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Suggest Treatment For Lorazepam Dependence

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Posted on Mon, 9 Jun 2014
Question: I have been having issues with my wife Shes been ever since November 2012 even before after i questioned her whereabouts on a few occasions after taking the kids to school her IPhone took her to places other than just school playground and when questioned she told me if i dont trust her to divorce her
We have grown apart she told me shes not interested in sex and tells me the last time we had sex she felt ii forced her and she said i was a borderline rapist actually told me she didn't want me in the bedroom
anymore thats just a few of the things manifesting we have 6 children 1 daughter age 6 beyween us and I inherited 5 boys which i have raisd 3 of hem,here now 9 hes autistic Hih functioning,12 year old hes jist adhd and I have raisd them since babys,I clean Look after the kids nd zincd we have been ogther she as not had to work
Shes been on Ativan or Lorazepam or 6 years Is jut 1 pill per day but amounts increased from 05 to 1.0 and i have never thought about this
being Part of the shutdown he information I have pug down is hers
spoke to her new primary doctor ad he said perhaps he need to talk to her
I have los tmy insurence due to being laid off ad quite honestly am scrambling fo get insurance somehow
she as withdrawn does not talk to me unless she as too

Shes great talkin o other nei
she doesnt pic k up after herself or the children cvcdis downright rude and belitteling but only to me
whats your take on this
She tells me that since i accused hr of cheating or at least doing and being in places II didnt know
overall we are married but just in theory
I guess Lorazepam toxicity
I am a recovering alcoholic an drug addict an we actually met when i was taking my year cake
shw is telling me shes LO






doctor
Answered by Dr. Abhishek Kapoor (1 hour later)
Brief Answer:
Either can take diazepam or mirtazapine

Detailed Answer:
HI
Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query.

I think, she has benzodiazepine dependence. She has been taking lorazepam for last six years and with time, due to tolerance, she has increased the dose from 0.5 mg to 1 mg. In that case, if she does not get lorazepam, she would get withdrawal in form of anxiety symptoms and sleep disturbance. To control withdrawal, either she could take a benzodiazepine with longer half life like diazepam or sedative antidepressant like mirtazapine. In both of these options, you need a written prescription from a physician or psychiatrist. You can talk to your physician or psychiatrist for a prescription.

In case, you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Abhishek Kapoor (18 minutes later)
Dr XXXXXXX i am in the throws of my wife ivorcinf me for no reason you got to do better than this fo my approval
I need these answered you mke it as if you ot your $29 ND GOODBYE
I need specifics
Is she acing lik this becaue of the length of ime on the ativan?
Is this a pattern tht you se when its been taken ths long
does it make her moody and not in reality
she does not allow me in the bedroom
dude dr this is serious you answered an confirmed non of hi if oou cannot nsr get m nothr doctor tht ill this is seious shit
I sang you to dll me if i m somwnat right or wrong
shes telling me its all my fault on everything
does ativan taken 1 a night fo 6 years xo this kind of thing
crap i dont need you to tell me to try somthing different

i need n answer now and fo the answer just now you get a 0
doctor
Answered by Dr. Abhishek Kapoor (17 minutes later)
Brief Answer:
Give her emotional support

Detailed Answer:
Hi

In benzodiazepine dependence, dose varies from patient to patient. Some become dependent on higher dose and some at lower. In your wife case, she is dependent upon lower dose of lorazepam and now she is getting withdrawal. In that case, her mood swing is part of her withdrawal. It is commonly seen in benzodiazepine addict. Number of patients, due to benzodiazepine dependence, when ever get withdrawal, they become irritable. In that case, due to withdrawal, they usually quarrel with their partners. Same thing is going on your case. Due to withdrawal, she is irritated and not allowing you to enter in to room. Nothing to worry in that case. That would be over in a day or two. Better to be patience. There is no need to lose your temper. Just give her emotional support that she needs and after that, she would allow you to come inside the room. Try to give her some pleasure in your way. That would help her to control withdrawal symptoms.

If you need further help, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Abhishek Kapoor (26 minutes later)
Dr this as been going on for nearly 6 months
She just recently told me I can't sleep or touch her
And she's not withdrawing she's got more pills than a pharmacy
Can you have ample supply and still act like this
She's also shouting at the kids
What's the solution
And how c one she's not like that with strangerd
doctor
Answered by Dr. Abhishek Kapoor (11 minutes later)
Brief Answer:
That could be due to depression

Detailed Answer:
Hi

I think, she has underline depression also. In depression, patient has mood swing, easy irritability, increase need of drugs, fatiguability etc. It has been seen in addict that due to underline depression, they start taking drugs at higher dose. Same could be the reason in her case. In that case, a sedative antidepressant like mirtazapine would help her. It would help to control both depressive symptoms as well as keep lorazepam in control. Better to consult doctor to get her properly evaluated. With antidepressant, she would improve in few days.

In case, you have more query, you can ask.

Regards
Dr. Abhishek Kapoor
Psychiatrist
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Abhishek Kapoor

Psychiatrist

Practicing since :2007

Answered : 2496 Questions

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Suggest Treatment For Lorazepam Dependence

Brief Answer: Either can take diazepam or mirtazapine Detailed Answer: HI Thanks for using healthcare magic. I, Dr Abhishek Kapoor, would help you in this query. I think, she has benzodiazepine dependence. She has been taking lorazepam for last six years and with time, due to tolerance, she has increased the dose from 0.5 mg to 1 mg. In that case, if she does not get lorazepam, she would get withdrawal in form of anxiety symptoms and sleep disturbance. To control withdrawal, either she could take a benzodiazepine with longer half life like diazepam or sedative antidepressant like mirtazapine. In both of these options, you need a written prescription from a physician or psychiatrist. You can talk to your physician or psychiatrist for a prescription. In case, you need further help, you can ask. Regards Dr. Abhishek Kapoor Psychiatrist