system
Taking alprex tablet. Been having senseless talks, absurd state of mind. What will it take to bring back to normal?
human
HI, my brother has been taking alprex tablet in nos of 50-70 daily over one year. Now when we got the fact and advised him not to take it and he tried to stop himself. He is not feeling gud. frequently he is getting in an absurd sate ..absurd state mean..he is simply speaking senseless...or fearing..... for a short time he comes into normal state also......  Please advise what to do...
gpt
Welcome to health care magic!After reading your question it appears that your brother had benzodiazepine dependence and now he is trying to quit it suddenly...because of that he is having withdrawal and on off altered state of mind.Aftre abusing alprax for so long in such high dosages, one should not stop it altogether suddenly, without supervision of a psychiatrist. It can be dangerous and may lead to seizures also.   If you don't want to see a doctor for detoxification, then go for gradual reduction in alprax dosage, may be one- two tablets in a day initially. one would a so give him good multi vitamins. It will be good if you start reducing the morning and afternoon doses initially and then the night ones. One may need to add an antipsychotic if he continues to be fearful or suspicious.When you say that patient talks out of context, it needs to be checked if he develops "delirium". Delirium should be prevented as it can make situation worse....one needs an expert advice to diagnose it and prevent it further. there is not enough information in question to rule it out...If I had been treating him, I would have certainly got a blood count, liver, lipid, thyroid, kidney profile, along with an ultrasound abdomen.The step to quit substance is very good but needs proper supervision..and your brother will be cured of this ill.Hope the reply is helpfulFeel free to ask more questions Dr. Manisha Gopal