Suffering From Anxiety And Agarophobia. Need Advice On Tapering Xanax. Chances Of Seizures On Stopping Medication?
Thanks for your query.
I appreciate your efforts for medical consultation in so much distress. I shall try my best to provide you with useful information.
Xanax contain alprazolam. As it gives immediate relief in anxiety, it has led to excessive use and dependence in many patients with anxiety disorder.
A better form of treatment is by using two types of medicine –
1. Benzodiazepines (like xanax) group of medicines for immediate relief and
2. SSRI (selective serotonin reuptake inhibitors) for long term treatment.
SSRI takes around 3-4 weeks to show its effects and so benzodiazepine needs to tapered after the initial 4 weeks. As SSRI do not cause tolerance and dependence it is usually tolerated by most patients.
Now to answer your query, regarding tapering xanax; ideally we need to replace it is with long acting drug like diazepam. 0.25 mg xanax is equivalent to 5 mg of diazepam. Diazepam can then be tapered gradually. SSRI’s can slowly be introduced for long term management. This process needs supervision by a competent psychiatrist.
I encourage you to seek professional help from a nearby psychiatrist so that he can examine you frequently and look after withdrawal symptoms with concurrent management of anxiety. Never shy away from treatment.
Some time muscle pain and weakness can be exacerbated with anxiety. There will be some benefit after adequate control of anxiety symptoms.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,
Thank you.
Your action plan to fight your condition. Considering long half life of diazepam I would like to prefer Diazepam over Clonazepam. Choice of medicine also depend psychiatrist experience with the medicine.
Till 1 st march you can reduce 0.25 mg xanax every day with out significant withdrawal symptoms.
Wish you good health.
Regards,