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Cold turkey
cold turkey how long for withdrawals to last?
Hello,
You should speak to your doctor urgently, you can experience psychosis or epileptic seizures. You should read The Ashton Manual by professor heather ashton http://www.benzo.org.uk/manual/ Withdrawal from short acting benzodiazepines can occur within 24 hours and more long acting benzodiazepines can occur after 3 weeks. Withdrawal symptoms especially from cold turkey withdrawal can last months or sometimes longer. I can't help you any further as wikipedia is not really the place for healthcare advice but I would say that you should seek medical attention urgently, as cold turkey withdrawal can potentially have very serious health effects. Please speak to your doctor and tell him what you have done.
Carpetman2007 02:06, 22th June 2007 (UTC)
Current Detox Facilities Bad Medicine
I went to a very expensive detox facility that was supposably very good, and they practiced horrible medicine.
I have been on Benzodiazepines for years from a supposably very good neurologist/pain specialist. He gave me large doses of Benzodiazepines for insomnia for years. I had been gradually getting in poor health over the years but the issue of longer term Benzodiazepine use was never brought up, even after seeing numerous doctors.
I thought on my own based on evidence I had read, that my "medicine" was to blame for my health problems. So I went to very expensive detox facility that was supposably very good. They knew all my medicines that I was taking but never in the time I was there did I get a medication that addressed the Benzodiazepines I had been taking for years. They gave clonidine and other medications but the GABA issue was left unaddressed, the result was a "cold turkey" reaction, horrible medicine!
Someone tell the medical community that they have huge issues that need to be addressed.
It is well known that gradual withdrawal over a period of months even up to a year or more is needed. In the uk these guidelines are issued in the British National Formulary which almost every doctor has a copy of. The warnings against rapid withdrawal are known world wide as well with most medical authorities stating that benzos need to be gradually reduced. Detox centers shouldn't be detoxing people off of benzos as a first resort, if at all. Benzos typically cause a severe physical dependence where seizures, psychosis and other serious withdrawal effects emerge during rapid detox and can remain acute and severe for several months. Stimulants cause a mild physical dependence but cause a strong psychological dependence and opiates a moderate physical dependence and strong psychological dependence. So benzos are different in that respect. The withdrawal syndrome is often too intense and too prolonged and in some cases brutal to be done cold turkey or rapidly. The wikipedia benzodiazepine articles reflect the medical knowledge base fairly well in my opinion. Nowhere in the wikipedia benzo articles does it suggest to the reader that abrupt withdrawal is a good idea. I think that your doctor is merely ignorant of benzodiazepine dependence and how to manage it. Many of these detox centers just want to make money to be honest.--Literaturegeek (talk) 19:08, 11 April 2008 (UTC)
I just reread the following comment you made which I have highlighted in bold. "Someone tell the medical community that they have huge issues that need to be addressed." I wasn't sure if this comment was implying that the wikipedia benzo articles were lacking in withdrawal information or not. Were you talking about the articles or just sharing your experience? These discussion pages are really only meant to be used to discuss the article.--Literaturegeek (talk) 19:12, 11 April 2008 (UTC)
Yes it was just my experience in the medical community in the US. I applaud the Wikipedia article or I'd still be lost in very poor health. Someone needs to shove this article in the face of every doctor in the US, because I was seeing the top doctors in southern California and they seem to no nothing of this information.--Equilibriummike (talk) 06:27, 12 April 2008 (UTC)
Problem with hypnotic withdrawal section
The references in the hypnotic withdrawl section are fake and have been made up. They do not even say what they are quoted as saying, even the reference titles have been altered. --TreasureXNY (talk) 00:31, 9 August 2008 (UTC)
Peer-reviewed source?
There is one source that is used quite a bit in this article, and I haven't been able to determine if it has been peer-reviewed or not. The reference in question is The Ashton Manual, and although there is no doubt that Heather Ashton is an expert on this topic, I'm concerned the article relies too heavily on this source. The relevant policy, if the Manual hasn't been peer-reviewed, is the verifiability policy on self published sources. It states, with my concern in italics: "Self-published work is acceptable to use in some circumstances, with limitations. For example, material may sometimes be cited which is self-published by an established expert on the topic of the article, whose work in the relevant field has previously been published by reliable third-party publications. However, caution should be exercised when using such sources: if the information in question is really worth reporting, someone else is likely to have done so . For example, a reliable self-published source on a given subject is likely to have been cited on that subject as authoritative by a reliable source."
Most of the information in the Manual has probably been published by Ashton herself in peer-reviewed journals. If that is the case, those articles are the preferred source to be used. Letsgoridebikes (talk) 16:46, 5 February 2009 (UTC)
It is not peer reviewed but I have seen it quoted or referenced a couple of times in peer reviewed articles. Also in Canada I believe it was some pharmacology department bulk ordered it for distribution in an area. It is quite a well known. But anyway you are right that it is used too much and peer reviewed sources are preferable. The info is mostly a summary of the literature, her own literature and also other researchers, tyrer, lader and others. I have got it down to being referenced 4 times in the article. I will reduce it further in the coming weeks. Thanks for the suggestion and feedback! :=)-- Literature geek | T@1k? 18:36, 5 February 2009 (UTC)
Removed section
I removed the following section because it grossly misrepresents the citation. In fact, it seemed so different that I decided to remove it for discussion rather than slapping a fact tag on it. If I am incorrect, and the reference does in fact contain this information, I'd appreciate if someone could give me specific page numbers. (And yes Literaturegeek, I made several searches and couldn't find a single mention of PTSD, fears of going mad, or a regime coupled with reassurance.) Letsgoridebikes (talk)
Complications
Over-rapid withdrawal and lack of explanation and failure to reassure individuals that what they are experiencing is withdrawal symptoms and is temporary have led some people to experience increased panic and fears that they are going mad, with some people developing Post Traumatic Stress Disorder as a result. A slow withdrawal regime coupled with reassurance seems to improve the outcome for individuals undergoing benzodiazepine withdrawal.
Yea but I had removed the Ashton manual citation per your suggestion and left the other citation. That paragraph is based on two citations. I added back the ashton manual citation.-- Literature geek | T@1k? 00:55, 12 February 2009 (UTC)
I must have gotten the protracted withdrawal symptoms,,,, and the protracted withdrawal syndrome,,,, articles mixed up. I changed the citation. By the way in one of the articles she puts a hyphen between the post and the traumatic, like post-traumatic,,,, just if you can't find it if using a search tool.-- Literature geek | T@1k? 01:03, 12 February 2009 (UTC)
You can also read it in Chapter 3 of the ashton manual. Here is the link. By the way tip of the day you can quickly locate words using the search tool on firefox browser. :=)-- Literature geek | T@1k? 01:06, 12 February 2009 (UTC)
I reworded it and merged the section into the detox section since it is talking about the effects of rapid withdrawal/detoxification.-- Literature geek | T@1k? 14:26, 12 February 2009 (UTC)
Interactions BZDs, Fluoroquinolones, NSAIDS
I removed this section because it relies on highly speculative refs: in vitro experiments with frog neurons, mice neurons etc. finding millimolar binding etc. This is speculation on the side of the refs as well as WP:SYN. Apart from that it combines now all recent pet peeves of the recent
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