There are probably one or two million long-term benzodiazepine users in the UK. The GP is the best person to supervise withdrawal, but confident management requires a knowledge of withdrawal effects and an understanding of the patient's anxiety. Essential ingredients of successful withdrawal are information, motivation, gradual dosage reduction, sometimes other medication, relaxation and, above all, time and effort by both GP and patient. The outcome often depends on the quality of the GP's support. First visit Many patients are anxious and frightened of withdrawal. Some have tried unsuccessfully before and have 'withdrawal' symptoms though still taking benzodiazepines. Sympathetic listening, explaining anxiety symptoms and benzodiazepine effects, and slow withdrawal are essential. Patients may feel relieved after an informative first interview and experience reduced anxiety. Beta-blockers are a class of medication that helps control your body’s fight-or-flight response and reduce its effects on your heart. Many people take beta-blockers to treat heart-related conditions, such as: Beta-blockers are also called beta-adrenergic blocking agents. They prevent adrenaline — a stress-related hormone — from making contact with your heart’s beta receptors. This prevents adrenaline from making your heart pump harder or faster. In addition to relaxing your heart, some beta-blockers also relax your blood vessels, which can help to reduce blood pressure. There are many beta-blockers available, but some of the more common ones include: Off-label drug use Using a drug off-label means that a drug has been approved by the FDA for one purpose, and it’s being used for a different purpose that hasn’t been approved. A doctor can still prescribe it for this purpose because the FDA regulates the testing and approval of drugs, not how doctors use them to treat their patients.
When is stress normal, and when is it extreme enough to warrant medication? Panic attacks or worry so intense that it interferes with daily functioning means it's time to talk to a doctor, says Valerie Davis Raskin, M. If meds are in order, she says, the next question is whether to take a drug every day or only when you feel symptoms. Daily Use If you're anxious all the time, selective serotonin reuptake inhibitors (SSRIs), including Prozac, Zoloft and Paxil, may be the best choice. Technically, SSRIs are antidepressants, though they're often prescribed in smaller doses to treat anxiety. They have to be taken every day, sometimes twice a day, and you won't feel them working for a few weeks. Many users may feel jittery or have trouble sleeping at the beginning of treatment and should talk to their doctors about adjusting dosages. Raskin estimates that at least 30 percent of women experience some change in sex drive. This isn't me asking for medical advice, I already saw my doctor yesterday for exactly that; rather I am just interested in the subject and think it warrants a discussion. Some background on why I'm thinking of all this: So, I fucking hate experiencing turbulence while on airplanes. It's irrational, and it never used to be a problem for me, but now it is, and it sucks, and I hate it. Tingly hands and feet, sweaty palms, pounding pulse, the typical panic response. I went the alprazolam (xanax) route at first, but noticed it just made my anxiety worse in the long run, and found literature supporting my experience: https://gov/pubmed/9299803Naturally, now I want to stay away from xanax, or any benzos for that matter, as there seems to be reason to believe they interfere with "retraining" your amygdala to not act irrationally in such situations. I then came across this paper, which involves using propranolol to aid in fear extinction: showall=true=I knew that propranolol is often used by performers to combat stage fright, but this was the first I was seeing of propranolol being used to eliminate an actual phobia.
Jul 22, 1989. There are probably one or two million long-term benzodiazepine users in the. Propranolol 20-40mg bd or tds controls tremor, palpitations and. Because of this info I decided to give Inderal propranolol a try for my. He said that combining propranolol with a benzo like valium could.