They can be any of the following: confusion, diarrhea, blurred vision, heightened sensory perception, muscle cramping, reduced sensation of smell, muscle twitches, numbness or tingling, decreased appetite, and weight loss.These symptoms can be bothersome but are usually mild to moderate, almost never dangerous, and resolve over a week or so.Rarely, a patient will experience disinhibition: they lose control of some of their impulses and do things they wouldn't ordinarily do, like increased arguing, driving the car recklessly or shoplifting. A patient taking a BZ should drink very little alcohol and should refrain from drinking within hours of driving a car. Although it is rare for a person with an anxiety disorder to abuse a benzodiazepine, patients with a history of substance abuse report a more euphoric effect from the BZs than do control subjects.
An alternative is to add a medication to alprazolam that would reduce some of the bothersome symptoms during the withdrawal period. Some patients develop depression while taking Klonopin. You can divide the dose and take it in the morning and evening, or take it all at once. Generics are available for many, which helps reduce cost. Some patients experience the sedative effects of drowsiness or lethargy, decreased mental sharpness, slurring of speech and some decrease in coordination or unsteadiness of gait, less occupational efficiency or productivity and, occasionally, headache.These may continue during the first few weeks, but tend to clear up, especially if you increase the dose gradually. Some people experience low moods, irritability or agitation.Between 10 to 35 percent of patients will experience the rebound of anxiety symptoms, especially panic attacks, when they discontinue the BZs too rapidly. One approach is to remain at each new lower dose for two weeks before the next reduction. About 10 to 20% of panic disorder patients fail to respond adequately to Xanax.Tapering a BZ over a two- to four-month period can lead to significantly less withdrawal symptoms. Helpful for phobias, social anxiety, OCD, and panic disorder. To block panic attacks, two to four weeks of treatment may be needed. Do not take if planning to get pregnant, while pregnant or while breast-feeding.
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You can take benzodiazepines as a single dose therapy or several times a day for months (or even years).