Benzodiazepine Withdrawal Methods

Here is a brief summary of the three benzodiazepine withdrawal methods supported by Beating Benzos. Each method has its own pros and cons, and none is inherently better than the others. It's important to choose the approach that aligns with your personal needs and circumstances. In most cases, a direct taper may be sufficient unless there is a specific reason to consider other options. If the direct taper becomes less effective over time, you can explore switching to Valium or using titration. You are free to change methods as needed—there is no single, rigid approach you must follow.

Direct Taper

• Advantages: It's straightforward, widely supported by doctors, and likely sufficient for most people in the general community looking to quit benzodiazepines.
   
• Disadvantages: Some benzodiazepines are too potent for a smooth taper, or the prescribed pills may be too large to split accurately. Additionally, many benzodiazepines have short half-lives, leading to issues like interdose withdrawal. Pill splitting can also be difficult to do precisely.

We recommend, unless previous tapering attempts suggest otherwise, that members begin by reducing their dose by about 10%. New reductions, also around 10% of the current dose, can typically be made every 7-14 days. These numbers are just general guidelines—results may vary.

Substitution Taper

• Advantages: Gradually switching from a short half-life benzodiazepine to an equivalent dose of Valium can virtually eliminate interdose withdrawal. Valium’s lower potency allows for smaller, more frequent dose reductions, which are often easier to tolerate than larger, less frequent cuts. Additionally, if you’ve had trouble sleeping, Valium's sedative effects may help.

• Disadvantages: Switching to Valium requires some planning, including calculating and adjusting the equivalent dose to suit individual needs. Many doctors, especially in the U.S., may not support this approach. The switch could also extend the overall withdrawal process. A small number of individuals may not tolerate the transition to Valium well, which could be due to incorrect dosing or the need for dose adjustments.

Prof. Ashton saw excellent results in her clinic by switching patients to Valium, especially for those who struggled with a direct taper. If your doctor is supportive and willing to adjust doses as needed, you may find substitution beneficial.

Titration (Liquid Micro-Taper)

• Advantages: Provides a very smooth taper, even when working with high-dose or potent pills, and doesn't rely on having a supportive doctor.

• Disadvantages: Requires daily preparation in the kitchen, along with refrigeration for the solution. Your doctor may not be supportive if they find out you're using titration to taper off benzos. Interdose withdrawal could still be an issue if you're using a short half-life benzodiazepine. Additionally, this method is more complex and requires some specialized equipment.

*** Please consider these documents as informed opinions rather than substitutes for professional medical advice. We do not claim that they are fully comprehensive or universally applicable. It's crucial to discuss any information from this website with your doctor or another qualified healthcare professional.