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Today, I saw a different patient who requested treating her dependence on pain medications. When I mentioned other psychiatric symptoms, she asserted she takes alprazolam and clonazepam for panic attacks. I explained that individuals medications are certainly dangerous for addicts and so are created for short-term use, and also the primary control of panic attacks are SSRIs or SNRIs. I asked her dose and wasn’t surprised to see that her tolerance was superb. A milligram of alprazolam doesn’t a single thing, she said—planning to show that the meds are certainly not potent enough to think about. I certainly took it the contrary way—she’s got taken benzos to the issue which a large dose doesn’t have any effect caused by her high tolerance. She then said she even offers ADD and takes Adderall (ie, amphetamine). I explained which it could not make any sense for taking both amphetamines and benzos, particularly a long-acting benzo like clonazepam, with a half-life of about 30 hours. Benzos CAUSE deficient attention; that’s the way they work! Worry contains excessive focus to problems or even a fear, and benzos steer clear of the brain from attending, attaching and remembering. In fact, anesthesiologists and dentists make use of the short-acting benzodiazepine midazolam during uncomfortable procedures to close the patient’s memory. Most adults have gotten the experience of watching the medication injected in the IV tubing, and then stumbling out of bed to those saying “you’re OK—it is really done.” Don’t take a benzodiazepine should you be nervous about a exam in the morning! Beyond the amnesia, it’s just an awful idea for taking two polar-opposite medications because patient is performing. Stimulants cause wakefulness, attention, tight muscles, and anxiety. Benzos cause drowsiness, amnesia, relaxation, and also the inability to remember what we were supposed to think about. Instead of taking both, take neither.
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