Posted by Guy on September 5, 2013, at 22:19:15
In reply to Klonopin-why does the lit. say 1mg/day for Panic?, posted by GypsySoul on September 5, 2013, at 15:34:19
GypsySoul, from "Psychiatry MMC":
"BZs have proven efficacy as monotherapy and in long-term use for PD. As described above, they can be especially helpful when used in combination with SSRIs at the initiation of treatment. Patients with PD may require doses higher than the doses many clinicians are accustomed to prescribing.
Some clinicians hesitate to use BZs due to concerns about dependence, abuse potential, and cognitive dulling. While important to recognize, there is little empirical support for any significant abuse or harmful effects from BZs on neurocognitive function, or a significant risk for abuse among patients with anxiety disorders. For PD sufferers who have a prior history of substance abuse, however, the risk is increased and caution is indicated. Thorough patient education and close monitoring of side effects and usage patterns are critical components to therapeutic success. If BZs are used, it is important to remember that they do not treat depressive symptoms and may even worsen depression. Moreover, there is some limited evidence suggesting that BZ use may interfere with exposure therapy. All of the medications currently used to treat PD, however, have limitations and risks in addition to their benefits."
poster:Guy
thread:1050199
URL: http://www.dr-bob.org/babble/20130828/msgs/1050223.html