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Misery of the tranquilliser addicts forced to go cold turkey by GPs

By Jo Waters
Updated: 02:32 BST, 22 March 2011











10

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Helen lay shaking and sobbing in the drug addiction detox unit. The 61-year-old businesswoman was racked with such excruciating pain she wasn't sure she could survive it.

What's so shocking is that unlike the other patients at the unit, who were struggling with heroin or cocaine addictions, the only  drugs Helen had ever taken were the  tranquillisers prescribed by her GP for depression and anxiety.

_Seven years ago, my doctor gave me Valium, which I thought would just get me through a rough patch,' recalls Helen, who is married with a daughter. _I had no idea they were addictive.'



Benzodiazepines are commonly prescribed as a treatment for severe anxiety and insomnia - last year ten million prescriptions were issued in England alone

Two years ago, she began to suffer from chronic dizziness _ her GP sent her for brain scans and heart tests but these proved inconclusive, so Helen did her own research, and discovered that her symptoms matched the symptoms of the long-term side-effects of common tranquillisers.

_When I went back to my GP, he said my symptoms had nothing to do with drugs and asked me why I wanted to come off them,' says Helen.

Even when she did finally get herself into a detox unit, the drugs were withdrawn at a much faster rate than officially recommended, causing her such terrible side-effects she's had to go back on to the drugs.

Helen is one of an estimated 1.3 million Britons addicted to prescription tranquillisers, also known as benzodiazepines.

These drugs include diazepam (known previously as Valium), Xanax, Ativan, Serax and Librium. They are commonly prescribed as a treatment for severe anxiety and insomnia _ last year ten million prescriptions for benzodiazepines were issued in England alone.

They work by boosting the action of a naturally occurring brain chemical called GABA (gamma-aminobutyric acid). GABA tells brain cells to slow down and stop firing, and has a calming effect on the brain, muscles and heart rate, helping to ease the insomnia that often accompanies anxiety.

But the drugs use the same addictive pathways in the brain as illegal drugs such as heroin. Patients often need progressively higher doses as the body becomes accustomed to the drug _ these higher doses can cause side-effects including paranoia, fatigue, dizziness, memory problems and dulled emotions.

Because of the high risk of addiction, the UK's Committee for Safety of Medicines issued guidelines back in 1988 advising GPs that the drugs should be prescribed for no more than two to four weeks.

Despite this, there are huge numbers of patients who've been left on the pills long term, even for decades, say campaigners.

The concern now, however, is that over the past year GPs have performed a drastic U-turn and, without warning, are rapidly reducing patients' drug doses in a short space of time to get them off the drugs.

Campaigners believe this has been prompted by a Department of Health review looking into the number of prescriptions GPs are issuing for benzodiazepines.

But going _cold turkey' in this way can cause severe withdrawal effects, including excruciating pain in the muscles and joints, insomnia, and even suicidal thoughts.

Barry Haslam, the chairman of Oldham TRANX, a support group for patients addicted to benzodiazepines, says the charity is taking calls from people all over the country about being suddenly and abruptly withdrawn from their tranquillisers.

Apart from the crippling side-effects, he points out that, _most patients are just left to go on with it on their own.

_And even if they are offered help it's usually a referral to a detox unit for illegal drug users, and that is just not appropriate because they bring patients off the drugs in too short a space of time.'

Official advice for health professionals (NHS Clinical Knowledge Summaries) suggests reducing a patient's dose of benzodiazepines  by five to ten per cent every one to two weeks. Once a lower dose is reached, the reduction should be slowed.

It acknowledges that it may take a year or longer for patients to come off the drugs and stresses a patient must be stable, and willing to come off their tablets _ and that the withdrawal plan should be tailored to their individual needs.

Campaigners say it's the latter point that is crucial; patients should be allowed to proceed at their own pace and have their personal situations taken into account.

Dr Trevor Turner, a consultant psychiatrist at the East London Foundation Trust, says: _GPs are caught in the middle between trying to be humane prescribers _ after all, some of these patients really do need this medication to function _ and following clinical guidelines.

If patients do want to come off their medication they should be offered alternative therapies such as cognitive behavioural therapy, relaxation classes and maybe alternative medication such as anti-depressants.'

One of those affected by the new change of heart about benzodiazepines is Steven James. The  26-year-old writer was shocked when he received a terse phone call from his GP practice six months ago telling him he must quit his prescription tranquillisers.

_My old doctor retired and a new doctor rang out of the blue last summer and said my pills were addictive and were only a short-term treatment,' recalls Steven, who lives in Cardiff.

_I was horrified as this had never been mentioned to me before.

Steven was 14 when he was first prescribed diazepam for panic attacks.

_I was on a repeat prescription, and if I felt stressed or anxious my GP would put it up a bit more each time. No one ever mentioned I shouldn't be on them long term.'

But Steven's new doctor was adamant he must come off the drugs, and reduced his prescription by 2mg a fortnight from his daily 45mg a day. He is now taking 20mg, but although this reduction rate was in line with official advice, Steven has found it hard to function and he suffers from  headaches, lack of concentration and panic attacks.

_The effects are horrendous,' he says.

In some ways, however, he's been more fortunate than patients such as Helen, whose prescription was reduced at a much more brutal rate.

Initially undeterred by her GP's reluctance to take her off the drugs, Helen had started to follow The Ashton Manual, an online guide to coming off benzos written by Professor Heather Ashton, an expert in benzodiazepines.

_I gradually reduced my dosage down from 15mg a day to 1.5mg over ten months, but I was in excruciating pain,' she says.

_In desperation, I called my GP who said I would have to have my dosage increased to 20mg a day to stabilise my condition _ which was higher than when I started out.'

So Helen rang her local drug and alcohol misuse service, who suggested she go to a residential NHS Detox Unit, and made a referral.

_The problem is that the staff reduced my dosage far too rapidly _ from 16.5mg to 8mg in two weeks, which is the speed used for illegal drugs. I was in a terrible state, crying and shaking. After a four week break, I was re-admitted and my dosage was reduced to zero.'

Eight weeks later, the pain was so bad that Helen had to go back on diazepam and is back up to 15mg.

_I don't want to stay on the pills _ they suppress all your emotions and make you feel like you're in a parallel universe,' she says. _I will come off them eventually, but it has to be at my own pace and I need support to be able to do this.'

The solution, ultimately, is for psychiatrists, GPs and patient groups to sit down _and thrash out a good set of guidelines on monitoring and assessing patients', says Dr Martin Johnson, a GP and trustee of the Patients' Association.

A Department of Health spokesman says: _GPs should be prescribing benzodiazepines and managing withdrawal from these drugs based on their clinical judgment of their patients' needs and in line with the guidance available to them.'

However, patients such as Steven and Helen say they can't come off these drugs alone.

_All I'm asking for is a GP or psychiatrist to be willing to help me,' says Steven. _And that means more than just stopping the prescription.'

 

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A trainee dental nurse caught drug-driving three times in less than ten weeks while she was under the influence of ketamine has walked free from court.

Emily Roebuck, 22, repeatedly ingested the sedative party drug which is powerful enough to tranquillise horses before getting behind the wheel of her Peugeot 107 car.

Police in Manchester pulled over Roebuck in January this year with tests showing Ketamine levels in her blood being up to 29 times the limit for drug-driving. 

She was then arrested for a second time just five weeks later in Stockport when a passerby found her slumped in the driver's seat and moved her into the passenger side for fear she would drove away.

As she was investigated over both incidents Roebuck ploughed her Peugeot into the back of a car whilst trying to read Google maps on her phone. 

She drove away as police were called to the scene but she she crashed into two other vehicles.

A Mercedes A200, Seat Ibiza and VW High up! were damaged in the incident near her former home in Hayfield, Derbyshire. 

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At Stockport magistrates court, Roebuck who currently lives in Bramhall admitted two charges of drug-driving, possessing diazepam and failing to stop after an accident and was banned from driving for three years. 




Police in Manchester pulled over Roebuck in January this year with tests showing ketamine levels in her blood being up to 29 times the limit for drug-driving





She was given a 22 month disqualification for the first drug-driving offence at an earlier hearing in June and now gets two buses to work each day

She was given a 22 month disqualification for the first drug-driving offence at an earlier hearing in June and now gets two buses to work each day.

The three incidents occurred between January 23 and April 2 after Roebuck obtained the drugs whilst battling anxiety and depression.

On the first occasion she was stopped in Ducie Street, Manchester with tests showing Ketamine levels in her blood, at 591 microgrammes per litre of blood. The threshold limit for ketamine is 20 µg/L.




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Roebuck was released under investigation but was caught at wheel of her car in Cheadle, Stockport at 9.15pm on March 2 whilst under the influence of drugs.

Miss Victoria Newman prosecuting said: 'Police were called initially to reports of a drunk driver slumped at the wheel of a Peugeot 107. A member of the public had moved the female over to the passenger side as feared her driving away.

'The police noticed the defendant was drowsy and under the influence of some substance her eyes being glazed and slurring her words.




Roebuck was released under investigation but was caught at wheel of her car in Cheadle, Stockport at 9.15pm on March 2 whilst under the influence of drugs





the drugs whilst battling anxiety and depression. On the first occasion she was stopped in Ducie Street, Manchester with tests showing Ketamine levels in her blood, at 591 microgrammes per litre of blood. The threshold limit for ketamine is 20 µg/L

'She was asked to take a seat in the police van but needed assistance of police to get over there. She was found to have a packet of blue tablets which she admitted were diazepam. She said there was not prescribed to her but that she just buys them and had taken one before driving.'

The last offence occurred on April 2 when police stopped Roebuck at 10.20pm in New Mills, Derbyshire. Miss Newman added: 'The witness said she was stationary in her car and waiting for traffic to pass when her vehicle was struck from behind by the defendants car. It was hit with enough force to set off both of the airbags.

'The witness got out of her vehicle and told the defendant not to move whilst she called 999. The witness was asking if she was okay but the defendant then left the scene before the police arrived.




Tests showed levels of ketamine and Diazepam, in Roebuck's blood were no less than 86 ug/L and 800 ug/L respectively. The threshold limit for diazapam is 500 ug/L

'She then came to a stop after colliding with another two vehicles and police and ambulance attended the scene. She was arrested on suspicion in possession of a controlled substance and it was confirmation that ketamine was in her system.'

Tests showed levels of ketamine and Diazepam, in Roebuck's blood were no less than 86 ug/L and 800 ug/L respectively. The threshold limit for diazapam is 500 ug/L.

In mitigation defence lawyer Steve McHugh said: 'I don't think it's been my client's finest three months in her life.

'But she has cooperated throughout and entered guilty pleas at the first opportunity. 

'It's unfortunate that all matters could not have been dealt with together but she is under no illusions as to the serious predicament she's in.

'Since this happened however she has happily turned her life around and gained employment. She has effectively taken on board all the assistance that could be offered as she suffers from anxiety and depression. 

'The only good news of this particular matter is her timely guilty pleas - there is no more that can be said to salvage the situation.

'She is disappointed in her self and her father is mortified at the position his daughter finds herself in. 

'As regards the failure to stop she had been looking at Google maps and it was a relatively short distance. 

'It was not as serious as it could have been. She needs some assistance by the probation service to keep her on the straight and narrow together with the input of her family.

'She has always wanted to put these matters behind her and has been waiting for a few months for forensic examination and court proceedings to be completed which is nothing to do with her.

'Her current employment involves her taking her two buses in the morning and two buses in the evening.'

Roebuck was also ordered to complete a 12 month community and will enter into a six months drug rehabilitation program and must complete 180 hours unpaid work. She was also ordered to pay costs and surcharges of £170.

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Former WWE superstar Chyna had traces of prescription drugs and alcohol in her system when she was found dead at her home earlier this year.

Chyna's autopsy report shows the 46-year-old had the drugs Oxycodone, Valium, Nordiazepam and Temazepam in her system, as well as alcohol, when she overdosed, TMZ reports.

Pills were also found scattered on the floor of Chyna's Redondo Beach apartment in Los Angeles where her body was discovered in April.  




Former WWE superstar Chyna (pictured in 2015) had traces of prescription drugs and alcohol in her system when she was found dead at her Los Angeles home in April 



L.A. County Coroner officials said she was found dead on the right side of her bed with blood on the pillow beneath her face. 

Chyna - who was born Joan Laurer - died from the overdose when she was 46.

While she was once a WWE superstar and Playboy covergirl, her life quickly spiraled out of control and became plagued by crystal meth and rambling drugged up videos until her death. 

The household favorite was laid to rest at sea in a rhinestone urn close to her apartment. The scattering of her ashes from a yacht was filmed as part of a documentary on her life.   




Chyna's autopsy report shows the former pro wrestler (pictured in 2000) had the drugs Oxycodone, Valium, Nordiazepam and Temazepam in her system at the time of death





Chyna quickly became pro-wrestling's first female superstar as the 5-foot-10-inch beauty took on both men and women in the ring









Her downward spiral into drug addiction meant there were few people to farewell her despite her status as a famous female pro wrestler - and even her family were absent after falling out years earlier when they tried to help her. 

Chyna's career as pro-wrestling's first female superstar took off several years after she graduated college in 1992. The 5-foot-10-inch beauty was regularly fitted out in leather and sparkles as she took on both men and women in the ring. 




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But almost just as quickly, her career as a wrestler came crashing down in 2001 and she struggled to remain in the spotlight. 

She posed for Playboy, revealed her struggles with addiction on reality TV, wrote her memoir, became a semi-regular on Howard Stern's radio show and made several adult films. 












The household favorite was laid to rest at sea in a rhinestone urn and the scattering of her ashes from a yacht was filmed as part of documentary on her life





She posed for Playboy, revealed her struggles with addiction on reality TV, wrote her memoir, and made several adult films after leaving the WWE in 2001

Days before her body was found in her apartment, Chyna appeared disjointed as she filmed herself walking around her apartment in a 13 minute video she posted online.

She drank a breakfast smoothie and sang to the camera. 

Police found her body several days later in her apartment. They were responding to a 911 call from a concerned friend who said she had failed to answer her phone in recent days. 

A family member told the coroner the former WWE star was an alcoholic and was addicted to Rx pills. 







Wrestler and actor Rob Van Dam was one of those to speak at the Chyna Memorial celebration in June at Redondo Beach in California









 


 


 





 


Read more:

The Great Fall of Chyna

Chyna Autopsy Shows Toxic Cocktail of Rx Pills and Booze | TMZ.com

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