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OBD drug abuse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Drug Abuse
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3369 Questions
Doctor :   Hi
User :   Hello doctor
Doctor :   Goahead with thew query..
User :   Yes Doctor i am in a bit of problem now
User :   I suffer from GAD and IBS
User :   I am m 25 and lately i am loosing weight and experience IBS cramps
Doctor :   ok
User :   I went o my local doctor who putme on librax but i have difficulty falling asleep at always suffer from sleep paralysis
User :   so i decided to clonazepam which helped me
User :   but iamin doubt whether i can take medications like librax or neurospas CDwith clonazepam
User :   Librax doesnot quite help me with my anxiety
User :   it is not that powerful forme
Doctor :   ok
Doctor :   let me sumarise '
User :   I took clonazepam.25 lst nite and it putmeoff to sleep but i didnot take librax
User :   and here i am today with stomach cramps and pain
User :   yes plz
Doctor :   ok we will find the soln
Doctor :   plz wait
Doctor :   u were on librax before
Doctor :   how much
User :   yes for last one week and it helped me
User :   buscopan also helpsme but librax is the best
User :   librax twice a day
User :   but i am afraid totake two benzo
User :   librax and clona
User :   clona helpsmewith my anxiety
User :   and librax foribs
Doctor :   ok
Doctor :   U r right
User :   clonazepam also helps with sleep paralysis
Doctor :   U need to be on only any one of the medicatiuon
User :   I lead a very stressful life and i am a mess
User :   i am very much depressed
Doctor :   u sgould not be on both
User :   i dont knowwhat to do
User :   my ibs is gettingworse
Doctor :   u will get dependent on med and get depressed also
User :   iamin pain as i am typing
Doctor :   so i do not adise u to stay on both
Doctor :   ok
Doctor :   what did ur local MD advised
Doctor :   I prefer u to stay on Clonazepam
User :   he doesnot know about my sleep problem
User :   he knows i suffer from ibs
Doctor :   Only for 1 -2 months
User :   he dignised it after i went to him
User :   I was a sufferer of panic attacks
Doctor :   is he MBBS
Doctor :   MD
User :   but it went away onits own
User :   but i still have anxiety and problem sleeping
User :   he isMBBS
Doctor :   thing is he advised and u r treating ur seg
Doctor :   *self
Doctor :   u r medicating ur self which is ahighly dangerous
User :   no he put me on librax
User :   i took it
Doctor :   ok
User :   but i had this problemwith anxiety for long
Doctor :   even librax should be used for not more than 1 mo
User :   i am not addicted to clona
User :   buti take it for a week or two .5/day and i will be fine for months
Doctor :   what is ur question now?
User :   can i take librax and clonazepam at the same time
Doctor :   i think u have ur own preferences?
User :   or is there a medication which can handle both problems at the same time?
User :   i dont know
Doctor :   ok
User :   thats why i am chatting with u
User :   what dou think should i do?
Doctor :   u r consulting wrong doctor who is not much experienced
User :   ok
Doctor :   stop librium
Doctor :   continue clonazepma for max 1 mo
User :   i am on librax
User :   not librium
Doctor :   x u do whatever u want to do
Doctor :   libruium is librax
Doctor :   this is my opinion only
User :   libriumis think is chlordiazepoxide
Doctor :   ok Sir
User :   librax is chlordiazepoxide and clinidium bromide
Doctor :   what u r on
User :   I am on librax i told i get abdominal spasms and have IBS
Doctor :   ok
Doctor :   why can don't use anti antispasmodics separately
User :   buscopan?
User :   will that be ood?
User :   mebeverine?
Doctor :   let me ask u this
User :   helpmewith somemedications as i am confused and cant visit a doctor now
Doctor :   r u getting relief with librax
User :   yes
User :   librax is godsend
Doctor :   u mean it works good
User :   excellent
Doctor :   does ur memory effected
User :   i am not takingit for a day and i am holding my abdomen
Doctor :   are u getting good sleep
User :   no doctor i handle hundreds of people everyday and i doesnt
User :   i am not sleeping properly
Doctor :   answer the question man
User :   thats why i stopped librax for a day and started clonazepamto get some sleep
Doctor :   so u r getting addictd
Doctor :   u may be needing higher doses
User :   noiam not sleeping
Doctor :   they are benzodiazepams
Doctor :   that is what I am telling u
Doctor :   because u r isuning regularly u r getting used to it
User :   i know
Doctor :   u r usig for adbdominal pain
User :   i ama Panic disordersufferer andi have taken benzo for last 3 years
User :   never got addicted thanks god
Doctor :   I can understand but but is responding to it
User :   clonazepam.25 still works forme
Doctor :   I recommend you consult a psychiatist for management at this time
User :   ok
Doctor :   both librax and clonazepam will cause u damage
Doctor :   they break u r sleep cycle
Doctor :   there are good medications
User :   what should i do for my ibs?
User :   any anti spasmodics i cn take
Doctor :   here u need to manage anxiery+ sleep+buscopnan
Doctor :   IBD is comlex
User :   so can i take clonazepam with buscopan?
Doctor :   Antidepressants may be very effective in smaller doses than those typically used to treat depression. Imipramine (Tofranil), amitriptyline (Elavil), nortriptyline (Pamelor), and desipramine (Norpramin) are some commonly used medicines that may alleviateirritable bowel syndromesymptoms. Some other antidepressants are more commonly prescribed when depression and IBS coexist.
Doctor :   Sir I can I can make more suggestion in medicines here
User :   i was on sertraline 25 mg and then weaned off
Doctor :   Then gofor other antidepreseenats
Doctor :   but stay on them
User :   ok
Doctor :   they helkp for anxiety
Doctor :   they work slowsly but they are good
Doctor :   ntidiarrheal medicines, such as loperamide (Imodium), a kaolin/pectin preparation (Kaopectate), and diphenoxylate/atropine (Lomotil), are sometimes used when diarrhea is a major feature of IBS. Do not take these on a long-term basis without first consulting a doctor.
Doctor :   Antispasmodic medicines, such as dicyclomine (Bemote, Bentyl, Di-Spaz) and hyoscyamine (Levsin, Levbid, NuLev), are sometimes used to treat symptoms of irritable bowel syndrome. Antispasmodic medicines help slow the action of the digestive tract and reduce the chance of spasms. However, they may have some side effects and thus are not for everyone. Other treatment plans are available, depending on symptoms and condition.
User :   ummm
User :   ok
User :   thanks
Doctor :   Stress may cause IBS "flares." Doctors may offer specific advice on reducing stress. Regularly eating balanced meals and exercising may help reduce stress and problems associated with irritable bowel syndrome.
Doctor :   Smoking may worsen symptoms of IBS, which gives smokers another good reason to quit.
User :   my ibs is causedby diet also
Doctor :   Since many patients withirritable bowel syndromereport food intolerances, a food diary may help identify foods that seem to make IBS worse.
User :   like roti pasta
Doctor :   yes
User :   milk
Doctor :   basically some allergic to milk products
Doctor :   some are to wheat products
User :   lactose intolerence
Doctor :   any food u r not feeling good avoid
User :   and glutenintolerences
Doctor :   Do u have any questions
User :   thats all
User :   thanks
Doctor :   thank you for consulting
Doctor :   Take care
User :   thanks for ur help anyway
Doctor :   final advise
Doctor :   only one Benozo for 1 mo
Doctor :   use antispasmodics seperately
Doctor :   do not mix with chorodiadrpoxdr
Doctor :   use anti deressants
User :   which antispasmo do u preferr?
User :   buscopan?
Doctor :   buscopan
User :   hyoscine butylbromide?
Doctor :   cyclopam
Doctor :   any one is good
User :   sure
User :   ok
User :   thanks
Doctor :   bye]
User :   i willdo that
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