I have a problem with anxiety and insomnia. Now my doctor prescribed me Valium and Rivotril. However I read that they can become tolerant and addictive and then I have to take higher doses. Can I prevent this from happening by taking it every second day or would it suffice if I only leave it out on the weekends? Or should I take valium one day and rivotril on the next day? Thanks for your help.
Chosen Answer:
Oh dear it’s 2am here and Rhianna is still trying to get me to save the world. I long since realized that was not possible, but she has persuaded me to comment on your question.
I am retired now so I can start my answer with a very not professional ARGHHHHH!
Until the 1900s doctors,bless their cotton socks, thought it was a good idea to prescribe laudanum for insomnia and anxiety, basically opium! It was fashionable and to be frank they had little else. In 1903, the first barbiturate (“barbital”) was used in medical practices. In 1912, a common barbiturate, Phenobarbital, was introduced. This was hailed as a huge medical breakthrough allowing doctors to stop using those terrible opiates which were so addictive.
The first benzodiazepine, chlordiazepoxide (trade name Librium), was discovered accidentally in 1955, and made available in 1960 and diazepam (Valium) since 1963. Doctors thought these were marvelous and it allowed them to replace those terrible and addictive barbiturates.
Good news in 1986 for treatment of insomnia nonbenzodiazepines, which include zolpidem, zaleplon, eszopiclone, and ramelteon were introduced. These enabled doctors to change from those nasty addictive benzodiazepines. These nonbenzodiazepines are now known to be so addictive that Valium is used to wean patients off them.
I guess you see the pattern the poor patient is little better off than he was in 1900 taking his laudanum.
Of the 2 drugs you have been given Rivotril,clonazepam, is the most addictive, and as Rhianna noted only used for epilepsy in the UK, and thus FYI has the highest street value. Neither improve insomnia. Chronic users statistically get off to sleep on average 20 minutes sooner and stay asleep for 30 minutes longer than they did before they started any medication. By far your best option is to get your GP to wean you off both drugs, this is usually done by converting to Valium alone and then gradually reducing the dose.
Best management for anxiety, which causes your insomnia, unquestionably CBT, cognitive behavioral therapy, no medication, with a 70% cure rate.
by: Dr Frank
on: 4th August 09