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 6 TABLE 1. POTENTIAL BENEFITS AND RISKS OF CONTINUED BENZODIAZEPINE USE AND TAPERING Potential Benefits of Ongoing Benzodiazepine Use • Effective management of mental and physical health conditions • Functional or quality of life improvements Some Potential Risks of Benzodiazepine Use • Excessive drowsiness or tiredness (oversedation) • Falls and related injuries • Memory problems • Problems focusing • Car accidents • Interactions with other medications • Disrupted sleep • Physical dependence and risk for withdrawal • Tolerance and risk for reduced medication effectiveness over time • Negative impact on other physical or mental health conditions • Overdose, especially when combined with alcohol or other substances (e.g., opioids) • Substance use disorder • Pregnancy complications Potential Risks of Tapering • Withdrawal symptoms (see Figure 2) or protracted withdrawal (i.e., withdrawal symptoms that last even after completing the taper) • Negative impact on other physical or mental health conditions • Recurrence of physical or mental conditions the benzodiazepine was originally prescribed to treat

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