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Long term alcohol and rivotril
use lead to dependance on them, due to that person will require higher doses to produce desired effect. In your treatment it is better to stop alcohol, as alcohol itself increases anxiety
and medicines do not work 100% in presence of substance use. After stoppage of alcohol rivotril can be tapered slowly, but do not stop it suddenly.
Till that time do deep breathing exercise
, yoga and meditation
to decrease your anxiety to some extent.
Wish you Good Health and all the best.
Dr. Ashish Mittal