instruction: hi doctor I took benzodiazepine alprazolam for insomnia for months for a total dose of 30 my while stupidly attending college parties and binge drinking once a week during the period I have never taken the pill on the day I was drinking I did not take the drug every day and after roughly two months I quit the drug altogether the withdrawal that I did not recognize at the time kicked in extreme tinnitus sweating heart racing heightened anxiety I went to ent doctor and she gave me two dexamethasone injections in days I think my I developed during these days a major loss of short term and then long term memory trouble finding words trouble learning in general the physical symptoms of the steroids and enzo withdrawal went away in weeks it has now been a month since I feel physically fine but the cognitive issues persist and they do not get better at all I have been to a psychiatrist because I felt overwhelmed that iam not going to be able to finish school in such a state and she gave me escitalopram thinking it could be psychological but there is no improvement in cognition after a months use does that combination have that drastic side effects and could it caused a chemical or structural problem in brain what can I do to return somewhere close to my old self I am 24 years old
output: hi people taking alprazolam should not combine it with alcohol and avoid combining it with other medications such as narcotic pain relievers that cause drowsiness doing so can cause additive drowsiness and reduced breathing as well as other side effects which can be dangerous and possibly fatal alprazolam may be habit forming when taken for long periods of time if you have been taking this medication regularly for a long period of time more than one month do not stop taking the medication without speaking with your doctor a gradual reduction in dose is recommended when stopping this medication to avoid withdrawal symptoms escitalopram works by blocking the reuptake of serotonin so that there is an increased level in the brain serotonin is an important neurotransmitter responsible for mood and well being it is usually taken once daily and may take a few weeks to months reach maximum therapeutic potential so continue taking escitalopram until you see significant improvements in your memory