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 4 BENZODIAZEPINES OVERVIEW Benzodiazepines Effects on the Brain • Benzodiazepines bind to specific receptors in the brain, known as benzodiazepine receptors. These receptors slow down the activity of the brain which can reduce anxiety, help people sleep, and prevent seizures. • When benzodiazepines are regularly used, the brain adjusts by reducing the number and activity of benzodiazepine receptors. As a result, you develop tolerance. This means the same dose of the medication is no longer as effective. • The changes in the brain that lead to tolerance can also cause physical dependence. Because the activity of those receptors is turned down you may experience withdrawal symptoms when you stop or quickly reduce the dose of your benzodiazepines. Withdrawal symptoms can include anxiety, insomnia, seizures, and others (see Figure 2). • Withdrawal symptoms may overlap with the symptoms the benzodiazepine was treating (e.g., anxiety, insomnia. See Figure 2). Your healthcare provider will work with you to determine if your symptoms are caused by withdrawal or another health condition. • Slowly tapering the medication gives your brain time to adjust. As you slowly reduce the dose of benzodiazepines the benzodiazepine receptors begin to return to normal.

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