ASAM Pocket Guidelines and Patient Guide

Benzodiazepine Tapering Patient Guide

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11 HOW LONG DOES IT TAKE TO COMPLETE BENZODIAZEPINE TAPERING? There is no universal process or timeline for tapering. For some patients it may take more than a year to taper off benzodiazepines. • Usually benzodiazepine tapering takes longer when: • You have been taking the medication for a long time • You are taking higher doses of the medication • However, this is not always the case. People respond differently to reducing their benzodiazepine dose. Some will need to go slower than others. » Some patients who have been taking high doses of benzodiazepines for years have minimal problems with tapering at a relatively fast rate (15–25% every 2–4 weeks). Others who have been taking a low dose of benzodiazepines for only a month or two experience significant withdrawal symptoms even when tapering slowly (5% every 2–4 weeks). MANAGING WITHDRAWAL • You should check in with your healthcare provider throughout the tapering process and discuss withdrawal symptoms you are experiencing. • After reducing your dose, it may take up to a week for withdrawal symptoms to occur. » Tell your healthcare provider about any intolerable withdrawal symptoms right away. » Withdrawal symptoms may increase as you get close to the end of the taper. » In some cases, withdrawal symptoms may continue even after the taper is complete. This is known as protracted withdrawal.

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