Overcoming Librium Dependency: Finding the Right Neurologist for Treatment - Neurology

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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.

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