Treatment with Benzodiazepines, antidepressants and antipsychotics
I did not know this but the manufacturers of the 3 major benzo's used to treat panic disorder are recommending that in severe cases, individuals can go up to a maximum daily dosage of 10mg a day! The 3 major benzo's, i am referring to are xanax, klonopin and ativan. The most ive seen pdocs prescribe are 4mg per day, (if they are willing to prescribe them at all) but usually the maximum daily dose is less than this. Often we see patients not respond to these low dosages and he/she and the doctor will give up. Also, some patients may be rapid metabolizers of the benzo and need an increase in dosage. Imo, i dont think doctors pay much consideration to this.
Now in most cases once the therepeutic dosing range is established the patient will not develop tolerance to the medication. And as far as weaning patients off of the benzo, what makes a difference if its 4mg or 10mg? Obviously the latter will just take longer. And if the 10mg is working, why would you ever need to be weaned off anyway?
But what do doctors do instead? Precribe antidepressants which clearly have more side effects or antipsychotics which have even more. If the antidepressant does not work, another one might be added on or an antipsychotic with even more side effects. As far as withdrawal goes, withdrawal from antidepressants can be just as uncomfortable than the benzos.
Imo and im sure many others would agree, pdocs are being enormously mislead by fortune 500 companies such a pfizer, lilly, forest, smith kline and others. Benzodiazapines should be the main stay of treating panic disorder and if everyone here was on the proper dosage, there would be fewer and fewer posts of complaints of symtoms and more and more people away from their computers and out enjoying their lives.
Last edited by atmont1977; 09-17-2004 at 09:05 AM.