Psychiatric Medication: Your Questions Answered

Medication consultation

Hello Doctor: I am the patient from #143609.
I later visited a large hospital near my school and no longer went to the small clinic.
After explaining my condition, the doctor diagnosed me with mild depression.
I have a total of: autonomic nervous system disorder, neuroasthenia, insomnia, anxiety, and depression.
The doctor prescribed me several medications: Xanax 0.5mg (84 tablets), IMOVANE 7.5mg (11 tablets, half a tablet each time), Rivotril 0.5mg (21 tablets), and Lexapro 10mg (21 tablets).
The quantities above are for a 21-day supply.
I have some questions for the doctor: 1.
Is taking two Xanax tablets each time, twice a day, too much? (Because previously I only took KINAX 1mg at bedtime.) 2.
Are Xanax and KINAX the same type of medication? 3.
I have heard that Xanax can be addictive; is that true? 4.
Is there a possibility that IMOVANE, a sleep aid, could lead to needing a higher dosage over time? I have many questions, thank you for your help!

Leo, 20~29 year old female. Ask Date: 2019/03/11

Dr. Huang Xiaoxian reply Psychiatry

Dear Leo,
Kinax and Xanax are the same type of medication, just produced by different manufacturers.
In terms of dosage, 0.5 mg of Xanax is equivalent to 1 mg of Kinax.
Both are considered broad-spectrum benzodiazepines, which have sedative and hypnotic effects.
Comparatively, Imovane has a stronger hypnotic effect, while Xanax has more sedative effects, although it also has some sleep-inducing properties (as relaxation naturally makes it easier to fall asleep).
These medications are symptomatic treatments, and it is generally recommended to use them as needed.
As your condition improves, it is advisable to gradually adjust the dosage, as long-term use can lead to physiological and psychological dependence, and the body may adapt, resulting in diminished efficacy.
It is recommended to discuss this with your physician and adjust based on your symptoms.

On the other hand, medications that address the root cause generally refer to Lexapro, which is aimed at improving mood.
It is advisable to take it regularly.

Wishing you a speedy recovery!

Reply Date: 2019/03/11

More Info

When it comes to selecting the appropriate medication for treating psychiatric disorders, such as the mild depression and anxiety you mentioned, it is essential to consider several factors, including the specific diagnosis, the severity of symptoms, potential side effects, and individual patient history. Your current medication regimen includes Xanax (alprazolam), IMOVANE (zopiclone), Rivotril (clonazepam), and Lexapro (escitalopram), which suggests a multifaceted approach to managing your symptoms.

1. Dosage Concerns: You asked whether taking two Xanax pills (0.5 mg each) twice a day might be too much. The typical prescribed dosage for Xanax can vary widely based on individual needs, but it is crucial to follow your doctor's instructions. If you were previously taking 1 mg of KINAX (which is a different brand of alprazolam), the total daily dosage of Xanax you are considering (2 mg) is within the therapeutic range for anxiety management. However, it is essential to monitor how you feel and report any adverse effects to your doctor.

2. Xanax vs. KINAX: Xanax and KINAX are indeed the same medication, as they both contain alprazolam. The difference lies in the branding; KINAX is simply a brand name for alprazolam, just like Xanax. The active ingredient and its effects are the same.

3. Addiction Potential: You are correct to be concerned about the potential for addiction with Xanax. Benzodiazepines, including Xanax, can lead to dependence, especially when used for extended periods or at higher doses. It is crucial to use these medications as prescribed and to have regular follow-ups with your healthcare provider to assess the need for continued use and to explore alternative treatments if necessary.

4. IMOVANE and Tolerance: IMOVANE (zopiclone) is a sedative-hypnotic used primarily for treating insomnia. Like many sleep medications, there is a risk of developing tolerance, meaning you may need to take higher doses over time to achieve the same effect. It is advisable to use sleep medications for short-term management and to discuss with your doctor about non-pharmacological approaches to improve sleep hygiene and manage insomnia.

In addition to medication, it is essential to incorporate lifestyle changes and therapeutic interventions. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety and depression and can provide you with tools to manage your symptoms without solely relying on medication. Regular exercise, a balanced diet, and good sleep hygiene can also significantly improve your mental health.

Lastly, always communicate openly with your healthcare provider about your concerns regarding medications, side effects, and any changes in your mental health. They can help adjust your treatment plan as needed, ensuring you receive the best care possible. Remember, managing mental health is often a collaborative process, and your input is invaluable in finding the right balance for your treatment.

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