Welcome to health care magic!
After reading your question it appears that your brother had
benzodiazepine dependence and now he is trying to quit it suddenly...because of that he is having withdrawal and on off altered state of mind.
Aftre abusing
alprax for so long in such high dosages, one should not stop it altogether suddenly, without supervision of a
psychiatrist. It can be dangerous and may lead to seizures also. If you don't want to see a doctor for
detoxification, then go for gradual reduction in alprax dosage, may be one- two tablets in a day initially. one would a so give him good multi vitamins. It will be good if you start reducing the morning and afternoon doses initially and then the night ones. One may need to add an
antipsychotic if he continues to be fearful or suspicious.
When you say that patient talks out of context, it needs to be checked if he develops "delirium". Delirium should be prevented as it can make situation worse....one needs an expert advice to diagnose it and prevent it further. there is not enough information in question to rule it out...
If I had been treating him, I would have certainly got a blood count, liver, lipid,
thyroid, kidney profile, along with an
ultrasound abdomen.
The step to quit substance is very good but needs proper supervision..and your brother will be cured of this ill.
Hope the reply is helpful
Feel free to ask more questions
Dr. Manisha Gopal