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 20 • What should I do if I experience withdrawal symptoms during the taper? • Check in with your healthcare provider after each dose reduction. Tell them about any symptoms you are experiencing. If you are experiencing withdrawal symptoms your healthcare provider can help. They may recommend that you: » Pause the taper, or stay at the same dose for a couple more weeks » Slow the taper, or make smaller dose reductions, less frequently In rare cases they may recommend that you temporarily return to your prior dose. They may also recommend additional treatment that may help such as counseling, therapy, or other medications. • How long will it take to completely taper off the medication? • There is no set timeline. The length of time to taper safely will vary from person to person. It may take a couple of months or even a year or more. • Does physical dependence on benzodiazepines mean I have addiction or a benzodiazepine use disorder? • No. Physical dependence and addiction to medication are not the same. Nearly everyone who uses benzodiazepines regularly for more than a month will develop physical dependence. Less than 2% of individuals taking benzodiazepines develop a benzodiazepine use disorder. That said, talk to your healthcare provider if you are using more than your prescribed dose, if you are having trouble controlling how much you use, or if you think you may have a substance use disorder. • If I stop taking benzodiazepines, how do I manage the symptoms that they originally helped with? • There are other types of treatments, including therapy (e.g., cognitive behavioral therapy) and other medications, to help manage specific symptoms, such as anxiety or insomnia. These other treatments may be equally or more effective than benzodiazepines but carry less risk. Talk to your healthcare provider to see what alternatives are available.

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