Benzodiazepine (Benzo) Withdrawal and Tapering Off Safely

As a former benzo user and a victim of long-term benzo use, I can attest to the complex nature of coping with withdrawal and the critical importance of taking a gradual approach. This article aims to provide guidance and insights based on my extensive research and personal experience.

Understanding the Question

The question of whether one will experience benzo withdrawal symptoms, and the severity of these symptoms, depends on various factors including the duration, dosage, and individual physiology. Dr. Cho suggests that a three-week taper is usually manageable, yet great caution is necessary due to the historic tragedy caused by benzos worldwide.

It's crucial to recognize that the majority of healthcare professionals have limited knowledge about the risks and potential side effects attributed to benzo use. This lack of awareness often stems from the selective publication of studies funded by pharmaceutical companies. It has been reported that the FDA does not conduct drug testing; instead, they rely on reviewing studies, which can be biased.

Managing the Risk

Given the potency and risks associated with benzos, it is essential to avoid sudden discontinuation and instead opt for a gradual tapering process. In the UK, for instance, prescriptions are limited to four weeks, and this limit is justified. A timeline of two weeks for tapering might be a prudent approach to mitigate the risks and side effects.

Benzodiazepines work by enhancing the effect of gamma-aminobutyric acid (GABA), a neurotransmitter that calms the brain. After prolonged use, the brain's ability to regulate GABA is impaired. When benzos are removed, glutamate, an excitatory neurotransmitter, can hyperactivate, leading to neuronal damage. This phenomenon, known as kindling, can exacerbate withdrawal symptoms and may require much longer to resolve.

The Withdrawal Process

While withdrawal symptoms are unlikely after a few weeks of use, they are still a possibility. The best course of action is to taper off gradually. Here is a suggested tapering plan:

Split the pills in half if they are scored. Take half each day for a week. Reduce to half every other day for the next week. Continue with half every two days for the subsequent week. Take one pill and that should be your last week.

Some individuals may feel more comfortable and secure with their physician's guidance for tapering. It's important to communicate with your healthcare provider that you are no longer taking the medication to ensure a safe and effective tapering process. Always consider non-drug methods before starting a tapering regimen.

Considerations and Next Steps

Even after a successful taper, it's essential to monitor for potential side effects or lingering symptoms. If you experience hypochondriacal obsessions or other psychological symptoms, it may be necessary to seek medication assistance. Orrantia, for instance, has suggested non-drug approaches as a first line of defense.

Anxiety disorders, such as obsessive-compulsive disorder (OCD), may benefit from medications like Anafranil. Consulting a healthcare professional for a proper diagnosis and treatment plan is crucial. Understanding the risk and adhering to a structured tapering plan can significantly reduce the likelihood of severe withdrawal symptoms and promote a smoother recovery.

Conclusion

While benzo withdrawal is a challenging process, with the right approach, it is manageable. Gradual tapering, as described, is key to reducing the risk of adverse effects. Always prioritize safety and consult with a healthcare professional for personalized guidance. If you or someone you know is considering tapering off benzos, take this information and any other relevant advice from trusted sources to support a successful and healthy recovery.