Benzodiazepine case based discussion Charlie Reznikoff ACP Pain precourse November 1st 2012 Medicaid recipients Most commonly prescribed benzo, also the benzo favored by addicts? Alprazolam Alprazolam’s suitable replacement? Alprazolam’s suitable replacements Clonazepam if in withdrawal due to structural homology and cross tolerance Lorazepam for the psychiatric indications for the time of onset and duration Case 1 • 55 year-old woman with depression and insomnia presents for an insurance evaluation after a minor car crash. Her motor vehicle crash was a minor “fender bender” one week ago. She did not fall asleep at the wheel. She didn’t see that the car had stopped in front of her. She says she had minor “whiplash”. She is pain free and has no neurologic symptoms