Posted by SLS on June 14, 2013, at 6:50:16
In reply to Btw..., posted by gadchik on June 14, 2013, at 5:50:38
Hi Gadchik .
> Im not feeling as gung ho about tapering today as I was yesterday. How do I proceed? Ive got 2 choices-carry on or accept this thing-clonazepam. I make it such a huge THING. Ive got to get this straight or it's the next THING to drive me straight to crazy town...again. : (
In my experience with clonazepam, I found that coming off the last 0.5 mg was hellish - sorry. :-(
Please give consideration to using Trileptal (oxcarbazepine) as a buffer to make withdrawal easier. Someone here tried using it not too long ago. He had success with it. I can't find the thread in the archives, though.
- Scott
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Pharmacopsychiatry. 2005 Sep;38(5):222-3. Related Articles, LinksScheme-based benzodiazepine detoxification with oxcarbazepine -- a case report.
Croissant B, Grosshans M, Klein O, Diehl A, Mann K.
We attempted to evaluate the tolerability and efficacy of the antiepileptic drug oxcarbazepine in benzodiazepine detoxification, by observing several cases. Detoxification followed a predefined dosage scheme. All patients detoxified with oxcarbazepine completed the withdrawal successfully, without withdrawal symptoms. The administration of oxcarbazepine according to the scheme proved to be tolerable. The dosage was sufficient. Though uncontrolled case observations must be interpreted with caution, oxcarbazepine appears to be a promising drug in inpatient benzodiazepine withdrawal. It should be examined in further randomized placebo-controlled studies including long-term follow-ups.
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Am J Drug Alcohol Abuse. 2008;34(5):534-40. doi: 10.1080/00952990802149021.Oxcarbazepine in rapid benzodiazepine detoxification.
Croissant B, Grosshans M, Diehl A, Mann K.
SourceDepartment of Psychiatry, Psychotherapy and Psychosomatics, Teaching Hospital Sigmaringen, University of Tuebingen, Sigmaringen, Germany. b.croissant@klksig.de
Abstract
OBJECTIVE:
This study aims at evaluating the tolerability and efficacy of the antiepileptic drug oxcarbazepine in benzodiazepine detoxification in ten patients.
METHODS:
In this case study of an inpatient withdrawal program, each of the ten patients was detoxified using oxcarbazepine and completed withdrawal successfully without the occurrence of withdrawal symptoms. The detoxification program followed an outlined dosage scheme with oxcarbazepine increase and benzodiazepine tapering.
RESULTS:
The rapidity of benzodiazepine detoxification using oxcarbazepine was remarkable, benzodiazepine withdrawal being completed in as little as 11 days.
CONCLUSIONS:
The results support the assumption that oxcarbazepine is a valuable drug for inpatient benzodiazepine withdrawal programs.
PMID:
18821451
[PubMed - indexed for MEDLINE]
---------------------------------------------Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1045203
URL: http://www.dr-bob.org/babble/20130527/msgs/1045278.html