Patient's Query
Hello doctor,
My daughter and I are both running low on our medications. Hers are Prozac and Zyprexa (Olanzapine), and mine are Clonazepam, 0.5 mg, three times a day. Can I take Alprazolam if Clonazepam is unavailable, and Lorazepam for insomnia?
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
Since you and your daughter are running low on medications that cannot be stopped suddenly, the priority is to prevent withdrawal and keep both of you stable until you can see a local physician.
Your daughter’s medications, Prozac and especially Zyprexa (Olanazapine), should not be interrupted because missing doses of Zyprexa can lead to rebound agitation, insomnia, or return of symptoms. You should go to any nearby medical center or urgent care clinic and explain that she is on maintenance psychiatric medication and is traveling.
Doctors over there can legally provide short emergency refills for these medications after a brief evaluation.
For your own medications, Clonazepam, Alprazolam, and Lorazepam are all benzodiazepines, and stopping suddenly can cause withdrawal symptoms, which may include rebound anxiety, insomnia, tremors, or, in rare cases, seizures.
Even though pharmacies generally require a local prescription for Benzodiazepines, a doctor can provide an emergency short course once you show your bottles or any documentation. If Clonazepam is unavailable, a doctor can temporarily convert you to an equivalent dose of Diazepam or Lorazepam, which are more commonly stocked.
Do not try to stretch doses by skipping completely because that increases the risk of withdrawal. Instead, take the lowest effective dose until you can be seen. The safest immediate step is to visit a local public hospital, private clinic, or general practitioner and request an emergency refill letter.
Bring your medication bottles, your travel documents, and, if possible, any old prescription photos. Physicians are familiar with assisting travelers in this situation. This will prevent withdrawal for you and prevent medication lapse for your daughter until you can return home or get a formal refill.
I hope this information will help you.
Kindly follow up if you have any further concerns.
Thank you.
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Answered byDr. Ashraf Ghani
Medically reviewed byiCliniq medical review team
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