Benzodiazepine Taper | How to Taper off Benzos

Benzodiazepine tapers are designed to lessen the inherent worries of detoxification. Many users can trace their hesitations back to the benzo withdrawal. Tapering benzodiazepines can alleviate these uncertainties. At its core, tapering is about gradually familiarizing the body to live without benzos post-recovery but, before that, making the withdrawal a manageable process.

In fact, a benzo taper can sometimes rid a recovering user of any sort of withdrawal at all. This is because the method allows the central nervous system to wean itself off over time. It never gets the opportunity to enter a withdrawal phase. The opposite of tapering, quitting cold turkey, provides no such safeguard — withdrawals are at their worst, even deadly. For this reason, neither at-home detoxes or stopping cold turkey are recommended by physicians. These outdated approaches lack support, guidance, and safety measures.

It has been established that benzodiazepine withdrawals are a terrible thing to endure. But what exactly are patients avoiding by tapering benzodiazepines as opposed to stopping outright? Well, depending on the benzo of choice, severe withdrawal symptoms can last for weeks or months, with residual effects for years after the fact. Symptoms of benzo withdrawals include:

• Headaches: patients experiencing withdrawal will exhibit confusion, lethargy, and splitting headaches in the complete absence of benzos.
• Disrupted sleep patterns: insomnia or excessive sleep habits may develop as the withdrawal progresses.
• Agitation: irritable and uncouth behavior are common occurrences, especially when cravings hit their hardest.
• Convulsions: erratic actions and movements result from disrupted chemical signals to extremities.
• Nausea and vomiting: withdrawal victims will be in a state of perpetual sickness throughout their ordeal.
• Psychosocial episodes: the central nervous system is attempting to self-correct after months, even years, of substance interference. Mild to severe neurological incidents may result such as severe panic attacks, psychosis, hallucinations, and seizures.

Benzodiazepine tapers include highly detailed schedules for daily and weekly benzo consumption to suppress or overcome withdrawal symptoms. As a general rule of thumb, physicians and rehabilitation personnel suggest a reduction in benzo use by increments of 10 percent every week. A less conservative approach can push these numbers into the 25 percent range if necessary — usually for patients who’ve tried but did not succeed a taper before.

A benzo taper like the one described above is referred to as a direct taper. But, benzodiazepines have an alternate approach if so desired: substitution tapers. While direct tapers focus on reducing the benzo the patient is already using, substitution tapers, as the name implies, switch the patient’s regimen to a more stable benzodiazepine before continuing on. Short-acting benzos, such as Xanax and Ativan, only last in the system for a short time. This requires consistent dosages to prevent a withdrawal. Valium — as an example of a long-acting benzo — sticks around much longer, meaning it allows the body to wean at its own pace. Plus, it simply becomes easier for doctors to track and administer a dosing schedule.

So, whether using direct or substitution, tapering is a huge stepping stone towards eventual benzodiazepine recovery. It only takes the determination to start today.

Medically assisted detox is always your best bet if you are trying to taper your drug or alcohol use. The Recovery Village provides 24-hour detox care at facilities nationwide, and each care plan can be customized to your exact needs. Don’t risk life with addiction — call The Recovery Village at  352.771.2700 today for free to learn more about medical detox.