How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. S Your Own Question

Dr. S
Dr. S, Psychiatrist
Category: Mental Health
Satisfied Customers: 61
Experience:  MD Attending Psychiatrist
50649187
Type Your Mental Health Question Here...
Dr. S is online now
A new question is answered every 9 seconds

I have been taking lorazepam for about a year and a half but

Resolved Question:

I have been taking lorazepam for about a year and a half but in small doses, but every day. I now take 2mg every day... I really don't feel llke it is helping my situation, but when i try to ramp down on it, I really struggle. My psychiatrist wants me to just take .05mg every day.. how would you suggest getting off this drug. I also take lexapro 10 mg at dinner, and a very small amount of remeron and flexerol for sleep.
Submitted: 4 years ago.
Category: Mental Health
Expert:  Dr. S replied 4 years ago.
Hi I am a psychiatrist and can help. Please tell me how long you have been take 2nd. Also what are your depressive and/or anxiety symptoms? How much remeron and flexoril?
Customer: replied 4 years ago.
I don't understand your question how long you have been take 2nd. I was having some panic attacks and very high anxiety.. also very depressed crying at different times of the day... ie.. I am also menopausal. I take 3.5mg remeron and 2.5mg flexoril..very small amounts
Expert:  Dr. S replied 4 years ago.
sorry, it was a typo. i meant the 2mg dose?
Customer: replied 4 years ago.
for about 3 months prior to that i was only taking 1 mg and before that only o.5 mg per day but ive been on it for a year and a half dailly
Expert:  Dr. S replied 4 years ago.
Benzodiazepine (such as lorazepam are highly addictive. Since you have been taking lorazepam for more than a year i recommend a very slow taper down off. .) For example. decrease the dose by 1/2 every 2-10 days. so day 1-10 1mg, day 11-20 0.5mg, day 21-30 0.25mg. I would continue 0.25mg for at least two weeks then off. Additionally and= alternative would be to switch to an equivalent dose of a longer acting benzodiazepine, such as klonopin, then taper. In addition, given that you appear to be still very symptomatic, i would recommend an increase in your lexapro. recommended treating dose of lexapro is 10-20 (20 is the max), so you still have room to move up. The longer acting medication would likely decrease the possible withdrawal side effects.

I hope this helps. Please click the ACCEPT button as this is the only way i will be credited for my answer. Feedback is also welcomed and appreciated. Thank you and good luck.

Edited by Dr. S on 10/2/2010 at 3:12 AM EST
Customer: replied 4 years ago.
I would prefer not to take another benzo, and I did try ramping up on the lexapro, would you recommend I ramp up to say 15 mg while I am dosing down on the lorazipam or should I ramp up on the lexapro first for like a week then start dosing down on lorazipam... my goal is to eventually get off these medications i never have tolerated any medications well especially the psychiatric ones i am trying to work on meditation and other things so i can eventually get off the drugs
Expert:  Dr. S replied 4 years ago.
Hi,
Hi i completely understand not wanting to switch to another benzo. If still symptomatic, i would recommend increasing your dose of lexapro (either 15 or 20 mg) while tapering the benzo. as i described. My rule of thumb is the longer the patient is on the benzo, the slower my taper. I go all the way down to the lowest dose then hold there for a bit, then off. Again, please discuss this all with you treating psychiatrist. P.S. mediation is a fantastic idea. it should also help to decrease the risk of withdrawal side effects. Thank you and good luck. Dr. S
Dr. S, Psychiatrist
Category: Mental Health
Satisfied Customers: 61
Experience: MD Attending Psychiatrist
Dr. S and 2 other Mental Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/Dr.Keane/2013-8-20_204325_drkeane.64x64.jpg Dr. Keane's Avatar

    Dr. Keane

    Therapist

    Satisfied Customers:

    1262
    Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.
  • http://ww2.justanswer.com/uploads/RE/resolutions66/2011-1-17_05728_IMG8202smilingeditedforJustAnswer.64x64.jpg Elliott, LPCC, NCC's Avatar

    Elliott, LPCC, NCC

    Psychotherapist

    Satisfied Customers:

    5024
    35 years of experience as a Licensed Professional Clinical Counselor, National Certified Counselor and a college professor.
  • http://ww2.justanswer.com/uploads/formybunch/2010-12-06_191055_img_0975.jpg Kate McCoy, M.Ed, NBCC, LPC's Avatar

    Kate McCoy, M.Ed, NBCC, LPC

    Therapist

    Satisfied Customers:

    3733
    Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.
  • http://ww2.justanswer.com/uploads/DR/DrAkiraOlsen/2012-2-20_746_AkiraADpicmain.64x64.jpg Dr. Olsen's Avatar

    Dr. Olsen

    Psychologist

    Satisfied Customers:

    2336
    PsyD Psychologist
  • http://ww2.justanswer.com/uploads/norriem/2009-5-27_134249_nm.jpg Norman M.'s Avatar

    Norman M.

    Psychotherapist

    Satisfied Customers:

    2193
    UK trained in hypnotherapy, counselling and psychotherapy and have been in private practice. ADHP(NC), DEHP(NC), UKCP Registered and ECP.
  • http://ww2.justanswer.com/uploads/PsychologyProf/2010-07-15_171248_logos060400409.jpg Dr. Michael's Avatar

    Dr. Michael

    Psychologist

    Satisfied Customers:

    2177
    Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.
  • http://ww2.justanswer.com/uploads/KURTEMMERLING/2010-07-23_215531_just_ask_picture1.jpg Steven Olsen's Avatar

    Steven Olsen

    Therapist

    Satisfied Customers:

    1727
    More than twenty years of expertise in counseling, psychological diagnosis and education
 
 
 
Chat Now With A Mental Health Professional
Dr. S
Dr. S
Mental Health Professional
61 Satisfied Customers
MD Attending Psychiatrist