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 2 OVERVIEW AND BACKGROUND • Benzodiazepines are commonly used medications. However, medication needs may change over time. Some medications may help for a short time but can be harmful when used longer term. You or your healthcare provider may consider tapering your benzodiazepine medication if: • Continuing the medication puts you at risk for harm • There are other treatments available that are likely to be safer or more effective for you • You no longer need the medication to manage your health concerns • Benzodiazepines are a type of sedative medication approved to treat a wide range of conditions, including but not limited to: • Anxiety disorders and panic attacks • Sleep disorders • These medications are usually taken orally (by mouth as a tablet or liquid). Examples of benzodiazepines include: • clonazepam (Klonopin) • alprazolam (Xanax) • diazepam (Valium) • flurazepam • chlordiazepoxide (Librium) • In 2023, nearly 24 million people in the US reported taking benzodiazepines. • Although these medications may be effective for a short period of time, other treatments may be safer and equally or more effective for longer-term use. • For most health conditions, you should typically limit benzodiazepine use to 2–4 weeks. • Nearly everyone who takes benzodiazepines regularly (daily or nearly every day) for more than a month will develop physical dependence, even when taking the medication as prescribed. • Seizures • Spasticity • triazolam • lorazepam (Ativan) • temazepam (Restoril) • clorazepate • oxazepam

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