Strongest FDA Warnings Out on Opioid, Benzodiazapine Risks
The Food and Drug Administration (FDA) has issued its strongest warnings that prescription opioids and benzodiazapines pose major risks to users, especially if they are taken together or in combination with alcohol.
In a notice published at http://www.fda.gov/Drugs/DrugSafety/ucm518473.htm, the FDA told health care professionals to stop prescribing opioid cough medicines for patients taking benzodiazapines -- or other depressants of the Central Nervous System (CNS) including alcohol. They should prescribe opioids for pain only when other treatment options are inadequate.
Opioids — such as codeine, hydrocodone (HYSLINGA, NORCO, ZOHYDRO) and oxycodone (OXYCONTIN) — are widely prescribed for pain and cough. Benzodiazepines — such as diazepam (VALIUM) and alprazolam (XANAX) — are often used for anxiety, insomnia, seizures, and sleep problems.
Combinations of these drugs can cause extreme sleepiness, slowed or difficult breathing, coma, and death, the FDA said. Get details at the web site, and be sure to scroll down and click up several additional pages which explain the risks and list the dozens of opioids and benzodiazapines on the market.
The FDA said it now requires black-box warnings -- its strongest warnings -- on the dangers of combining opioid pain medications with benzodiazepines. Public Citizen’s Health Research Group lists most opioids as "Limited Use," noting that they are overprescribed and can be addictive. They list most benzodiazepines as "Do Not Use," with the exception of alprazolam, which is Do Not Use except for panic disorder.
Interested in more discussions like this? Go to the Chronic Pain Support Group.
Another side of the coin. I took Xanax for 25 years before tapering off. No memory loss and I’m 72.
Wow, how fortunate you are! Now people have both ends of the spectrum and will decide for themselves!
Did you have a hard time weaning. Im on and off benzos bc of anxiety and sleep. Developed dependence so try to cut back
I don’t feel lucky because it’s has never been proven that benzodiazepines cause permanent memory loss. All studies have been inconclusive.
I was taking 2, one in morning and one at night. After noncompliance with a substitute physician not filling script as she said she would, I went into withdrawals. It was horrible. Went to hospital 2 times within a 24 hour period. Tried to tell them that something neurological was going on. Everything smelled like cheap men's cologne. Threw out milk because it smelled bad. Did not eat for 5 days and PHYSICALLY could not sleep for over 48 hours. It was simply horrible. It was my sister, who is a doctor, that asked me when was the last time I had my xanax and I said 2 days ago and she said Carol you're having withdrawals you need to get that medicine ASAP. Finally got the nurse manager to call them in. Within 3 minutes of taking that pill I was back to normal. I then started with 1 in the morning and a half in the pm for about 3 months. I then went to 1 a day, in the morning, for about 1 month and then I did half in morning and half in afternoon. I am now at a quarter, half of a half mg tab. I have anxiety very bad but the quarter mg seems to work except when we have a severe thunderstorm or hurricane then I must take a whole one. So a 30 day supply actually lasts about 3 months. I also take hydrocodone for chronic back issues. Just had another MRI, last one was in 2020, and it shows changes. Internal vibrations are from a nerve being pinched in lower back that causes both thighs to go numb if I stand in one place too long. That's one reason I had to go on disability at 63, 3 years ago. I take my pain meds every 6-8 hours and have for over 20 years. They still do their job. I could easily go back to 2 xanax a day but since they are fast acting I can take them when the situation calls for it. I will never have withdrawals again.
What do you reccomend for pain after withdrawal of gabapentin and tramadol
I'm down to a quarter mg daily from 1mg. I had half mg tabs and took 1 in AM and 1 in PM. Then went to 1 in AM and a half in PM for about 3 months. Then went to just 1 daily but did half in AM and half in PM for about 3 months. I'm now at just the half in the AM. I mainly need them before trips on the interstate, thunderstorms and hurricanes. Since retiring I don't have the stress and anxiety that was work related. They are to keep anxiety level down because I have heart palpitations too.
Difficult to stay away from that stuff when one suffers from severe and chronic pain.
Is it dangerous if you are taking tramadol and lyrica and you have to have surgery with the anesthesia?
I wouldn't say difficult to stay away from. That makes it sound kinda like I have a choice. 🤣
I did back breaking work working with elderly clients in an assisted living facility. I owned the salon there for 20 years. All the lifting, supporting, tugging for so long finally took its toll. I was devastated when I was forced to stop working. I'm just thankful the pain meds still do their job. The xanax I started after I had a sub-arachnoid hemorrhage (brain bleed) in 2011 and was in ICU at Shands in Gainesville FL for 8 days. Side note...I only missed 2 weeks of work too. One in Shands and 1 the doctor made me take off. Lol
I was very lucky that I didn't need surgery. I could have taken a year, per the doctor, but I questioned why a whole year but quickly learned I needed that long to fully recover. I still showed up for work though, yes I LOVED my job. 🤗
I will most likely stay on the pain meds because that situation won't get better without surgery and I honestly don't want that. As long as the anxiety is managed by the lowest dose possible, the quarter mg except in situations that calls for full dosage, I can live with that because if I stopped the xanax today, I would not experience withdrawals at all.