FROM OUR EXPERTS
I previously posted about the diagnosis of insomnia, the difference between primary and secondary/comorbid insomnia, and the importance of evaluating for and treating any underlying causes of insomnia. I encourage you to read my Secondary Insomnia post before reading any more of this post. Today I will be talking more about medication treatment options for secondary (comorbid) insomnia. Although persons with primary insomnia (insomnia not due to an underlying medical or psychiatric disorder) typically do not complain of excessive daytime sleepiness, drowsiness or sleepiness are common symptoms of patients with secondary insomnia. Provigil (modafinil) is a wakefulness promoting agent that acts on a central portion of the brain called the hypothalamus to reduce sleepiness. Because it minimally affects the higher centers of the brain, such as the cortex, it is less likely to cause jitteriness and anxiety than Ritalin and other stimulants. Provigil has Food and Drug Administration (F...
Xanax is an antianxiety drug approved by the FDA for treating Generalized Anxiety Disorder and Panic Disorder. It and its generic version, alprazolam, are also often prescribed off-label for people with bipolar disorder, even if they don't have those specific anxiety disorders as well, usually to treat anxiety and insomnia.
The FDA-approved information about Xanax emphasizes the risk of emotional and physical dependence, especially at doses of 4mg/day or higher. To minimize withdrawal symptoms, the dosage should be tapered off slowly when discontinuing this drug (more below).
Some of the other most important things to know about Xanax are:
Your prescribing doctor must know about all other prescription and over-the-counter drugs you take, and about your alcohol use. Drinking alcoholic beverages can cause problems when you take Xanax.
Use of Xanax along with certain other drugs, including Prozac (fluoxetine), oral contraceptives, and certain antifungal drugs is contraindi...
I am suffering from extreme chronic depression and panic disorder. Can Xanax and Klonopin help? Have other people experienced added depression with Klonopin? The reality is that everyone is different. Some people think certain meds have only limited uses (for example, "Xanax should only be for occasional symptoms") while others think differently ("some patients can experience complete remission of depression with only Xanax.") In reality, we have some guidelines, we have our clinical experience, and, most importantly, what you tell us. My tendency is to listen to the patient, not the diagnosis. Many benzos can have strange effects: for example, rather than sedate you, they may make you feel wired. So can it happen? Yes. But generally these drugs cause fairly predictable outcomes. As above, it's most important that you tell your doctor everything, including prior experience with all medications, whether pre...
You should know
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