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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feeling Extremely Drowsy & Taking Valium For Severe Neck Pain & Head Pain

I have been taking max prescribed 3 tabs per day of Acetaminophen-Butalbital with Caffeine for 28 years with max prescribed 3 tabs of Valium per day for severe neck and head pain. My prescription says I may take 2 tabs in the morning if really bad spaced 4 hrs. apart. I have never experienced any drowsiness and never a problem with driving. I was recently charged with a DUI (no alcohol) after a minor car accident, fell and injured after exiting car and experienced balance problems. A police officer ordered a blood draw and there is concern from a toxicologist and a drug and alcohol assessment center suggested by my attorney. I recently experienced an extreme difficulty in balance holding on to walls and furniture lasting 5 minutes after arising from bed--worse but similar to after the car accident. I drink a lot of coffee and always feel alert. This is very serious and I could have my driving license pulled. What do you suggest is safe?
Mon, 28 May 2018
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Neurologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

However I do not agree at all with the treatment you have been taking. Valium is not a medication which is to be used for long term, only for a few weeks. It causes drowsiness and over time creates tolerance and dependence as well as affecting cognitive functions and balance. The fact that you have been combining it with butalbital makes things even worse. It too is a drug which causes drowsiness and dependence. So it is only natural that the police, toxicologist and attorney find it serious. You should withdraw at least Valium (both would be better). Since you've been taking them for a long time it won't be easy, should be gradual and under the guidance of the toxicologist.

Hope I have answered your query. Let me know if I can assist you further.
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Feeling Extremely Drowsy & Taking Valium For Severe Neck Pain & Head Pain

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. However I do not agree at all with the treatment you have been taking. Valium is not a medication which is to be used for long term, only for a few weeks. It causes drowsiness and over time creates tolerance and dependence as well as affecting cognitive functions and balance. The fact that you have been combining it with butalbital makes things even worse. It too is a drug which causes drowsiness and dependence. So it is only natural that the police, toxicologist and attorney find it serious. You should withdraw at least Valium (both would be better). Since you ve been taking them for a long time it won t be easy, should be gradual and under the guidance of the toxicologist. Hope I have answered your query. Let me know if I can assist you further.