Brief Answer:
Anxiety
Detailed Answer:
Hello.Delighted to be able to help.
Several issues :
1. - The
benzodiazepine withdrawal syndrome is greater with
lorazepam or alprazolam than with
clonazepam or clorazepato.However if lorazepam or alprazolam are used, if the dose is decreased slowly withdrawal syndrome is minor.
2.-In a person with prolonged anxiety is essential prescribe and SSRI .
Paroxetine or
Mirtazapine are widely used in the treatment of this condition.
3.- The benefits of using SSRIs and benzodiazepines are much greater than the risks .
4.- Paroxetine and Mirtazapine have double effect: antidepressant and sedative ( also increase appetite , would help you to gain weight .) Over the days you can decrease the dose of benzodiazepine.
In short , I recommend the following treatment:
First week: Paroxetine 20 mgr half tablet per day +
Clorazepate 5 mg thrice a day .
Second week: Paroxetine 20 mgr 1 tablet per day +Clorazepate 5 mg thrice a day .
One month after starting paroxetine , your
psychiatrist can slowly decrease the dose of clorazepate .
With this regimen , side effects of SSRI and benzodiazepines are minor, you will earn weight and will improve your anxiety symptoms.
Please go to your your psychiatrist for prescription and control.
I Hope I have answered your query. If you have any further questions I will be happy to help.If you do not have any clarifications, please don’t forget to evaluate my answer.I wish you good health.
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