42, gender: male hello, I had an anxiety and insomnia issue in early june triggered by job loss. A physiatrist I saw prescribed xanax -xr 1 mg everyday after dinner and 0.25 mg as needed. Although I got another job right after, anxiety remained and is triggered easily by work interactions for many weeks. Medication did help with my anxiety and insomnia. I don?t have as much anxiety issue anymore but whenever I try to taper of xanax, I cannot sleep. When I asked him again, he said keep taking xanax -xr for three months as he thinks different medications will have other side effects. I took a second opinion and the other Dr. told me to taper off xanax and use trazodone 50 mg everyday. 1 mg xanax is definitely helping me with sleep but I am apprehensive about switching drugs especially the first Dr. was emphatic about staying on xanax. Since the two opinions are conflicting, I feel like I need a third opinion to resolve this, as I am very uncomfortable staying on xanax but feel like tapering off it is not an option given my inability to sleep. A mild anxiety that I sometime have during the work days is manageable I feel like I don?t need medication for it. I would like your opinion on whether I continue on xanax or try to taper off and start taking trazodone 50 mg. I am also planning to have sessions with therapists also.
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Dear lybrate-user, generally psychiatrist don't like to continue xanax for long term. Now that you are free from anxiety, you can stop xanax. Just for sleep, you need not take xenox. Sleeplessness is a part of anxiety along with hypervigilance. It can be due to xanax xr withdrawal also. So, stop on a weekend and try to sleep with sleep hygiene methods. If you can not sleep after 2 -3 nights, go for therapy few sessions and then stop.
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Hello. Xanax is a benzodiazepine which produces dependence in patients after using it for few months. Tapering it down is the best option you could go for. Suddenly stopping it will lead to withdrawals such as excessive anxiety, disturbed sleep, tremors etc. So I am of the opinion that you try to taper it down. Sleep issues can be dealt by using sleep hygiene techniques and other group of medications that do not have dependence potential.
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Hey! long standing anxiety is often dealt with in therapy. Medications work on symptoms and is absolutely important. Therapy works on the underlying thoughts leading to the anxiety and provides a safe space to process and manage these thoughts. Visit a therapist in your city or alternatively you could reach out to us to book a session at heartitout.in/book-a-session hope this helps! take care!
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