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Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2253
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
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Do you think being on Alprazolam for three years is a problem

Resolved Question:

Do you think being on Alprazolam for three years is a problem? Is there some reason to switch to Klonopin?
Submitted: 8 years ago.
Category: Mental Health
Expert:  Dr. Vikas replied 8 years ago.
Hello,

Benzodiazepines such as Alprazolam should be used for the shortest possible period of time and with lowest possible effective dose,because risk of dependence, specially for treatment periods longer than 12 week is very high. But there are patients who keep on taking it for years (hope you are under the supervision of your treating doctor).

Alprazolam is a habit forming drug (usually all benzodiazepines are) and patient may develop dependence with long term use.

Usually with Klonopin also same strategy is applied while dosing - should be used for the shortest possible period of time and with lowest possible effective dose and with same restriction as of Alprazolam (as both are Benzodiazepines).

Advantage of using Klonopin is it is easier to taper because of its long half life in the body and may have less abuse potential, may cause less dependence as compared to other Benzodiazepines.It is often considered as a long acting alprazolam like anxiolytic.

So if your doctor is advising you to do so, swithching may be useful.

I hope it helps.

Regards
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