Mental Health

Have Mental Health Questions? Ask a Psychiatrist Online

Ask an Expert,
Get an Answer ASAP!

Mental Health

I've been alprazolam dependent for over ten years using 1/2

Customer Question
to 1 mg daily how...
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: 4 years ago.Category: Mental Health
Show More
Show Less
Ask Your Own Mental Health Question
Answered in 5 minutes by:
2/1/2013
Mental Health Professional: Dr. Vikas, Psychiatrist replied 4 years ago
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics
Verified
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?

Customer: yes
Dr Vikas :

may I know what you have already tried

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

you tried stopping it abruptly or what?

Customer: 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?

Customer: 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?

Customer: Thank you, ***** ***** 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.
Customer: 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

Customer: Thank You, ***** has been an intereting and informative discussion. I will discus t
Customer: 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

Customer: 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

Ask Your Own Mental Health Question
Ask Dr. Vikas Your Own Question
Dr. Vikas
Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2,253
2,253 Satisfied Customers
Experience: MBBS ; M.D Psychiatry, MS. Health Informatics

Dr. Vikas is online now

A new question is answered every 9 seconds

How JustAnswer works:

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

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 MollPretoria, 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!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, 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.

ElanorTracy, 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.

JulieLockesburg, 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 StefanieTucson, 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 VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Dr. Keane

Dr. Keane

Therapist

1,379 satisfied customers

Clinical Psychology PhD, Licensed Professional Counselor with experience in marriage/family, teens and child psychology.

TherapistMarryAnn

TherapistMarryAnn

Therapist

4,021 satisfied customers

Over 20 years experience specializing in anxiety, depression, drug and alcohol, and relationship issues.

Dr. Olsen

Dr. Olsen

Psychologist

2,336 satisfied customers

PsyD Psychologist

Norman M.

Norman M.

Principal psychotherapist in private practice. Newspaper contributor, over 2000 satisfied clients on JA

2,246 satisfied customers

ADHP(NC), DEHP(NC), ECP, UKCP Registered.

Dr. Michael

Dr. Michael

Psychologist

2,177 satisfied customers

Licensed Ph.D. Clinical Health Psychology with 30 years of experience in private practive and as a clinical psychology university professor.

Steven Olsen

Steven Olsen

Therapist

1,728 satisfied customers

More than twenty years of expertise in counseling, psychological diagnosis and education

Anna

Anna

Mental Health Professional

1,656 satisfied customers

Licensed Clinical Social Worker with 29 years in addictions and mental health.

< Previous | Next >

Related Mental Health Questions
I have sever PTSD and panic attacks. As of late they have
I have sever PTSD and panic attacks. As of late they have become debilitating. I'm having to skip work. Nightmares almost every night. … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
171 satisfied customers
I take 30mg Oxazipam (Serapaz) for panic disorder. My
I take 30mg Oxazipam (Serapaz) for panic disorder. My doctors are away because of Christmas and my attacks have been strong. I have found Lorazipam (1mg=15mg Serapax or 2mg =Serapax) to be unsuitable.… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I had horrible side effects on Lexapro- worst panic attack
I had horrible side effects on Lexapro- worst panic attack of my life and insomnia for 24 hours. My body felt very jittery and wouldn't calm down. I am very sensitive to medication so I was on 2.5 mg … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I have anxiety and recently think it is playing tricks with
Second opinion] Hi. I have anxiety and recently think it is playing tricks with my eyes. Is this possible? Sometimes feel things are moving when there not etc. Thank you… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
I have been suffering from severe anxiety and panic attacks.
i have been suffering from severe anxiety and panic attacks. I use to get them a long time ago and now they are back full force!!! ii can hear my heartbeating in my ear and I am ready to go over the e… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have been on Lorezpam for panic attacks since 2000. I was
I have been on Lorezpam for panic attacks since 2000. I was diagnosed with a panic disorder. In 2014 I had knee replacement surgery and had problems. I take Vicodin 5/375 for my knee pain 3 per day. I… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I have generalized anxiety disorder with panic attacks that
I have generalized anxiety disorder with panic attacks that I treat and keep managed with BCT, exercise, eating a well balanced diet, and breathing exercises. For the most part this works well. This p… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I suffer from social anxiety, insomnia, panic attacks, and
Hi, My name is***** suffer from social anxiety, insomnia, panic attacks, and ocd. I had a doctor for a while, when i had health insurance. I lost my insurance, and she changed practices and can't see … read more
JohnMichaels,MS,LPC
JohnMichaels,MS,LPC
Counselor
Master\u0027s Degree
171 satisfied customers
I have generalized anxiety disorder with panic attacks at
I have generalized anxiety disorder with panic attacks at times. For the most part I have improved a great deal through BCT and other lifestyle changes. I had it terrible after I quit smoking for abou… read more
Linda D.
Linda D.
Master\u0027s Degree
795 satisfied customers
I have a history of health anxiety and panic. I went to hear
Hi. I have a history of health anxiety and panic. I went to hear a band Saturday and smoked about 5 cigarettes. I never smoke! I am very health conscious with diet, running, etc. I did smoke a few in … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
I have been having severe panic attacks. I am currently
I have been having severe panic attacks. I am currently waiting to hear back from PA schools and I haven't slept in 5 days. what do i do. … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I have anxiety disorder and panic attacks. Lately when I get
I have anxiety disorder and panic attacks. Lately when I get worked up or irritated if I yell or feel anger I almost instantly get a dizzy feeling like I will faint or something. One of my biggest sym… read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
OKMH925100 Is it possible to treat panic disorder/anxiety
OKMH925100 Hi! Is it possible to treat panic disorder/anxiety disorder without medication?? I'm in my mid-thirties and just started having panic attacks after a very stressful past 4 years (I thought … read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I suffer from anxiety and panic. I went to a wedding on
I suffer from anxiety and panic. I went to a wedding on Friday night and had approx 3-4 glasses of white wine. I woke up on Saturday in the throws of a horrendous panic attack. I had the attacks under… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
Broke my wrist on 4/23 and stared having panic/anxiety
Broke my wrist on 4/23 and stared having panic/anxiety attacks. Cast removed but still getting attacks everyday. Dr prescribe hydroxyl inexpensive and busprine which made me worse. I've gone cold turk… read more
LeahMSWuofm
LeahMSWuofm
Clinical Social Worker
Master\u0027s Degree
772 satisfied customers
I have panic/anxiety disorder. After many years on Xanax Xr
I have panic/anxiety disorder. After many years on Xanax Xr (1 mg. twice daily) my new psychiatrist convinced me to taper completely off the xanax xr, using klonopin 3 times daily (.5 .5. 1mg) while t… read more
Dr. Kaushik
Dr. Kaushik
PSYCHIATRIST ( MD Psychiatry)
Doctoral Degree
204 satisfied customers
Anxiety and panic attacks sometimes, if i,am dealing with a
if i,am dealing with a lot of stress or i,am about to have a medical procedure soon i get very nervous. … read more
TherapistMarryAnn
TherapistMarryAnn
Therapist
Master's Degree
4,021 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x