Posted by SLS on August 24, 2012, at 7:09:17
In reply to Re: Can someone explain this in lay terms? » SLS, posted by gadchik on August 24, 2012, at 6:43:13
> Thanks,Scott, that was very well put and helped me to understand the article. Do you think,for people that seem to have a gaba problem,which I assume leads to panic,that a benzo does beneficial things for that type of brain? Or does it end up being detrimental?
I really don't feel that I have researched the matter well enough to give you a definitive answer. However, it seems to me that memory function remains mostly intact in chronic BZD treatment despite some studies that report a measurable decline. Very often, the sensitivity of a test to measure memory function resolves differences that are imperceptible to the patient. I really don't see any disadvantage to being on a BZD for the long-term other than the difficulties of discontinuing them. Of course, if they work, there may never be a reason to discontinue them. I think one of the best treatments for social anxiety / phobia is to combine Nardil with Klonopin. If generalized anxiety disorder is the source of the anxiety, I would probably try a serotonergic drug (SSRI and SNRI) first - possibly even tramadol. It is a difficult decision to make. Nardil can be effective also, especially when panic is present. I don't have enough of a "feel" for the utility of Valium, but Klonopin, Xanax, and Ativan are worthy choices. Klonopin has an ideal half-life and adds serotonin releasing properties as well. However, some people feel moderately depressed on it. For others, it is a perfect solution. You won't know until you try it.
- ScottSome 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:1023940
URL: http://www.dr-bob.org/babble/20120818/msgs/1024113.html