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Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2238
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
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Ive been alprazolam dependent for over ten years using 1/2

Customer Question

I've been alprazolam dependent for over ten years using 1/2 to 1 mg daily how can I completely stop using this medication? s
Submitted: 3 years ago.
Category: Mental Health
Expert:  Dr. Vikas replied 3 years ago.

Dr Vikas :

Hello

Dr Vikas :

The good news is that you are on a very low dose and it should not be very hard for you to taper it down and stop completely.

Dr Vikas :

Have you ever tried it before?

JACUSTOMER-l727q1g0- : yes
Dr Vikas :

may I know what you have already tried

JACUSTOMER-l727q1g0- : Yes, however after 16-24 hrs withdrawal symptoms begin
Dr Vikas :

you tried stopping it abruptly or what?

JACUSTOMER-l727q1g0- : yes
Dr Vikas :

OK, see after taking it for such a long time it is possible

Dr Vikas :

so now there are two possible option in your case.

Dr Vikas :

Since the dose is very low so first possible option is to start tapering down by reducing 12.5 or 25 mg per week and see if it helps.

Dr Vikas :

You can ask your doctor to prescribe you .25 mg tablet

Dr Vikas :

other possible option is to ask your doctor to shift you on a long acting benzodiazepine that is Clonazepam and then start tapering it down.

Dr Vikas :

It is much easier to taper down Clonazepam because it has a long half life

Dr Vikas :

Your doctor can shift you on .25 mg of Clonazepam or .5 mg of Clonazepam and then it can be taper down using the same method as described above for Alprazolam.

Dr Vikas :

what are your thoughts on my suggestion?

JACUSTOMER-l727q1g0- : I see, however 1/2 mg seems to be minimum dosage without experiencing withdrawal symptom that are very similiar to panic attack onset
Dr Vikas :

OK, withdrawal symptoms are continuous and not episodic (short duration) like panic attacks.

Dr Vikas :

so you are experiencing panic attacks or continuous discontinuation symptoms?

Dr Vikas :

when you tried to stop Alprazolam previously.

Dr Vikas :

are you there?

Dr Vikas :

I see, you are trying to rate my answer, you don't want to continue?

JACUSTOMER-l727q1g0- : Thank you, Dr. Going to 1/2 mg pills and "halfing" them to 1/4 mg makes sense. My goal is to be med free and return to my job as a locomotive engineer.
JACUSTOMER-l727q1g0- : Yes, however I'm having some trouble with connection issues
Dr Vikas :

OK, great, in any case, if you experience panic attacks or acute anxiety attacks there is no harm in taking Alprazolam occasionally.

Dr Vikas :

Do you have any other question to ask?

Dr Vikas :

I disabled the rating feature earlier. Now you can again try to rate the answer.

Dr Vikas :

If you are satisfied with my answer, please rate one of the positive ratings (3,4,5) as this is the only way how we are compensated for our time and expertise.

Please take a moment to rate the answer.

Kind regards

Vikas

JACUSTOMER-l727q1g0- : Thank You, Dr Vikas. This has been an intereting and informative discussion. I will discus t
JACUSTOMER-l727q1g0- : Thanks again Dr Vikas have a pleas
Dr Vikas :

You are most welcome again.

Dr Vikas :

Thanks for coming to JA.

Dr Vikas :

Kind regards

Dr Vikas :

Vikas

JACUSTOMER-l727q1g0- : Thank you again Dr. Vikas Have a good night. You have my highest regard, its noble work you're doing. Be Blessed, Sir.
Dr Vikas :

Thanks a lot again for your kind words Sir.

Dr Vikas :

Wishing you a great new year ahead.

Dr Vikas :

Bye

Dr Vikas :

You can rate my answer now.

Dr Vikas :

Thanks

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