Quote from Jennita:My point was that hard liquor is more potent, which may cause alcoholism more promptly and easily than weaker stuff, and have higher tolerance/withdrawal issues.
Benzos are not all created equal either, as some such as Ativan and Klonopin are more potent, targeting more receptors than let's say, the weakest which is Valium. Most would agree(including experts) it is harder to get off Ativan than Valium, thus the preferance of Valium taper. Potency does have a factor in all drugs/alcohol.....
....but I'm not disagreeing with you in the fact that this guy does have a problem! Twelve beers a day, everyday, is alcoholism and must be dealt with! I'm not sure if benzos are the best treatment, as the other poster mentioned Clonodine and since his doctor used it, I think it may be a viable alternative to benzos for detox.
Alcohol and benzos are essentially all created equally, respectively, but it depends on the dose. 10mgs Valium = .5 mgs Xanax
is 20 times more potent, according to Ashton`s potency equivalency chart, but in each instance one pill delivers the same, though the Valium has more metabolites and exits the system slower. But alcohol is just simply that, blended or not blended in whatever. One shot of tequila = one beer. Downing a beer is just as "potent" as downing a shot. This is elementary, no "experts" needed. If an "expert" can come up with a credible study to show that those that prefer mixed drinks over beer are more prone to becoming alcoholics, I`d look at it. Again none of that matters as the person that started the thread appears to already be alcoholic. They need to stop and stay stopped.
The reason Ativan is viewed as tougher to come off than Valium relates to the much shorter half-life of Ativan, not to the strength or weakness of either drug. Concentrations of the chemical in the system will drop faster creating more sudden, frequent, intense withdrawals. But as concentrations of Valium drop over time, it can all catch up with the addict coming off quick, and in the end, could be viewed as just as ugly. I watched a young woman once, cold turkeying off a 5 blue Valium a day habit, jerking so bad that she could not hold her cigarette.
None of this is relevent however to alcohol as half-lifes are not an issue. It all expells from the system at the same relatively rapid rate. Drink a 6 pack over an hour, 6 shots over an hour, one is in the same spot. If that does not get the point across then one will never get it... Though once hooked it makes sense to go with the hard stuff as drinking a case of beer or more a day involves alot of work and bathroom breaks. Though many go that route and are no better off than the whisky drinkers. Even though their beer only drinking feeds their denial. "Hey, I drink only beer." They typically have beet red faces and very large bellies. I have known many. The issue is abuse/addiction, and maybe in some cases heredity, not the beverage of choice.
I highly suspect no "expert" is arguing that hard liquor targets more "brain receptors" than beer! That is not relevent here. With benzos, Ashton claims that the notion that some benzo types target receptors that others don`t is "nonsense." But I doubt there is any true expert on that issue, or the issue of precisely how benzos effect the brain. Though one could find plenty of confident assertions complete with diagrams off the net to cut and paste, the doctors often do not agree. Many get the impression that medicine is an exact science, far from it, and brain science is now in it`s infancy. Though some scientific theories deserve more attention than others, what is heralded today might be laughed at in 100 years. Such is history.
Clonidine sounds great for fast alcohol detox if affective as benzos, but as far as I know it is simply a BP med, not a seizure med. It also would be interesting to know how effective it may be at curbing the often deadly "DTs" that can accompany alcohol withdrawal. Until we get much more than a post from one that used Clonidine to come off opiates, I`d say stick with the benzos for alcohol detox. There has been no problem with their use in this medium.
P.S. The reason Valium is preferred to the others for tapering relates to half-life, not potency. In fact, matching potencies is essential when doing a crossover and starting a taper, eg. 2 mgs Xanax
= 40 mgs Valium. Valium has more metabolites and thus has a half-life of 24-100 hours. This makes for steadier concentrations of the essential chemical in the bloodstream. To the contrary, Xanax
has a half-life of 4 to 9 hours which creates the need for frequent dosing, peaks and valleys, much tougher taper. No good analogy for alcohol here either...