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Answer :
Final answer:
For discontinuing alprazolam tapering after long-term use, a tapering period of approximately 4 to 8 weeks is recommended to minimize withdrawal symptoms and reduce the chance of relapse. The best answer from the provided choices is 4 weeks.
Explanation:
The question relates to the tapering schedule for discontinuing alprazolam, a medication used to treat panic disorder. Alprazolam is a part of the benzodiazepine class of drugs, which also includes bromazepam, clonazepam, diazepam, and others. When discontinuing benzodiazepines, particularly after long-term use, it is crucial to taper the dosage gradually to minimize the risk of withdrawal symptoms and rebound anxiety, which can lead to a relapse.
There is no single tapering schedule that works for every individual, as the optimal schedule can vary based on a variety of factors, including the dosage and duration of use. However, in general, a slow taper over the course of several weeks is recommended. Although specific tapering schedules can range from 2 to over 12 weeks, a reasonable guideline would be to taper over approximately 4 to 8 weeks. This allows the body to adjust to lower doses incrementally, minimizing withdrawal symptoms. Therefore, the best answer among the provided options would be B. 4 weeks, noting that some patients may require an even more extended period, particularly if they have been on a high dose or have been taking the medication for a very long duration.
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