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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Anxiety Issues, Depression. On Xanax. Help?

I have no insurance and was refered to this family doctor and was being treated four anxiety and was prescribed .5 mg of xanax and also 100mg of Zoloft for my depression. I recently got into a verbal argument with the receptionist that was very rude to me so I asked for her office manager and after speaking with the office manager she told me that they were going to have to discharge me as a patient because everytime I would come into the doctors office that I would have to see and talk to this receptionist so they thought it was best for me to find another doctor they not only didn't give me time to find a doctor but they also stoped me cold turkey off my medication and i know from my mother and almost my whole family being on xanax that you can't just stop taking that without being slowly weined off of it. I called my doctors office and talked to them about it and they refused to prescribe them until I find another doctor and also refused to wein me off. What should I do??
Mon, 8 Apr 2013
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Psychiatrist 's  Response
Hello
Welcome to HCM

Zoloft consists of Sertaline and it is a SSRI drug. It should not be stopped abruptly as it may lead to serotonin withdrawal syndrome. So it is advised that zoloft should be tapered gradually.
xanax 0.5 mg is not a high dose if you were taking it for long time and you have to discontinue it then there is not much need for strict tapering schedule. As you have no access to the drug so best is to discontinue it abruptly as at 0.5 mg dose in a healthy person it will just cause some irritability and slight anxiety. Mild insomnia may occur but chances of severe withdrawal and seizure are rare.
If you are still not clear of what to do then visit a good Psychiatrist for expert opinion.

Thanks
Dr. Seikhoo Bishnoi, MD
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Have Anxiety Issues, Depression. On Xanax. Help?

Hello Welcome to HCM Zoloft consists of Sertaline and it is a SSRI drug. It should not be stopped abruptly as it may lead to serotonin withdrawal syndrome. So it is advised that zoloft should be tapered gradually. xanax 0.5 mg is not a high dose if you were taking it for long time and you have to discontinue it then there is not much need for strict tapering schedule. As you have no access to the drug so best is to discontinue it abruptly as at 0.5 mg dose in a healthy person it will just cause some irritability and slight anxiety. Mild insomnia may occur but chances of severe withdrawal and seizure are rare. If you are still not clear of what to do then visit a good Psychiatrist for expert opinion. Thanks Dr. Seikhoo Bishnoi, MD