Our evidence-based Jul 26, 2019 · Some take Xanax and alcohol, such as a glass or two of wine. This study demonstrated efficacy comparable to triazolam and a faster recovery from the sedation in the zaleplon arm of the study. Dec 9, 2015 · Side effects can persist for 8 to 12 hours, meaning you may actually feel more tired in the morning than you normally would (irony at its worst). XANAX may cause an increase in activity and talking (hypomania and mania) in people who have depression. You should avoid or limit the use of Nov 6, 2019 · 1) Hang tight until you stabalize, then do the rest of your wean with smaller cuts. 25 to 0. May 21, 2007 · A study by Ganzberg et al has shown good efficacy with the use of zaleplon (Starnoc, Sonata) in patients for third molar extraction. 5. suicidal thoughts. It is created by eHealthMe based on reports of 125 people who take Ozempic and Xanax from the FDA, and is updated regularly. It provides a safe space where the drug can process out of the body with the aid of medication to manage withdrawal symptoms. Under very high stress. “You should never combine benzodiazepines with alcohol,” says Anna Lembke, MD, director of addiction medicine at Stanford University School of Medicine in Palo Alto, California. These prescription medications work by decreasing sleep latency — or how long it takes to fall asleep. ALPRAZolam cannabis (Schedule I substance) Applies to: Xanax (alprazolam) and cannabis. It is created by eHealthMe based on reports of 1,407 people who take Meloxicam and Xanax from the FDA, and is updated regularly. Applies to: Xanax (alprazolam) and venlafaxine. My dentist gave me Jun 17, 2021 · Most Xanax overdoses are due to people taking too much Xanax in a short period because they can’t remember when they took the last dose. might have something to do with how easy they are to snort. The phase IV clinical study analyzes what interactions people who take Gaba and Xanax have. , as they risk inducing seizures. Use of benzodiazepines in older adults is associated with increased risks. +0. The Sonata sleeping pill, along with its congeners Imovane (Zopiclone) and Ambien (Zolpidem), were originally developed and promoted as having less potential for dependence Jan 24, 2024 · Temazepam has risks, including drug interactions. Physical signs of sleeping pill overdose are extreme lethargy, abdominal pain, breathing trouble and clumsiness. Jun 20, 2022 · Ambien, Lunesta, Rozerem, and Sonata are among some sleeping pills that can interact with Xanax. You should avoid or limit the use of Do not drink alcohol while taking ALPRAZolam. May 31, 2022 · The side effects of each are similar, so the effects can be amplified. m. Switch to professional interaction data. Applies to: Xanax (alprazolam) and melatonin. Contact your doctor if you experience nausea, vomiting, diarrhea, drowsiness, muscle weakness, tremor, lack of coordination, blurred vision, or ringing in your ears. Dr. Xanax (alprazolam) treats anxiety. R. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications. If your doctor does prescribe these medications together, you may need a dose adjustment or special test Jan 30, 2023 · It’s generally recommended that you wait at least 4 hours after taking hydroxyzine before taking Xanax. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or May 1, 2024 · Xanax (alprazolam) is a brand-name oral tablet that’s prescribed for certain anxiety disorders. Xanax overdose can be deadly, especially when the drug is mixed with other central nervous system (CNS) depressants like opioids or alcohol. Note: Take 1-2 hours after eating, or 3 hours after eating a fatty meal. Avoid alcohol (can enhance the sedative effect). You should avoid or limit the use of Applies to: albuterol. Lethargy and fatigue. Dizziness, drowsiness, short-term memory loss, or lack of coordination may occur, especially during the first 2 hours after you take the medication. Keep under lock and key if possible. Jun 1, 2024 · For anxiety: For oral dosage forms (solution, tablets, or orally disintegrating tablets): Adults—At first, 0. Common interactions include pain among females and depression among males. Once you feel okay, you can cut again or 2) Updose a little bit until you feel better, then try the wean. Some people, especially the elderly, may also experience impairment in thinking, judgment, and lisdexamfetamine food. These medications are only administered at a hospital or E. High tolerance to medications. Your doctor may increase your dose as needed. Resources. XANAX can make you sleepy or dizzy and can slow your thinking and motor skills. Applies to: Vyvanse (lisdexamfetamine) Using lisdexamfetamine together with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. ALPRAZolam diphenhydrAMINE. Talk to your doctor: They can interact and result in excessive sedation, you should really talk to your doctor if you are taking both. Xanax comes as an oral tablet. Losartan and ALPRAZolam may have additive effects in lowering your blood pressure. It is dangerous to use Xanax this way, as doses are hard to estimate, and intravenous drug use makes an almost immediate impact on your brain. This includes black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds. Dr Pappas and 4 doctors agreed. you have a history of allergic reaction to any benzodiazepine (alprazolam, lorazepam, diazepam, Ativan, Valium, Versed, Klonopin, and others). All of these sedating medications can make untreated Beware of anxiety drug interactions with other meds. Talk to your doctor if you have any questions or concerns. In many cases of therapeutic drug use, the drug is intended to be taken daily until you taper off it with the hope that it will help your brain return to normal. Most patients can decrease to 10mg after 4-7 days. This can cause serious side effects that affect your liver. Mar 27, 2015 · There are a number of sleeping pills which can make untreated sleep apnea worse. AmLODIPine and ALPRAZolam may have additive effects in lowering your blood pressure. My pain doc says its the best there is and then I use Xanax for my anxiety. Some examples include: Ambien (Zolpidem), Klonopin (Clonazepam), Halcion (Triazolam), Restoril (Temazepam), Lunesta (Eszopiclone), and Sonata (Zaleplon). This can increase the risk of side effects including excessive drowsiness and breathing difficulties. 5 mg that is taken three times daily. Aug 29, 2023 · Let’s dive into potential interactions between weed and Xanax. Call your doctor immediately if you experience a fever, chills, joint pain or swelling, excessive tiredness or weakness, unusual bleeding or bruising, skin rash or itching, loss of appetite, nausea, vomiting, or Shooting or injecting Xanax is occasionally seen in people misusing the drug for recreational reasons. The effects of Xanax and Trazodone interaction in the brain include: anxiety, decreased concentration. I won't take them together. In terms of side effects, benzodiazepines are well known to be a cause of respiratory depression and can be extremely dangerous or even fatal when added to other May 2, 2024 · Xanax overdose can also occur if you take too much of the drug. drug dependence. The phase IV clinical study analyzes what interactions people who take Sonata and Xanax have. Talk to your doctor before using these medications, especially if you have a history of high blood pressure or heart disease. Using ALPRAZolam together with diphenhydrAMINE may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. A starting dose of Xanax for anxiety is 0. In addition, with certain long-acting forms of methylphenidate, alcohol can cause too much of the drug to be released at one time. Shooting or injecting Xanax is not safe due to the In some cases, Xanax may cause hypotension and affect the heart rate. irritability, nervousness. 27, 2012 ; Zhong et al, PLOS One , May 27, 2015 and Schroeck et al, Clinical Therapeutics , Nov. i like sonata. 25 mg xanax (alprazolam). Keep Xanax out of the reach of children and others. However, it also has some potential side effects, interactions, and risks. Discuss the use of grapefruit products with your doctor. Answered 3/19/2018. nightmares, Applies to: Xanax (alprazolam) and losartan. Jun 3, 2022 · Xanax is classified as a benzodiazepine, which is a class of medication that produces a calming effect on the brain and central nervous system. Apr 23, 2016 · Yes: Ritalin is a stimulant that is used to treat ADHD or ADD. Dr Altman and 4 doctors agreed. Dr Kamnani agreed. I have a headache and slight dizziness. Cognitive/CNS/Motor/ functions will be effected when taking both drugs. Breathing problems. 5, one and two Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. Possible temazepam interactions can happen with opioids, sleep medications, and alcohol. ] Jan 3, 2013 · Hello mboemasta. Aug 3, 2023 · The combined use of Xanax and Gabapentin can lead to heightened cognitive impairment and memory problems. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. 7. Taking them together produces stronger sedative and inebriating effects than either substance used on its own. Dec 1, 2023 · Signs and symptoms of Xanax misuse can impact many facets of your life and may include: 4,6,7. It is created by eHealthMe based on reports of 20 people who take Gaba and Xanax from the FDA, and ALPRAZolam omeprazole. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. (You can use a razor blade to shave off bits and maybe hold a dose for 5-14 days to see how you feel. When combined with a blood pressure-lowering drug, the substances can potentiate, resulting in a dangerous drop in blood pressure. Both albuterol and caffeine can increase blood pressure and heart rate, and combining them may enhance these effects. Yes you can. of car accidents, falls and fractures When you snort or smoke the drug, it sends it directly across the barrier between our brain and blood and right into the bloodstream. Applies to: Xanax (alprazolam) and Robaxin (methocarbamol) Using ALPRAZolam together with methocarbamol may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Overdosing on sleeping pills can occur when a person takes 60–90 times the intended dose. 25, 0. It's a weird combo because my doctor won't prescribe me both of these. Adding Cannabis to the mix doesn’t help matters. May 8, 2016 · No: These are both sedatives and can cause central nervous system slow-down. 25 mg 2 or 3 times a day. ALPRAZolam DULoxetine. bearlover35 1 Aug 2013. Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking XANAX without first talking to your healthcare provider. Benzodiazepines work by enhancing the effects of gamma-aminobutyric acid (GABA), a chemical signal that tells brain cells to “slow” or “relax. ”. May impair reaction skills and affect a person's ability to drive or operate machinery. Call your doctor immediately if you experience a fever, chills, joint pain or swelling, excessive tiredness or weakness Discuss the use of grapefruit products with your doctor. The interactions will effect you though. Nov 1, 2007 · Then, if you're still staring at the clock at 2 a. resp depression. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or The most significant risks associated with taking these medications together are the increased likelihood of experiencing an increase in the severity of side effects. Most people who combine these substances do so for their synergistic effects. Belsomra (suvorexant) is a brand-name oral tablet that’s prescribed for insomnia in adults. 5k views. Do not use alcohol or medications that contain alcohol while you are receiving treatment with oxyCODONE. Prevention. Using ALPRAZolam together with cyclobenzaprine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Any overdose, whether it’s alcohol, opioids, or Applies to: Xanax (alprazolam) and amlodipine. This medication can increase the effects of alcohol. For example, some of the side effects that can appear or increase when you take Xanax or Ambien together include: Severe drowsiness. You should avoid or limit the use of Aug 1, 2013 · Totally agree with you can be dangerous than they can imagine. May 1, 2024 · Xanax has interactions with alcohol, some other drugs, and certain supplements. You should avoid or limit the use of alcohol Take one 10mg capsule after going to bed if unable to sleep using good sleep habits. There are 8 disease interactions with zaleplon which include: alcohol intox. 20mg may be needed initially if: Switching from another hypnotic. If you take Xanax, take the medication only as prescribed, and do not take additional doses. Sep 9, 2013 · Can I take my nightly Xanax (alprazolam) with ibuprofen? My Xanax (alprazolam) is . However, the dose is usually not more than 4 mg per day. Xanax is prescribed for generalized anxiety disorder and Find patient medical information for Sonata oral on WebMD including its uses, side effects and safety, interactions, pictures, warnings and user ratings. Applies to: Xanax (alprazolam) and diphenhydramine. Older adults—At first, 0. You may use the study as a second opinion to make health care decisions. Combining these medications can have several potential risks and interactions: Increased sedation : Both Hydroxyzine and Xanax can cause drowsiness and sedation. Examples include The most significant risks associated with taking these medications together are the increased likelihood of experiencing an increase in the severity of side effects. Alprazolam can slow or stop your breathing, especially if you have recently used an opioid medication or alcohol. Belsomra has interactions with alcohol, some other drugs Apr 1, 2016 · Applies to: Xanax (alprazolam), Lunesta (eszopiclone) Using ALPRAZolam together with eszopiclone may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. glaucoma. Talk to your doctor or pharmacist if you have any . Drugs such as Xanax (alprazolam), Valium (diazepam), Ativan (lorazepam), and Klonopin (clonazepam) are some of the most-prescribed medicines – more than 133. Trusted Source. While Xanax is supposed to be an anxiety-buster, sometimes it cranks up pre-existing anxiety. Can i take an ibuprofen? I am going to have oral surgery on Monday. worsened depression. 25 mg to 0. You should avoid or limit the use of alcohol while being treated with lisdexamfetamine. Using ALPRAZolam together with cannabis (Schedule I substance) may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. These medications are sedating and help induce sleep. Jun 14, 2017 · Yes: Advil does not have any drug interactions with xanax (alprazolam). Learn more about how Xanax works, what Zaleplon disease interactions. Applies to: Xanax (alprazolam) and omeprazole. If you are taking Ritalin and don't really have ADHD / ADD then the stimulant could make anxiety worse and xanax (alprazolam) not effective. Examples include opioids and certain antifungals. Call your doctor at once if you have symptoms of bleeding in your stomach or intestines. If you're having trouble breathing, call 911 or seek emergency care. I am ready to be sober. But 40mg with that much xanax may be a bit much unless you have a big ass benzo tolerance. Do not drink alcohol while taking ketorolac. FA. BE. Talk to your doctor or pharmacist if you have any questions or concerns. they are fun, and weird. Alprazolam is potentially addictive and may cause emotional and physical dependence. Xanax can slow or stop your breathing, especially if you have recently used an opioid (“narcotic”) medication or alcohol. However, a daily dose that lasts for too long can risk Jan 19, 2022 · The main risk of a Zoloft Xanax interaction is serotonin syndrome. You may use the study as a second opinion to make ALPRAZolam cyclobenzaprine. Nov 21, 2023 · Before taking this medicine. Summary: Drug interactions are reported among people who take Gaba and Xanax. Taking the medication properly just before Aug 7, 2023 · Xanax is a medication that can help people with anxiety and panic disorders. Omeprazole may increase the blood levels and effects of ALPRAZolam. It’s also important to note that combining hydroxyzine and Xanax can increase the risk of certain side effects, such as Sep 28, 2023 · Dry mouth, headache, and a decrease in libido (sexual drive) are also common. Pamela Pappas answered. So if you take the Xanax at 2 a. Answered 10/8/2016. You might just be inviting more unwanted guests to the party. This is due to the possibility of increased sedative side effects when the two drugs are taken too close together. This may increase nervous system side effects such as drowsiness, dizziness, lightheadedness, difficulty concentrating, and impairment in thinking and judgment. Long-term effects of Lunesta use may include: worsened sleeping patterns (rebound insomnia) anxiety. Specializes in Psychiatry. 68 For very short dental appointments, zaleplon 10–20 mg given 1 hour prior to Medical detox is the optimal option for Xanax withdrawal due to the potential for life-threatening withdrawal symptoms. Sotalol and ALPRAZolam may have additive effects in lowering your blood pressure. Hypnosis. Can I Drink Alcohol While Taking Xanax and Zoloft? Answer: Mixing alprazolam (Xanax) and kratom can cause alprazolam to stop working. You may need a dose adjustment or more frequent monitoring by your doctor to Jul 28, 2023 · Sedation usually occurs quickly, within 15 to 45 minutes after taking a dose of Xanax. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when Applies to: Xanax (alprazolam) and Spravato (esketamine) Using esketamine together with ALPRAZolam may increase side effects such as drowsiness, confusion, difficulty concentrating, and impairment in thinking, judgment, reaction speed, and motor coordination. But this, doctors and pharmacists say, is not safe. They are both central nervous system depressants that enhance the effect of gamma-Aminobutyric acid, or GABA. This may increase nervous system side effects such as drowsiness, anxiety, depression, and seizures. i like ambien better, but i know a few people who swear by sonata. For ref I’m on 36mg Concerta in the morning, 1-2mg Klonopin (benzodiazepine similar to Xanax) and Seroquel 200mg at night. Ambien: The most commonly prescribed sleeping pill, Ambien has a moderate half-life of Although this is less common in people who take the drug as prescribed, use of the drug can impact how the body responds to its prolonged presence in your system. 4 million such prescriptions were filled in the US in 2014. The results, she says, can be deadly. Applies to: Valium (diazepam) and Xanax (alprazolam) Using diazePAM together with ALPRAZolam may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. It also exposes you to a host of health risks. 9k views. [For details, see the articles by Billioti de Gage et al, BMJ , Sep. May 5, 2021 · Xanax may cause dependence—the risk increases with higher doses, longer duration of use, and/or a history of drug or alcohol abuse. After receiving treatment with esketamine, you should avoid driving or operating Mania. Is this safe?? Im on 150 mg brupropion. 5 milligram (mg) 3 times a day. If prescribed, yes: If your doctor has prescribed xanax (alprazolam) for you, taking it a couple of hours after an advil should be fine. I would take the soma then maybe a couple hours later take the Xanax. You should not take Xanax if: you also take antifungal medicine such as itraconazole or ketoconazole; or. The phase IV clinical study analyzes what interactions people who take Ozempic and Xanax have. Applies to: Xanax (alprazolam) and Dilaudid (hydromorphone) Using narcotic pain or cough medications together with other medications that also cause central nervous system depression can lead to serious side effects including profound sedation, respiratory distress, coma, and even death. These side effects are most likely to be seen at the beginning of treatment, following a dose increase, or when Ask your doctor before using acetaminophen together with ethanol. Prescription Xanax pills come in 0. Since the shelf life of Xanax and the expiration date only indicate a guarantee from the manufacturer that it’s good, it’s difficult to know whether or not it’s okay to take old Xanax ALPRAZolam methocarbamol. and wake up at Feb 20, 2023 · Benzodiazepines such as Xanax can be prescribed as sleeping aids. 8. Benzodiazepines alter chemicals in the brain to prevent certain imbalances that cause people to feel Applies to: Xanax (alprazolam) and sotalol. Alcohol can increase your risk of stomach bleeding caused by ketorolac. Jun 7, 2023 · Health interactions. 4. , you can take it without feeling drowsy in the morning. May 15, 2010 · sure. As Schedule IV controlled substances, all benzodiazepines have the potential for abuse, addiction and diversion. To make sure Xanax is safe for you, tell your doctor if you have Xanax is prescribed as a daily dose. agitation. Flumazenil is often used to counter the effects of a sleeping pill overdose, as well as Applies to: Xanax (alprazolam) and amlodipine. Common interactions include haematochezia among females and fall among males. Symptoms of serotonin syndrome include: Agitation. Talk to your doctor or pharmacist if you have The phase IV clinical study analyzes what interactions people who take Meloxicam and Xanax have. I also use Valium as a muscle relaxer. nightmares, May 2, 2024 · Overdosing on sleep medications can lead to death. Get emergency medical help if you have signs of an allergic reaction to alprazolam: hives; difficult breathing; swelling of your face, lips, tongue, or throat. They should not be combined. In higher doses, kratom has the opposite effect and could make the effects of Xanax too strong — potentially leading to side May 8, 2024 · In more severe Xanax overdoses, medications exist that can reverse a Xanax overdose. Xanax (alprazolam) is a benzodiazepine. The result is a much quicker effect, followed by Xanax building up quickly in the body, leading to a toxic effect and the potential for fatal overdose. Applies to: Xanax (alprazolam) and Ambien (zolpidem) Using ALPRAZolam together with zolpidem may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. depression. Absolutely, per Md recs. Anticonvulsant activity. 25 I want to take 400mg ibuprofen for back pain. Combining them may intensify these effects, leading to excessive sleepiness and impaired coordination. If I were to take the benzo and Concerta at the same time then the former would definitely dull the Concerta’s effectiveness and make you sleepy, but that’s not a given. Do not drive, operate heavy machinery, or do other dangerous activities until you know how XANAX affects you. Muscle relaxation. liver disease. Jul 12, 2023 · The shelf life of Xanax often ranges from two to three years, and after this time, it may still be as potent as it originally was, or it could lose potency. How Long Does It Take to Notice the Effects of Xanax and Zoloft? Answer: The time it takes to feel the effects of Xanax and Zoloft can vary. Prescribed amounts of Xanax generally do not exceed 0. Common interactions include migraine among females and anaemia among males. This may be a medical emergency. 5 mg per day, a dosage that is split into three doses to be taken every four to six hours. Individuals may experience difficulty concentrating, confusion, and memory loss. Factfinder411 1 Aug 2013. Xanax may offer relief within hours, while Zoloft’s benefits typically become noticeable after a few weeks of consistent use. You may feel more drowsy, dizzy, or tired if you take ALPRAZolam with alcohol. Applies to: Xanax (alprazolam) and Keppra (levetiracetam) Using ALPRAZolam together with levETIRAcetam may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. In low doses, all strains of kratom run the risk of counteracting the effects of Xanax — preventing it from effectively managing symptoms. I would prefer to chat online. Because both medications work by increasing serotonin levels to improve mood and other mental health symptoms, taking them together could lead to a spike in serotonin, resulting in this condition. Oct 2, 2015 · Zaleplon (Sonata) is one such agent, belonging to a group of sleeping pills, new, novel, non-benzodiazepine sedative-hypnotics known as “Z compounds” or “Z-drugs”. Applies to: Xanax (alprazolam) and Cymbalta (duloxetine) Using ALPRAZolam together with DULoxetine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. I just took . Increased Sedation and Dizziness: Mixing Xanax and Gabapentin can intensify sedation Feb 16, 2024 · The irony of combining Xanax and Cannabis is that it can cause anxiety and panic. Using ALPRAZolam together with venlafaxine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. Drug interactions are reported among people who take Sonata and Xanax. Do not drink alcohol while taking ALPRAZolam. These effects can be detrimental to daily functioning and quality of life. In severe cases, low blood pressure, respiratory distress, fainting, coma, or Using caffeine together with lithium may increase the effects of caffeine. Thank. Regards pledge. Applies to: Xanax (alprazolam) and cyclobenzaprine. If you or a loved one has developed a psychological or physical dependence on Xanax, Agape Treatment Center is available to help. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. It is created by eHealthMe based on reports of 1,932 people who take Acetaminophen and Xanax from the FDA, and is updated regularly. Prolonged sleep. Factors To Consider When Combining Xanax and Cannabis Applies to: Tylenol Sinus Severe Congestion Daytime (acetaminophen / guaifenesin / pseudoephedrine) Ask your doctor before using acetaminophen together with ethanol. Unfortunately, benzodiazepines like alprazolam (Xanax) and z-drugs like zolpidem (Ambien), zaleplon (Sonata) and eszopiclone (Lunesta) have been linked to dementia. [5] Get Help Now. High blood levels of the drug may increase the risk of side effects. Xanax has interactions with alcohol, some other drugs, and certain supplements. Extreme drowsiness and trouble breathing can be signs of a serious temazepam interaction. May 15, 2018 · Xanax, and all benzodiazepines, are considered strong CNS (central nervous system) depressants, and can produce: Sedation. Aug 23, 2023 · Alprazolam side effects. Frequent drowsiness. (844) 326-4514. As with any medication, drug interactions can occur if you take a benzo The phase IV clinical study analyzes what interactions people who take Acetaminophen and Xanax have. Combining Xanax (alprazolam) and weed ( Cannabis sativa) can be risky. 2016 . It depends when you take it. It is possible for a patient with ADHD to have anxiety and both could be prescribed. Respiratory depression : Both medications can suppress the respiratory system. Ever-growing tolerance to the drug (you have to take more to feel the same effects). ALPRAZolam levETIRAcetam. Using ALPRAZolam together with melatonin may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. kc rh dg gn ky sl gj bp rq tf