Author Topic: We need specific guidelines on how to prescribe long acting benzos as needed.  (Read 133 times)


Long acting benzos are a different beast, and doctors seem even more ignorant about those than the short-acting ones. For instance, if you take Xanax two days a week and then stop for five and then resume, itís unlikely youíll develop a dependency unless youíre one of the unlucky folks who grow tolerant upon immediate exposure. But Klonopin, for instance, with its ridiculously long half-life, maybe canít be taken as frequently.

For instance, my pattern before I fell into this daily use (not because as needed no longer sufficed but because my life turned upside down in a way I didnít foresee) was to take it for three or four days, stop for two to four, and resume. Of course sometimes pill days were fewer and breaks were longer, and Iím not positive I developed dependence this way because stopping for a week or two never really resulted in adverse symptoms but given its half-life, it would seem that taking it any more than once a week could be habit forming, which is less likely with Xanax and Ativan (I have no experience with Valium save for childhood surgeries).

The truth is, I have no idea if I was playing it safe. And no one else does either. So frustrating! The only guidelines (no longer than 4 weeks) apply to daily use.
Suggestions, opinions and/or advice provided by the author of this post should not be regarded as medical advice; nor should it substitute for professional medical care. Consult your doctor before making any changes to your medication. Please read our Community Policy Documents board for further information.