Discussions that mention prozac

Lyme Disease board


TML & Romans,

Don't mean to interfere in the advice and conversation here (as I'm sure TML has much more experience in the Lyme stuff than I do), but I do want to clarify something about Xanax. It is a Benzodiazapine (a special type of anti-anxiety medication). The "prototype" drug in this class is Valium. Other frequently used BZD's include Xanax, Klonopin, Ativan & Restoril.

If the main problem caused by the Herxing is anxiety, I'd agree with TML (at least on the appropriateness of someone prescribing a BZD like Xanax). Xanax may give the quickest relief of the BZD's that could be ordered. Do realize, though, that there can be some side effects from these drugs and that current pysch trends are moving away from using BZD's to using SSRI's (anti-depressants such as Zoloft, Clexa, Prozac, Paxil) for anxiety - or at least weaning folks off BZD's after initial treatment for a few weeks and onto SSRI's. (I don't know how treatment might differ due to Lyme disease or anxiety caused by herxing as opposed to other types of anxiety). Never just stop taking a BZD after taking it for a few weeks - as it can cause a nasty withdrawal without proper tapering off.

Another option, if sleeping (or lack thereof) is the main problem, would be to get a prescription for a medication like Ambien. This is a non-BZD hypnotic used specifically for aid in sleeping (though there are usually some limitations on how long you should use it). It usually works very well, will "put you out", but doesn't give that "hangover" feeling of something like Benedryl. It usually works very quickly and has less serious side effects than BZD. There is also no withdrawal or tapering down necessary. I'd suggest trying 1/2 pill first (esp if you are sensative to medications).

TML - if you have other thoughts on this, or reasons why you'd still suggest a BZD over a non-BZD, please let us know. Like I said, I don't know a lot about how Lyme interferes with all our systems and your suggestion may be better.

K