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Supplementary Prescribing Issues
Tranxene (clorazepate)|
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Member |
which Benzo would be the most suitable to transfer to. oringial private script was
7.5mg daily. supplies now very short,so now taking 15mg alternate days.client now presenting to primary care for prescribing & mantenance. 60ish female,no other illict or prescribed drugs taken,doesnt drink or smoke, been on tranxene for 38 yrs,very stable at presant, concerned to minimise adverse symptoms. jimi of hug jimi |
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Member |
Jimi,
it is normally recommended to change all benzo's to diazepam, it comes in various different strenghts and so it is easier to reduce the doses. I have not seen a dose conversion for Clorazepate nor do I remember seeing it prescribed, but this is probably due to it not being available on an nhs prescription. |
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Moderator |
I'm not sure in this case. I have not come across tranxene either. However if the person is extremeley stabe,uses nothing else and doesn't want to come off at this point in time it might be better to transfer her to the most similar benzo that's available on the NHS. I don't know what that is though.
jim |
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Member |
TRanxene was discontinued in feb this year. It is a benzo which is completely metabolised to nordiazepam. It was made by Boehringer ingelheim so their medical information may have conversion equvalents to diazepam
Heather Shared Care Substance Misuse Manager |
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Member |
I will contact Boehringer ingelheim for advice Heather.i found a equivalences chart at BAT
http://www.bataid.org/index.htm which says 5mg diazepam/valium = 2.5mg clorazepate/tranxene thanks for your replys ladys & gents. jimi of hug jimi |
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Member |
spoke with the client earlier. her G.P. put her
on diazepam, 5mg per day. she reported it was a tad strong. so she handed them back. he then presribed 4mg = 2x2mg per day. she seems fine! shes keeping a very good diary. so if some adverse affects do creep in, she be able to coherantly present. but it looking good. jimi of hug jimi |
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