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Is Clonazepam or Serax better?

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Posted on Wed, 18 May 2016
Question: i want to not take clonazepam anymore but instead would like to try serax
what drugs would you recommend
iam not off micardis
also i want to go off the cymbalta. but the doctor wants me on cymalta and i want to stay on the diazepam but she is taking me off it.
doctor
Answered by Dr. Chintan Solanki (3 hours later)
Brief Answer:
clonazepam, diazepam and oxazepam all are benzodiazepine

Detailed Answer:
Hello,

Thanks for writing to us.

Clonazepam and serax (oxazepam) both are benzodiazepine. Clonazepam is more potent and that is why causes more sedation. If you do not want sedation, serax will be slightly better than clonazepam.

Diazepam is also benzo and simultaneously two benzos recommended only when one is not sufficient. Diazepam can be taken at night for sleep if you will be shifted to serax.

Cymbalta is an anti depressant drug from SNRI group and we cannot compare it with diazepam. So it should be continued if you have depressive symptoms without consideration that diazepam is there or not.

Let me know,

- Why does your doctor want to stop diazepam?

- Why do you want to stop clonazepam?

Hope I have answered your query, I will be happy to help further.
Regards,
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (20 hours later)
my psychiatrist thinks the diazepam is making me fall, and i think its the cymbalta. i wanted to go on 200mg of zoloft and 30mg of serax. this is what i am on now90mg of cymbalta and 24mg of diazepam. this is the list of pills ihave been on since 2013.mirtazapine 25mg cozaar 50mg. effexor 75mg.ativan 1mg.effexor150mgplus 15mg.lexapor 10mg.plus 120mg of cymbalta

could you please help me
doctor
Answered by Dr. Chintan Solanki (2 hours later)
Brief Answer:
diazepam is more sedative

Detailed Answer:
Hi,

Thanks for information.

Your psychiatrist is probably right that diazepam makes you fall. However cymbalta can be stopped if you are not better in depression and anxiety with 90 mg dose.
In that case cymbalta should be stopped gradually by tapering and zoloft can be added after you reach 50 mg cymbalta. Ultimately you can reach on 200 mg zoloft and no cymbalta.
I am also agree with serax 30 mg for anxiety.
Diazepam should be continued only if you are not able to get sleep. It should be tapered gradually and taken in night dose only.

You can discuss this with your treating doctor and modify the treatment.

Feel free to discuss further.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chintan Solanki (3 days later)
I HAVE DECIDED TO GO ON 200 MG OF ZOLOFT AND THE CLONAZEPAM. WHAT DOSAGE IS GOOD. 30MG. DAILY 0R 60MG. DAILY. BEFORE I USE TO TAKE 2 TABLETS 3 TIMES A DAY. WHAT DO YOU THINK OF ME GOING BACK ON MY IMIPRAMINE 25 MG. WAS THE DOSAGE I RECEIVED FROM MY FIRST PSYCHIATRIST. I WAS ON THIS MEDICATION FOR 20 YRS. UNTIL I DECIDED TO TAKE MY MYSELF OFF. WHAT A MISTAKE. ONCE AGAIN PLEASE HELP ME TO LEARN HOW TO RELAX AGAIN. I WAKE UP WITH ANXIETY ON MY MIND AND WHEN I GO TO BED. CAN YOU PLEASE HELP ME TO RELAX AND CALM DOWN AND PLEASE DON'T TELL IT WILL TAKE A LONG TIME. THE WAY I FEEL RIGHT NOW IS TO STOP ALL MEDS. I AM STARTING TI GIVE UP ON EVERYTHING.
doctor
Answered by Dr. Chintan Solanki (7 hours later)
Brief Answer:
zoloft is better than imipramine from side effect point of view

Detailed Answer:
Hi,

Thanks for follow up.

I think you have mistakenly wrote clonazepam instead of serax.If I were your treating doctor I would like to start serax with 15 mg twice a day and after 1 week it can be increased up to 45 mg and then 60 mg per day in divided dosage.

Imipramine is really a good old anti depressant medicine. However it has more side effects like dry mouth, constipation, postural hypo tension and so on. It is required in dose range of 75 to 300 mg. Zoloft was effective in your case so I recommend first zoloft and if it does not work then only imipramine.

I understand that you want to live without medication. At present I suggest continuing medicines and after complete improvement you can taper of very slowly with psychotherapy, relaxation exercise and healthy lifestyle.

For a while to improve health you need to maintain healthy lifestyle. This includes regular daily exercise (walking or running), hygienic food habits (no junk food, no fatty food, preferably only home-made food with law salt and fat with more fruits and vegetables) and timely scheduled sleep. Yoga- meditation can also help.

For relaxation you can do deep breathing exercise. Take deep slow breathing. Inhale for 3 seconds, keep breath in for 3 seconds and exhale for 3 seconds. Do it for 10-15 minutes. You will feel relax. Try it for few days and see the results.

Take care and all the best.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Is Clonazepam or Serax better?

Brief Answer: clonazepam, diazepam and oxazepam all are benzodiazepine Detailed Answer: Hello, Thanks for writing to us. Clonazepam and serax (oxazepam) both are benzodiazepine. Clonazepam is more potent and that is why causes more sedation. If you do not want sedation, serax will be slightly better than clonazepam. Diazepam is also benzo and simultaneously two benzos recommended only when one is not sufficient. Diazepam can be taken at night for sleep if you will be shifted to serax. Cymbalta is an anti depressant drug from SNRI group and we cannot compare it with diazepam. So it should be continued if you have depressive symptoms without consideration that diazepam is there or not. Let me know, - Why does your doctor want to stop diazepam? - Why do you want to stop clonazepam? Hope I have answered your query, I will be happy to help further. Regards, Dr.Chintan Solanki.