My 17 yr old nephew having full blown panic attack, possibly from alprazolam

Merkinsey

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My nephew is not a virgin to drugs, street and prescription. His dad/my brother is a schizophrenic so there are plenty of drugs around that my bro shares with his son and my nephew grew up around. He likes his weed and whatever else but yet he never did like ritalin/speed-like stuff. He's a bad case of ADHD so ritalin is prescribed but he mostly resist taking them. For one his father used to be on massive doses of ritalin, prescribed by this doc and he help a good job as a giant int'l bank's top programmer. He was not, per se, normal, but the company worked around his condition because he could get things done amazingly well. When the doc got busted for prescribing unheard of ritalin to many of his patients, all that stopped and he toppled down into the gutter. Now he does everything and anything he can get anyway he can. My nephew grew up seeing his dad and is disgusted and avoids ritalin in general. Funny he does other known and unknown drugs his dad does just fine.

Anyhow, recently, my nephew got the nasty flu. He went ER and when the ER doc noticed him totally having ADHD/Anxiety antics, he prescribed Alprazolam 0.5mg, I think 10 of them. He took all of them pretty much at once. I saw him walking around like a zombie barely able to slur out any words. At the time I didn't know what he took. Well, when he went back to the ER a couple of days later, they gave him more. We took control of the alprazolams and gave him one at a time... one or two a day.

Now another two days later we found him sobbing and blurting out some nonsensical story about how he's paranoid to death, having too much thoughts, having mental breakdown, just sobbing- totally unusal, disoriented, having anxiety to the max, difficulty breathing-imagined he thinks, unable to sleep because his too afraid (he has a serious chronic problem sleeping and he takes clonidine for that with marginal success), wearing plastic gloves saying his afraid about the gems his hands etc etc.

I need to help him calm down because I think his going to go full blown schizoid or something. I came to conclusion his symptoms are uncannily similar with heroin withdrawal (based on whatever little I know of about that)... I don't think he's much experience with benzos. He takes 20mg ritalin SR or two a day for his ADHD. He also takes clonidine before he attempts to sleep. We went to see (had a prior appointment) his psych doc and he was appalled that ER gave him benzos.

What do think is going on with him? Is my guess in the ballpark? Can someone have this serious withdrawal symptoms with the amount he took? How can we calm him down?

TIA
 
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Correction:
The second Prescription the ER gave him was Clonazepam 1.25mg. Looks like he's taken 12 of them within the last couple of days.

I'm hardly a benzo etc person so I have no clue what these doses actually are like. I'm pretty sure ER didn't give a kid any heavy dose though.
 
well that's a decent dose per/day 5-6mg should be more than enough to calm a very anxious person down but it takes a while to kick in. 10-12mg and most people will black out for sure. Is the clonazepam relaxing him? i'd think xanax would be better in this case, but if he eats 10 at once that's another issue all together.

It honestly sounds like he is in a severe mental crisis, i don't know if a benzo is going to fix everything, maybe this is the rare case seroquel should actually be prescribed. That's a really tough situation, in any case, any stimulant is only going to make things worse, imo these need to be stopped immediately. He sounds like he's going through benzo withdrawal rather than an opiate withdrawal, if you were to compare symptoms. I'd rather die than take a stimulant during a benzo withdrawal. In any case, i'd keep very close monitor of him and make sure he sees a psychiatrist and a psychologist frequently, at least for now. Sorry to hear things are rough.

is it possible he has a benzo dependency already and is going through withdrawal? cause that would fit together pretty well. in which case he needs to have his medication managed and for someone to make sure that he doesn't somehow end up in benzo withdrawal cold turkey, as it is life threatening as well as psychologically scarring. Whenever i've run out of benzos and had to cold turkey it for a few days i'd get a massive flu for at least a few days. At first i thought i was just sick but no it was the start of withdrawal.
 
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Clonazepam is not relaxing him at all. Rather he's gotten way worse. I didn't know they were clonazepams... as someone else was in charge of giving him his doses.

He was in very weird unsettled state before but after he started to take clonazepam he became down right disturbing.

Benzo addiction...? That could be... as at times I told myself 'That can't be pot... WTF are they taking?' My bro concocts something that they smoke from some combination of OTC meds whenever he can't get his ritalin or street drugs. I have no clue what they are smoking. My nephew had partook.... so.... With the symptoms my nephew is having he swears he no longer wants to take any drugs at all... so he must be shit scared... but will see...

His dad being schizophrenic and his irresponsible mother (in someways I can't blame her...) living on her own (not legal separation) not caring about the kid, I arranged and take him to see a psychiatrist at a needy med place. I was told today that they can no longer adjust his meds or do any treatment since I'm not a legal guardian. Our family got the power of attorney for my brother's finance (he was ordering 2 of identical $3000 cameras online for example. The store called to double check, thank god, we stopped them) but not any other affairs of his. Until we attain power of attorney for the guardianship, I can't do anything nor would they.
 
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