask your doctor if you can take it as needed. Dissolving it under your tongue is the quickest way to get it into your system. Ativan does help me go into public albeit only for an hour which is why klonopin was suggested as the half life is much longer. It might work for me but personally I just do not want to rely on medication.
What if I lose health care or can't afford it. Things like that are scary. Thanks for the advice I might get the guts to try it soon since ativan has had less of an effect of late. Exposure therapy has become standard. If you cannot find anyone in the area, our clinic at White Plains Hospital has an intensive program for out of state residens. Try reading my boo, "Fightin Fear," re-released as "Rising above Fear. I'm sure your therapy helps a lot of people, but everyone is different including his circumstances and his body chemistry.
Now, learn to spell "book," "residents," and "Fighting" and I'll believe you're a real doctor, and even then I'll know you've never had panic attacks. I have a therapist that will be working towards that eventually as I have PTSD as well triggered from being robbed at gunpoint. He thinks I should take the klonopin instead of the ativan and I think will eventually move towards hypnotherapy.
Although I feel hypnotherapy won't work on everyone I wonder if I would be resistant to it, however I am open to anything that might help treat the source of whatever has been causing the panic attacks to be more frequent. I was prescribed a beta blocker as well but due to having low blood pressure already I was reluctant to take a pill that would lower it even more. My heart does tend to misfire and skip a lot though. Whether that is due to panic disorder or vice versa no doctor has been able to say yet.
The risk of dependence and serious protracted withdrawal even if small is not worth it. I've been taking Klonopin as needed for 20 years. Sometimes I don't need it for 2 weeks, and sometimes I need it every day for 2 or 3 days. I "depend" on it for panic attacks, but I'm not chemically dependent on it. Really how else could an "M. Really, I would expect better research on the subject matter from someone in high school. I hope you do believe anything Fredric Neuman, M. Not even worth the time to get upset about.
Seriously people, go to your doctor for medical advice Please don't read this BS. Everyone is different and it is def. Neuman has written an informative article. Been trying to figure out what is best to take or if one drug is "better" than the other. I was a bit thrown off by the title using the word "minor", because I did consider any of these drugs minor in their effect long term. I have seen friends on short term Xanax, and having a really hard time to get off. No as the article mentions it could be in their head, that they feel depended on it.
Maybe my friend took more than prescribed, and no way of knowing what goes on behind closed doors. I just saw a problem developing in front of my own eyes. I found support groups online and got some help locally. I think the hardest part was coming to terms that there may be a real problem getting off Xanax.
What seemed innocent and temporary, was no longer that way. I found a great place to help us prepare for what was ahead of us benzoaddictionsupport. We sort of all had to be educated as to what was going on, so if we got a phone call we would understand the situation better. We could be more understanding and patient. Patience is a big one! I have to say it is going much better now.
So believe me there is a way out. I haven't looked at this post since I wrote it over a year ago. I thought I would report a case I saw today of a young woman who was prescribed 12 mgm. She told me that the doctor had already had his license revoked for selling prescriptions of this drug. I wrote a book called "Worried Sick? This is a good example of what I meant. Hello, I have been on ativan for two years.
I lost my two month old daughter two years ago. I have been diagnosed with PTSD and panic disorder. I lost her in a very traumatic way and I grieve for her every day. My life feels like it has just fallen apart. I am on 4mg a day of ativan and mg a day of zoloft. I don't want to me medicated anymore but my psychiatrist seems unwilling he says I need this medication. Is 4 mg a high dose? I have lost my taste for life period. I can not decide if it because of the ativan or my great loss.
Either way how would I be able to tell if my withdrawals would be psychological or physical? Thank you very much!!! Perhaps you can convince your psychiatrist that you would like to come off the Ativan. Then, you should come off it over a period of a few weeks. I suspect you will continue to feel sad for a long time whatever medication you are on.
Losing a child is terrible. This is one of the worst commentaries I've ever seen on Xanax by a professional. That is not a small dose and can definitely create dependence in a patient. I feel for your patient who reported symptoms of physical withdrawal and who you gas lighted into believing it was all in his head. You completely dismissed the very dangerous nature of this class of drugs. They increase the risk of Alzheimer's, dementia, and can cause life long neurological problems.
Researchers Malcolm Lader and Heather Ashton both show that withdrawal symptoms from benzodiazepines can last months or years. Doctors who do not understand the true nature of the drugs they prescribe should not be allowed to recommend them to people. Physical dependence is a real thing! I was shocked by how fast I built up a tolerance to clonazepam. I would like to do an experiment: K the NHS takes a very different standpoint even as far as blacklisting Xanax and the generic as they are deemed as too addictive.
It's now , and it's well-known that taking benzos everyday, long term, can have severe withdrawals effects. Plenty of people on YouTube and elsewhere have talked about their withdrawal nightmare. However, when taken as needed, responsibly, benzos can be extremely helpful. Many doctors and clinics are refusing to prescribe benzos now. This article was written in , probably before the dangers of benzos was blared out on the web.
These days, doctors are very reluctant to prescribe benzos. They no longer dole them out like candy. So that hurts resposible people who actually NEED benzos. Most adults now know that you shouldn't take benzos everyday, long term. Benzos can be extremely effective if taken no more than a few times a week, at the lowest effective dose. Some people need benzos to live - people have committed suicide without them.
Many people have tried MANY different meds, and benzos are the only ones that work. Benzos, when taken responsibly, can really improve the quality of life for many people. Doctor and clinics need to evaluate patients on an individual basis - some NEED benzos and will take them responsibly. Not all are drug abusers. Some city's public health clinics are banning benzos, and that is very detrimental to people who need benzos.
Also, the public health clinics serve the low-income and unemployed. They're often on Medicare or Medi-Cal. Their options for healthcare is very limited. Often public health clinics is all they can go to, and when they ban benzos, where are these people going to get this necessary med? So please don't throw out the word "abuse" like the bastardized word it's used in the medical community.
I suffer severe anxiety. And Im working through it. Free floating anxiety is something my husband suffers from it means it never ever goes away.. Hi, I would not call valium a "minor" tranquilizer. I was on it for several months, and it caused havoc on my life