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Xanax
      #22046 - 09/30/03 12:48 AM
Tim G

Reged: 08/07/03
Posts: 95
Loc: NSW, Australia

I am sat here staring at a box of Xanax that my doctor has just prescribed for me to help get my IBS Anxiety under control. It's a minimal dose 0.5mg per capsule, but I am pretty concerned about taking it primarilly because he has suggested a possible addiction/dependency but also from a quick look on the web I found a 'potential for seizures' if you withdraw from the dosage...this can't be good...can it?

I know a few people have mentioned experiencing severe anxiety as a result of IBS, but were you guys prescribed anything like this? And if so, do you / did you have a dependency or any nasty health issues (seizures etc) when you came off?

I am really not sure about this. As much as I want to get the anxiety under control and get my life back, I'm not sure I want to do that at a risk of prematurely ending it...

I would really appreciate any assistance guys.

Best
Tim

--------------------
Tim

-A poor man's Jamie Oliver...without the attitude!

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Re: Xanax new
      #22048 - 09/30/03 06:04 AM
BL

Reged: 06/01/03
Posts: 3522


Ahh, Tim,
I have been there and understand. You're scared to take it, but you're scared if you don't, you will be too anxious to make it through the day. I remember that feeling and it's not a good one.
I did take the Xanax for several months during a very difficult time in my life (I was having severe panic attacks and wouldn't leave the house). The doctor had me start it when he also started me on Zoloft (an antidepressant that helps with panic attacks.) Then he slowly weaned me off the Xanax after the Zoloft started working. (It takes several months for Zoloft to work.)
The Xanax can be addictive if you abuse it. You must take it under the careful advisement of a prudent doctor who will help you wean off it when the time comes. It is only a temporary solution, and not a permanent one. But if this is a difficult time in your life and you need it, then don't be afraid to try a very, very lose dose. I think I started off taking 0.25 mg three times a day, then slowly lowered the dose to an eighth of a milligram and then quit it--- (over the course of months). After quitting it, I had a night or two of insomnia and then I was fine, but of course, by then the Zoloft had taken effect.
The trouble you can get into taking the Xanax is if you take large doses or if you decide you are going to increase your dose (without your doctor's permission.) You also cannot take it regularly and then just quit it cold turkey. That's when your body will respond with even worse anxiety than you started with. Because it ia a very short-acting drug and does help with the anxiety almost immediately after taking it, you also will feel the effects quickly when it wears off.
I don't mean to scare you, but just realize you must take it EXACTLY as your doctor tells you to and wean off of it under his/her instruction. If you do this, you will have no problem.
There is another medication in the same class called Klonopin that is longer acting and because of this, does not have as much potential for addiction. You just take it once a day. (My doctor had me taking that at night because I could not sleep.) You may want to ask your doctor about a very small dose of this. One thing I will tell you is that if either the Xanax or the Klonopin make you too drowsy during the day, you are taking too high a dose. Start out with the lowest dose possible (maybe even .25 mg of the Xanax) and see if it helps you. You can always increase the dose if it's not enough; it's reducing the dose that can be a problem. Don't drive until you know how it will effect you. It may knock you out!
Also some of the antidepressants, such as Zoloft, help with panic and anxiety very well---and you do not have to be weaned off those.
Good luck. I hope I have helped you. Let me know if you have any other questions. I can just speak from my experience.


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Tim new
      #22049 - 09/30/03 06:15 AM
BL

Reged: 06/01/03
Posts: 3522


I forgot to mention that at the time I was fortunate to have the most caring doctor ever! I trusted him totally (which when it comes to doctors, is very hard for me.) Any time I needed him, I could call and he would call me back at the end of the day and talk to me as long as I needed. One of those young and very enthustiastic doctors!
I'm wondering how well you know this doctor that prescribed the Xanax for you. Do you trust him? Does he have a good reputation? Will he be around IF you need him down the road?
Some doctors prescribe this stuff too easily (meaning to every patient that comes through their door!) and are never around to follow up. If he knows your situation and you trust him, then you should be fine.
I know you've had a very rough time lately. Hang in there! It will get better soon. I'll be praying for you!
Beaglelover

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Re: Tim new
      #22137 - 09/30/03 06:10 PM
Tim G

Reged: 08/07/03
Posts: 95
Loc: NSW, Australia

Hi BeagleLover,

Thankyou so much for the information, and for your support.

To be honest I don't know this doctor that well at all. In Australia (unlike when I lived in England) for the most part you don't have a 'Family doctor' as such and instead have medical centre's where it's pot luck who you get.

I got the feeling that he was prescribing the Xanax as a last resort, not really having any other ideas.

Having done some research last night I have decided not to proceed with this at present and have moved them to the bathroom cupboard (out of sight!). The possible side-effects are just way too much for me!!

I am going to see a counsellor next week so hopefully can make some progress via a non-drug solution.

Thanks again though for your help
Best
Tim

--------------------
Tim

-A poor man's Jamie Oliver...without the attitude!

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Re: Xanax new
      #22154 - 09/30/03 08:15 PM
Yoda (formerly Hans)

Reged: 01/22/03
Posts: 3682
Loc: Canada

Hi. I understand your concern. I think that the potential for side effects for anti depressants is common. It's more likely to happen if you suddenly stop cold turkey.
Raise your concerns with your doc. There may be an alternate med that's non habit forming. I'm on Paxil and I don't think it's habit forming but can have nasty withdrawal effects. Mind you I'm on the paxil for non ibs reasons (ocd). Talk to your Doc. That's what they're there for. Take care and I hope you feel better.
BTW - a short term low dose doesn't sound too risky.

--------------------
Formerly HanSolo. IBS, OCD, Bipolar, PTSD times 3.

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