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Re: Barbiturates » ed_uk

Posted by yxibow on February 18, 2006, at 16:30:27

In reply to Barbiturates » yxibow, posted by ed_uk on February 18, 2006, at 13:53:17

> Hi Yxi
>
> >I dont know, because it just seemed that there was a sense of blase between barbiturates and benzodiazepines so I figured it was part and parcel of the NHS' arsenal. And I remember you mentioning now that the benzodiazepines are treated with disdain which is unfortunate because klonopin has allowed plenty a shutin to leave their house due to a variety of phobic and panic disorders.
>
> Yes, benzos are treated with disdain here. Many (most?) pdocs believe that the long term use of benzos for anxiety is never justified. Barbs are treated with extreme disdain.

I know... and then there's the benzo.org.uk site which I guess reflects this but I wont go further for getting slapped with a wet noodle for my free speech. There are people who have been on Valium without sequelae since 1962.


> >Versed as a sleep aid ? I think it would be very very limited in the US.
>
> There's nothing really special about midazolam except that it's particularly appropriate for use by injection (because it doesn't irritate the vein). Oral midazolam isn't any more sedating that any of the other short-acting high potency benzodiazepines.

Huh.
>
> Midazolam tablets aren't marketed in the UK, but they are available in some countries.
>
> I doubt that a standard dose of midazolam would sedate you at all Yxi!

Hah... I dunno... Some dose of Restoril would be sedating. 0.5 Xanax is still sedating because of its quick onset and short action and not blocked at 3A4.

> >Well it was an assumption because you do seem rather relaxed about the use of Barbiturates
>
> Rather relaxed?! Whatever gave you that impression? I advocated their judicious use only in a few specific situations.

Which we clarified again. :)

>
> >It would be horrifying if they managed to get barbiturates for sleep from some offshore pharmacy.
>
> I'm not sure what you're trying to say here Yxi!

Well I just don't want someone finding out how to get seconal from the Caribbean or something. That's all.


> >My conservative prescribing psychopharmacologist
>
> ;-) Your pdoc is hardly conservative Yxi! Conservative pdocs do not prescribe high doses of diazepam!

Oh he's concerned about that one allright but it seems to be rather necessary than necessarily a dose escalation. He doesnt give refills but thats not necessarily a matter of trust, I dunno... but then we meet frequently. I am a fast metabolizer of some things. Conservative in the sense that he doesnt go up and down on doses nearly as fast as I hear about other doctors on here doing. Should have clarified that..

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