Withdrawal from Librium
My mother has been taking the controlled substance Librium for over 10 years.
Now, she has difficulty walking and climbing stairs, and she needs to discontinue Librium.
She cannot detoxify at home and requires inpatient treatment, as this is a sedative and should be managed by a neurologist.
Which neurologist should we consult? Not all neurologists have the expertise to treat Librium dependency, and we have already made several futile attempts to seek help.
I live in the northern part of Taiwan, and cases of Librium dependency are not common; most neurologists have no understanding of how to manage withdrawal from Librium.
We have visited several neurologists, and they all say they are not responsible since they did not prescribe the medication.
My mother initially visited an ENT specialist at a certain hospital due to tinnitus, who prescribed Librium.
After long-term use, she developed difficulty walking and went to another hospital, where she was misdiagnosed with Parkinson's disease and treated with Parkinson's medication for many years.
Eventually, she went to National Taiwan University Hospital, where the doctors correctly identified that it was not Parkinson's disease, and she stopped taking the Parkinson's medication.
Currently, my mother is still taking 3 pills of Librium daily.
jiu jiu j, 50~59 year old female. Ask Date: 2004/07/06
Dr. Huang Yingzhe reply Neurology
Dr.
Huang Ying-Che from the Neurology Department of Tainan Hospital, Ministry of Health and Welfare, responded that Librium is primarily a medication used in psychiatry, and neurologists rarely prescribe this drug.
In other words, for issues related to withdrawal or usage of this medication, it is advisable to seek assistance from a psychiatrist.
Furthermore, I do not believe that the diagnosis of Parkinson's disease should be considered accurate; it may simply be a misdiagnosis or perhaps a misunderstanding on your part (it could be related to Parkinsonism).
The Tainan Hospital wishes you good health and all the best!
Reply Date: 2004/07/06
More Info
Finding the right neurologist for treating Librium (chlordiazepoxide) dependency can be a challenging process, especially considering the complexities associated with long-term use of benzodiazepines. Your mother’s situation, having taken Librium for over a decade, has led to significant physical difficulties, including trouble walking and navigating stairs. It’s crucial to approach this issue with a comprehensive understanding of both the medical and psychological aspects of benzodiazepine withdrawal.
First and foremost, it’s important to recognize that Librium is a benzodiazepine, which can lead to physical dependence and withdrawal symptoms when discontinued abruptly. The withdrawal process can be complicated and may require a structured treatment plan, often best managed in a specialized setting. While neurologists typically handle neurological disorders, the management of benzodiazepine dependency often falls under the purview of addiction specialists or psychiatrists, particularly those with experience in substance use disorders.
Given your mother’s long history with Librium, it would be advisable to seek out a psychiatrist who specializes in addiction medicine. These professionals are trained to handle cases involving dependency on controlled substances and can provide a more tailored approach to withdrawal management. They can assess her current health status, the extent of her dependency, and any co-occurring conditions that may complicate her treatment.
When searching for a suitable psychiatrist, consider the following steps:
1. Research Local Specialists: Look for addiction psychiatrists in your area. You can use resources such as the American Society of Addiction Medicine (ASAM) or the Substance Abuse and Mental Health Services Administration (SAMHSA) to find qualified professionals.
2. Consult with Primary Care Providers: Your mother’s primary care physician may have recommendations for specialists who are experienced in managing benzodiazepine withdrawal.
3. Inquire About Experience: When contacting potential specialists, ask about their experience with benzodiazepine dependency, specifically Librium. It’s essential to find someone who understands the nuances of withdrawal and can provide a safe tapering schedule.
4. Consider Treatment Facilities: If outpatient treatment seems inadequate due to the severity of your mother’s symptoms, consider looking into inpatient rehabilitation facilities that specialize in benzodiazepine withdrawal. These facilities often have a multidisciplinary team that includes psychiatrists, psychologists, and addiction counselors.
5. Evaluate the Treatment Approach: Once you find a specialist, discuss their approach to treatment. A gradual tapering of the medication is typically recommended to minimize withdrawal symptoms. The specialist may also consider adjunctive therapies to manage anxiety and other symptoms during the withdrawal process.
6. Support Systems: Ensure that there is a robust support system in place, including family involvement and possibly group therapy, which can be beneficial during the withdrawal process.
In addition to finding the right specialist, it’s crucial to monitor your mother’s physical and mental health throughout the withdrawal process. Symptoms such as anxiety, insomnia, and physical discomfort can arise, and having a supportive environment can significantly impact her recovery.
Lastly, it’s worth noting that while the withdrawal from Librium can be daunting, many individuals successfully overcome their dependency with the right support and treatment. Your proactive approach in seeking appropriate care for your mother is commendable, and with the right resources, she can work towards regaining her health and independence.
Similar Q&A
Understanding Neurology: A Patient's Journey to Recovery
Hello, Doctor. Oh dear! It seems that you are indeed very busy; it's been a while since your last consultation, and you seem even busier now. How unfortunate! Thanks to you, my condition has improved and hasn't worsened. Now, I really enjoy riding my scooter for transpo...
Dr. Ye Boshou reply Neurology
Thank you! Please come to the outpatient clinic on Wednesday morning for an additional appointment. We apologize for any inconvenience this may cause and appreciate your understanding.[Read More] Understanding Neurology: A Patient's Journey to Recovery
Choosing the Right Specialist for Neurological Rehabilitation Needs
Recently, the foreign caregiver's contract has expired, and we need to reopen the Barthel Index assessment. However, during a follow-up visit to the "Rehabilitation Department" of a large hospital, the doctor stated that the patient could walk with assistance and c...
Dr. Gao Chunde reply Neurology
The Barthel Index is a scale used to assess a patient's overall ability to perform activities of daily living. You can obtain a copy online, at a service desk, or from an agency to review it yourself. Additionally, you can evaluate the patient from an impartial and objective...[Read More] Choosing the Right Specialist for Neurological Rehabilitation Needs
Understanding Learning Difficulties in Children: When to Seek Medical Help
My five-year-old nephew has difficulty speaking and his writing and drawing are quite unsteady. His teacher believes he may have learning difficulties and has suggested seeking medical attention. What kind of evaluations should be conducted and which specialty should we consult?
Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: 1. I recommend that you first visit a large hospital (medical center) to consult with a pediatric neurologist or a rehabilitation specialist for developmenta...[Read More] Understanding Learning Difficulties in Children: When to Seek Medical Help
Seeking Guidance on Neurological Symptoms: Which Specialist to Consult?
Dear: Hello! I have been troubled by several ailments for a long time. I would appreciate it if you could help me with a preliminary assessment of the necessary outpatient departments and specialties, so I can seek treatment. I have not seen significant improvement from the local...
Dr. Lai Lunxiang reply Neurology
1. Based on your description, your condition may be "orthostatic hypotension." Please drink plenty of water and do not restrict salt intake excessively; a normal amount is sufficient. There are many causes of orthostatic hypotension, and if it cannot be managed, you sho...[Read More] Seeking Guidance on Neurological Symptoms: Which Specialist to Consult?
Related FAQ
(Neurology)
Eyelid(Neurology)
Vision(Neurology)
Others(Neurology)
Electroencephalogram(Neurology)
Family Medicine(Neurology)
Back(Neurology)
Psychoneurosis(Neurology)
Medication Consultation(Neurology)
Cerebral Infarction(Neurology)