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 12 FIGURE 2. SOME POTENTIAL WITHDRAWAL SIGNS AND SYMPTOMS General Gastrointestinal • High blood pressure • Blood pressure fluctuations • Headache • Sweating, night sweats • Stomach cramps • Diarrhea • Nausea and vomiting Psychiatric Mood • Restlessness • Detachment or dissociation • Psychosis (e.g., paranoia) • Suicidal thoughts and self-harm • Anxiety, panic attacks • Depression • Irritability, agitation, aggression Heart Sleep • Chest pain • Heart palpitations • Fast heartbeat • Fatigue • Insomnia or poor sleep • Nightmares Neurological Nerves and Muscles • Ringing in the ears • Poor memory • Reduced concentration • Confusion • Dizziness • Seizures • Sensitivity to light, sound, taste, or smell • Tingling, numbness • Poor coordination or balance • Abnormal movements • Muscle pain, weakness, or spasms • Muscle twitches or jerks • Tremors • Nerve pain

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