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▲ soniczentropy 10 hours ago

I helped my mother go through this after her psych decided it was time for her to cold turkey a 4x a day xanax prescription she'd been taking for 20+ years. 5 total ER trips, 3 separate hospitalizations, and a full year of absolute misery before she started getting some relief. A YEAR.

I have watched family members die of AIDS, cancer, and Alzheimers. I have myself recovered from alcoholism (5 years next month!). Nothing in all my life has ever held a candle to how hellish Benzo withdrawal is. These drugs need to be banned. Period.

▲bbarn 6 hours ago | parent | next [-]

I take Xanax when I fly. I have a prescription for a whopping 10 pills, and it usually lasts me three months. It does exactly what it's supposed to. "Banned, Period" is assuming your experience justifies taking everyone else's away, and those of us using them responsibly benefit quite a bit. 4x a day is also over recommended dosages, depending on strength - so that's more on the doctor than the drug.

▲tredre3 9 hours ago | parent | prev | next [-]

People who have been taking benzos for decades with no dose escalation should be left alone. Most people develop tolerance quickly to the sedative and hypnotic and anti-convulsive effects. But not everybody develops tolerance to its anxiolytic effect, and few legitimate patients abuse the things for fun, despite what the recent zeitgeist and sob/horror stories would like us to believe.

Obviously it's been overprescribed. Old school doctors likely still do prescribe it too easily. And new docs often plainly refuse to prescribe it at all. The solution doesn't have to be black or white. Doctors have the ability to limit the number of pills per month a patient can get, imagine that! It doesn't have to be nothing at all vs as-needed-which-means-the-full-30-pills-every-month-inviting-the-patient-to-start-taking-it-daily. It can be "give 5-10 pills per month".

That way the doctor can monitor the patient needs more closely and effectively prevent both addiction and tolerance from developing (to preempt: no, most people cannot in fact easily source it from the black market, and doctor shopping is no longer a thing for controlled drugs thanks to the opiod crisis).

▲tpmoney 6 hours ago | parent [-]

This sort of panic about people who have been on a controlled dose for long periods of time or just straight up panic discontinuations of doses is the same crap that exacerbates opioid problems too. Too many stories from family members about their loved ones who were prescribed high doses of ${addictive drug} and then suddenly some other doctor (or sometimes the same doctor) suddenly decides this was all a mistake and cuts them off completely. Soon those family members who maybe did need to come down from where they were are seeking illicit sources of their drug. And it's near impossible to get out from under a doctor if you do think they're overprescribing because of just this.

My own family had a similar problem. The family member was way over-prescribed a drug by a doctor who clearly wasn't helping treat the underlying issues and frankly barely remembered the patient from month to month (for a person they were seeing every month). It still took us nearly a year to find a doctor we could switch to because everyone we called was so freaked out by the dosing the prior doctor had prescribed that half of them wouldn't even touch the case at all, and the others wanted to just stop everything cold and start all over again. The problem with that being that the underlying reason they were getting prescribed these medications was still an issue. Asking someone who does need the medication in question (or similar treatment) to not only suffer without it for a few months but also just stop their escalated doses cold turkey is just needlessly cruel and harmful. We were lucky to finally get a doctor who accepted helping us get things under control, with a pre-made plan of action and a "sole-prescriber" contract, both of which was fine, we just needed someone whose plan didn't start with "and now you stop everything you're taking to treat your condition and we wait until you're detoxed before we try anything else".

▲rnd0 9 hours ago | parent | prev | next [-]

>These drugs need to be banned. Period.

I've lived with that as well, but I've also spent months carved up (surgically) and there is no replacement for the role that they play medically.

I can't agree with a complete ban. It's better to get awareness out there about the harm they can do, and put better controls on access to them but not a ban.

I live with anxiety -there's no other drugs that work for it. Luckily I'm able to use DBT and straight up avoidence to cope with anxiety. But if I didn't have that last option then I'd be hosed -because there really is not anything that works effciently for treating anxiety; at least not in my personal experience (which goes back decades).

▲gnarcoregrizz 4 hours ago | parent | prev | next [-]

I need the occasional benzo (midazolam) as a rescue medicine for my seizures a few times a year. Banning these things just makes it harder for people who actually need these life saving medicines. Most epilepsy drugs, including non-benzo, are strictly scheduled and it makes my life hell. It is very hard to get these medicines sometimes because of these rules (fuck the DEA, and your opinion), seizures can be lethal, especially compounded with withdrawal.

I was out of options for anti-seizure drugs outside of the benzo class, which I refused to take on a daily basis (clobazam). I have had to taper and switch many AEDs in the past, none were too hard (2-4 weeks) but I didn’t want to be stuck on this one and have to taper it for months should I have needed to.

▲Marha01 6 hours ago | parent | prev | next [-]

> These drugs need to be banned. Period.

I don't think so. It should be drilled into doctors' heads to prescribe them very cautiously and always warn about the addiction potential. But they have their legitimate uses and in some cases are irreplaceable.

▲im3w1l 9 hours ago | parent | prev [-]

How is forcing her to cold turkey that not malpractice?