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The patient has been taking paroxetine 50 mg for last one year for anxiety issues. 3 months ago, he was also prescribed librium 10 at night for sleep assistance, and he took it for about 2 months and a half. Recently due to sleep issues, our doctor has stopped librium and asked to start ativan 1 mg at night. We took last consultation 2 weeks ago. Sleep issue is resolved, but after stopping librium patient has been feeling mild sadness, and increased anxiety even after taking ativan for two weeks. Our concern is, could this be the withdrawal effects of librium 10 mg. If yes, how to safely stop it since its a lowest dose. Thank you.


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