ASAM Pocket Guidelines and Patient Guide

Benzodiazepine Tapering Patient Guide

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© 2025 American Society of Addiction Medicine. All rights reserved. ASAM.org 14 TAPERING CHALLENGES • If you experience challenges with tapering, your healthcare provider will first recommend slowing or temporarily pausing the taper. If this is not effective, your healthcare provider may recommend additional treatments, including counseling, therapy, or other medications. In general, your healthcare provider may try to avoid other medications that impact benzodiazepine receptors. • Try to avoid skipping any doses during the tapering process, as this can worsen withdrawal. • Some patients may experience withdrawal symptoms between doses depending on how quickly their body processes the medication. Talk to your health care provider if this is happening to you. Your provider may recommend switching to a longer-acting benzodiazepine or more frequent dosing to prevent withdrawal symptoms between doses. Not all health care providers have specialized training or experience managing challenging benzodiazepine withdrawal. The guidelines and this patient pocket guide can help you advocate for your needs. If you are experiencing tapering challenges you can consider working with a specialist such as a medical toxicologist, addiction psychiatrist, addiction medicine doctor, or psychiatric pharmacist.

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