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Benzodiazipine maintenance treatment?

Posted by Bob on March 12, 2010, at 11:43:58

Is anyone familiar with what the current concensus is on long term benzo treatment, e.g. for years. Is it often a useful part of people's treatment or are they something that should be used for the absolute shortest amount of time. More importantly, do prevailing theories suggest that people develop long term tolerance to the drugs and then get stuck on them?

My pdoc wants me to augment my treatment with ativan 'for awhile' in keeping with the hypothesis that the antidepressants are causing muscle tension and restlessness. I agree that something needs to be done, but I'm worried about benzos. I've been on clonazepam for extended periods in the past and it was always difficult to get off of in then end, and that drug has a real long half-life. I have no idea what an alternative treatment would be if we are to stick with his hypothesis.

I'm also concerned about the relatively short half-life and the probably need to dose it multiple times per day. Clonazepam addressed that issue, but was a quite depressogenic and sometimes sedating drug.

 

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poster:Bob thread:939261
URL: http://www.dr-bob.org/babble/20100305/msgs/939261.html