Anxiety Medication: Risks of Dependency and Side Effects - Pharmacology

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Regarding anxiety issues?


I visited a neurologist at the beginning of November because I felt a slight rocking sensation in my body, similar to being on a boat.
After undergoing cold and hot tests and an eye movement test, the cold and hot test indicated an issue with balance on the right side.
The doctor referred me to an ENT specialist, but after reviewing the report, the ENT doctor felt there was no significant problem.
I then went to another large hospital to see an ear specialist, bringing my previous reports, and they advised me to return to the neurologist.
They prescribed me Fu'an Yuan (an anxiolytic) to take one tablet in the morning and one in the evening.
I have been taking it for a week now.
I would like to ask the doctor how long I can take Fu'an Yuan (an anxiolytic) at this dosage before it leads to dependence.
Are there any side effects? The ENT doctor did not provide any information about this when prescribing it.
Additionally, I have since returned to the large hospital's neurology department and was prescribed Minshilang (a vasodilator).
I am confused about whether Fu'an Yuan could lead to dependence on psychiatric medication, and if so, should I stop taking it? I do not have any sleep issues.
Thank you!

Xiao Mei, 20~29 year old female. Ask Date: 2015/12/30

Dr. Liao Lingmei reply Pharmacology


Dear: Fuanyuan medication is indeed classified as a Schedule IV controlled substance.
However, if prescribed by a physician, dispensed by a pharmacist, and used correctly, there is no need to worry about the potential for addiction before starting regular use.
The medication may have side effects such as slightly lower blood pressure or fatigue, and individual responses can vary.
Please consider your own reactions after taking it.
Wishing you health and happiness!

Reply Date: 2015/12/30

More Info


When it comes to understanding anxiety medications, it’s essential to consider both the potential risks of dependency and the side effects associated with these drugs. You mentioned that you have been prescribed Fuanyuan (an anxiolytic) and are concerned about the possibility of addiction and side effects, especially since you are also taking another medication, Minshilang (a vasodilator).
Firstly, it’s important to clarify that Fuanyuan, which is likely a brand name for a medication containing an active ingredient such as alprazolam or lorazepam, belongs to a class of drugs known as benzodiazepines. These medications are commonly prescribed for anxiety and can be effective in managing symptoms. However, they do carry a risk of dependency, especially when used over an extended period.
Dependency and Addiction Risks:
The risk of developing a dependency on benzodiazepines increases with prolonged use, particularly if taken daily. Generally, using these medications for a short duration (a few weeks) under the supervision of a healthcare provider is considered safe. However, if you continue to take them for longer periods, your body may become accustomed to the drug, leading to tolerance (requiring higher doses to achieve the same effect) and potential withdrawal symptoms if you suddenly stop taking it.
In your case, since you have only been taking Fuanyuan for a week, the risk of developing a dependency is relatively low at this stage. However, it is crucial to monitor your usage and discuss any concerns with your prescribing physician. They can provide guidance on the appropriate duration of treatment and help you taper off the medication if necessary.

Potential Side Effects:
As with any medication, Fuanyuan can have side effects. Common side effects of benzodiazepines include drowsiness, dizziness, confusion, and impaired coordination. Some individuals may also experience memory problems or changes in mood. It’s essential to be aware of how the medication affects you personally, as side effects can vary widely among individuals. If you notice any adverse effects, it’s important to report them to your doctor.

Additionally, since you are also taking Minshilang, it’s wise to consider potential drug interactions. While benzodiazepines and vasodilators generally do not have significant interactions, both can cause sedation and dizziness. Therefore, combining them may enhance these effects, leading to increased drowsiness or impaired motor skills. Always inform your healthcare provider about all medications you are taking to ensure they can monitor for any potential interactions.

Conclusion:
In summary, while Fuanyuan can be effective for managing anxiety, it is essential to use it judiciously to minimize the risk of dependency. Since you have only been on the medication for a week, the immediate risk of addiction is low, but ongoing communication with your healthcare provider is crucial. They can help you assess the need for continued treatment and explore alternative options if necessary. If you have concerns about side effects or interactions with Minshilang, do not hesitate to discuss these with your doctor. Your health and well-being should always come first, and your healthcare provider is there to support you in making informed decisions about your treatment.

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