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Re: What benzo would you pick? » med_empowered

Posted by SLS on October 13, 2005, at 13:37:01

In reply to What benzo would you pick?, posted by med_empowered on October 13, 2005, at 13:07:00

Hi M_E

Have you thought to try Lyrica (pregabalin)? It might provide both anxiolytic and mood-stabilizing properties.

I doubt I could add anything to your understanding of BZDs. From your own words, though, it would seem that you lean towards Valium as a first choice based upon personal experience. I would let that be your guide. I have not tried Valium myself, so I cannot provide a comparison. However, I found Ativan to be helpful for anxiety and insomnia.

I guess a neuroleptic is out of the question?


- Scott


> OK...so, my anxiety has been bad lately, and I checked out a shrink. The verdict? I'm doing pretty well overall--he just think my anxiety is "holding me back significantly". Soo, he mentioned a benzo, told me to think it over, and we'll talk more next week. He's a bit older, and some of my acquaintances seem him, so I'm pretty sure he's good at benzo rx'ing--doesn't overprescribe, doesn't underprescribe, does tapers well, and will RX the best benzo for the situation (including valium) instead of only RXing Klonopin and occasionally Ativan. So..this leads me to wonder...what benzo is best? Since I've been on so many meds, he's been listening alot to my preferences, which is nice...I'm kind of thinking that maybe, at this point, Valium would be ideal. I don't want the mood-dampening properties of Klonopin, and I'd like something that lasts longer than Ativan...I guess Xanax is an option, but I'd rather something a little less intense. Tranxene is a no-no for me b/c of my previous depressive episodes. Librium...I like Librium, but the dosing is so tricky (anywhere from 50-200+mgs/day) and the side effects are more pronounced at effective doses than other meds, at least for me. On the other hand...I don't want to take a "real" mood-stabilizer, so taking Klonopin daily seems like it could help out with evening out my mood. *sigh* Any suggestions?

 

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