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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heavy Chest And Breathlessness After Switching From Lorazepam To Alprazolam. Guide

I just switched from lorazepam 1mg 3 times a day to alprazolam .5 ER 2 pills twice a day along with 1/2 pill of lexapro.
I just started yesterday morning and I woke up this morning with my chest feeling very heavy and a hard time catching my breath. I feel as though I need to cough to get air. Not sure if its just anxiety and I need to take a morning dose or if this is a problem and I should not take any more pills.
Mon, 22 Apr 2013
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Psychiatrist 's  Response
Hi there ~

It is likely that you were having an anxiety attack as a result of halving the dose of your lorazepam and starting to take alprazolam which is a replacement. However alprazoloam has a very short half life. So you might need to go up higher on the dose of lorazepam, maybe not to the dose on which you were before. I hope this helps. I also think you should consult your psychiatrist when you initiate these medications.

Take care and have a lovely day!
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Heavy Chest And Breathlessness After Switching From Lorazepam To Alprazolam. Guide

Hi there ~ It is likely that you were having an anxiety attack as a result of halving the dose of your lorazepam and starting to take alprazolam which is a replacement. However alprazoloam has a very short half life. So you might need to go up higher on the dose of lorazepam, maybe not to the dose on which you were before. I hope this helps. I also think you should consult your psychiatrist when you initiate these medications. Take care and have a lovely day!