Posted by Chairman_MAO on May 8, 2005, at 11:29:30
In reply to Re: Maxime and SLS » Chairman_MAO, posted by SLS on May 7, 2005, at 16:28:11
Yeah, one of my better shrinks in the past told me he used valproate (and/oror gabapentin, IIRC) sometimes to ease the transition off the drug toward the end of the taper, especially for patients who'd been on the drug for a long time. I suppose you could even use carbamazepine or topiramate, but valproate is obviously way more GABAnergic (and calming for most folks).
He was the one also who told me that tapering using a benzo was always preferred to tapering with phenobarbital, simply because it's always best to use a drug in the same class as the drug the patient is on for the taper unless it's not practical, e.g. with alcohol, where tapering is impossible. My own experience trying to detox myself (*shudder*, those were the darkest days of my life, for sure) from diazepam 40mg/day using phenobarbital bears that out, for sure.
poster:Chairman_MAO
thread:493061
URL: http://www.dr-bob.org/babble/wdrawl/20050424/msgs/495174.html