A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal

Benzodiazepines (BZDs) remain the mainstay in the management of withdrawal arising out of BZD use disorders. The choice of detoxifying agent is determined by the duration of action and also by the metabolic properties of the drug. Very rarely, we consider the chemical properties of the drug that we...

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Main Authors: Vrinda Saxena, Robin Victor, Arghya Pal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Journal of Geriatric Mental Health
Subjects:
Online Access:http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=165;epage=166;aulast=Saxena
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author Vrinda Saxena
Robin Victor
Arghya Pal
author_facet Vrinda Saxena
Robin Victor
Arghya Pal
author_sort Vrinda Saxena
collection DOAJ
description Benzodiazepines (BZDs) remain the mainstay in the management of withdrawal arising out of BZD use disorders. The choice of detoxifying agent is determined by the duration of action and also by the metabolic properties of the drug. Very rarely, we consider the chemical properties of the drug that we choose, though occasionally that may have profound clinical impact on the outcome. In this case report, we present the case of alprazolam withdrawal that was ineffectively managed by lorazepam and finally salvaged by the use of clonazepam. The chemical properties of the molecules involved and their clinical importance in the decision-making process have been subsequently reviewed.
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spelling doaj.art-fc244ad71e734258ad63e4bf11fbfefc2022-12-22T02:55:04ZengWolters Kluwer Medknow PublicationsJournal of Geriatric Mental Health2348-99952395-33222018-01-015216516610.4103/jgmh.jgmh_25_18A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawalVrinda SaxenaRobin VictorArghya PalBenzodiazepines (BZDs) remain the mainstay in the management of withdrawal arising out of BZD use disorders. The choice of detoxifying agent is determined by the duration of action and also by the metabolic properties of the drug. Very rarely, we consider the chemical properties of the drug that we choose, though occasionally that may have profound clinical impact on the outcome. In this case report, we present the case of alprazolam withdrawal that was ineffectively managed by lorazepam and finally salvaged by the use of clonazepam. The chemical properties of the molecules involved and their clinical importance in the decision-making process have been subsequently reviewed.http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=165;epage=166;aulast=SaxenaAlprazolamclonazepamlorazepamwithdrawal
spellingShingle Vrinda Saxena
Robin Victor
Arghya Pal
A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
Journal of Geriatric Mental Health
Alprazolam
clonazepam
lorazepam
withdrawal
title A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
title_full A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
title_fullStr A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
title_full_unstemmed A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
title_short A case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
title_sort case report of preferential effectiveness of clonazepam over lorazepam in the management of a case of alprazolam withdrawal
topic Alprazolam
clonazepam
lorazepam
withdrawal
url http://www.jgmh.org/article.asp?issn=2348-9995;year=2018;volume=5;issue=2;spage=165;epage=166;aulast=Saxena
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