Magtanong L, Ko PJ, To M, Cao JY, Forcina GC, Tarangelo A, et al
doi: 10.1093/ecco-jcc/jjy191 104 LyuXZhangTTYeZChenC
Freeman BA, Turrens JF, Mirza Z, Crapo JD, Young SL

Key discussion points should include: Your complete medication history including dosages, duration of use, and how well each medication controls your symptoms Current side effects any adverse effects you experience from either medication individually Your treatment goals what you hope to achieve with Wegovy and whether weight loss might impact your anxiety management Lifestyle factors alcohol consumption (which should be avoided or minimised with alprazolam), driving requirements, and occupational considerations Mental health status current anxiety levels, any history of depression, and whether you are receiving psychological therapies alongside medication Plans for benzodiazepine management whether long-term alprazolam use is appropriate (generally not recommended beyond 2-4 weeks per NICE guidance) or if gradual tapering should be considered Pregnancy and contraception Wegovy is contraindicated in pregnancy and should be discontinued at least 2 months before a planned pregnancy

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