Hi Sarah, thanks for writing to us. my name is ***** ***** am really sorry your wuestion sat so long unaddressed. i believe it is because this question with regards ***** ***** has been coming up a lot lately as doctor's move away from prescribing Xanax and the other benzos for long-term use. You are not alone in this immediate access issue and I am sorry to tell you, there really isn;t a great answer.
Here are my suggestions...
Talk to your EP/cardiologist and alert him to your situation. I work in cardiology and I know it is highly unlikely, but perhaps your EP would be willing to extend your prescription for a small length of time under the conditions that it is meant to help you taper off of it with minimal risks for agitating your arrythmia. for instance having palpitations. At the least, it is worth talking to your device team to let them know that you are going to be experienecing some stress and probably withdrawal and wish to know how much of a risk this poses to your heart, if any. Perhaps your device team has an in with psychiatry or a willing prescriber who could help you receive the medication to avoid any risks to your cardiac status even if tey aren;'t willing to directly prescribe.
Another idea is to contact your insurance or check their website and get a list of all psychiatrists in your driving range. Call everywhere and see if anyone has openings. Often psychiatry can have months to wait but it is absolutely worth trying. Access to a psychiatrist will not guarantee access to Xanax, but if you approach it from the angle of needing enough to taper and requesting something as an alternative mediation to try for long-term use, they may be more susceptible to prescribing a limited dose.
Call your primary care doctor (if he is different then the one who wrote to us about not seeing anymore). They may be willing to help.
A last ditch effort would be to go to the emergency room. This is definitely true if you have any symptoms from the withdrawal that you perceive to be dangerous to your heart or overall health. It isn't all that likely that they will give you a lasting dose of Xanax either, but they may prescribe an immediate alterantive to try to get you through the withdrawal phase. also, should your cardiac status be at risk sue to a severe withdrawal, then they can attend to your needs there.
I am really sorry that this turn of events has happened. it is likely going to be uncomfortable for you, as the withdrawal symptoms come. You can expect to feel some or all of the following: peakedly anxious, shaky, nauseous, have a headache, blurred vision, loss of appetitie, sensitive to light, etc. If you do start to feel this way, try to focus on the fact thsat this is withdrawl and while not easy, will fade. again, utilzie the ER if things get too tough.
i hope this helps and i hope you get through this with ease one way or another.