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Benzos Alprazolam Taper, Does This Sound Right?

Today is my second day on 3.75mg daily. 3/4 of a 5mg tablet. I don't feel the drop at all, not like previous drops, which were very mild anyway...

Will only take 3.75mg for one more day before dropping to 2.5mg daily...
 
Redundant, yes, maybe...

But, my daily dose is down to 2.5mg. I will continue this for 3 more days, then every other day for 3 doses. 9 days, and 6 more doses to go...
 
So, fuck the schedule...

I took 1.25mg for three days, and today will be my first day with none at all...
 
Today is my fourth day with no Valium. Honestly can't tell if I've got any withdrawl symptoms...

Sleep hasn't been as hard as I'd thought, but my appetite might be suffering... Hard to tell the cause for sure...

That leads me to another question, what do y'all use for stimulating the appetite? I've been smoking weed for almost twenty years and I lost the munchie effect long ago, so that's off the table. Still get the drunk munchies, but I also don't like drinking all that much and I don't wanna drink every day any way... No more GABA drugs.
 
Day 9.

Had drinks with a friend a couple days ago. It's really fuckin nice to not be worried I'll stop breathing in my sleep over it.

I've heard too many times that day 9 is the peak of the withdrawals, so if it can only get better from here, fuck yeah.

Cheers to y'all.
 
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I'm working on day 69 here guys. Sure do miss my short term memory recall. Other than that, I'm feelin fine.
 
Hi all,

Just following up on my post a few months back to this original question and thread with some more useful personal experience and medical info, for anyone trying to taper off benzo's (particularly Xanax and similar short-acting benzo's which are the most difficult)..

I'm (yet again) on a Xanax/Diazepam withdrawal attempt. This about my 5th attempt in over 10 years of almost daily use of Xanax....I won't go into my life story here (read my first post for that), except to say Xanax has literally ruined my life and brain in so many ways, I've been had two seizures, one serious that hospitalised me and caused some brain damage. Buying it online is even more dangerous, because it's cut with all sorts of stuff, and often you're getting inaccurate doses, analogues of it and god knows what else.. I've been trapped in this cycle for years and years as Xanax is impossible to get in UK on script and Diazepam also extremely hard.

This time, I'm very lucky to have the assistance and clinical supervision of a psychiatrist who specializes in substance dependency and withdrawal so I'm optimistic it will work this time.

I discussed with him my current tolerance level and usage of Xanax and Diazepam, and mentioned the Ashton Manual*/Method of benzo withdrawal. My psychiatrist didn't think the Ashton Manual withdrawal regimes were appropriate for my own situation. Although I have a serious dependency problem with Xanax, it's nowhere near at the levels in the Ashton Manual (4mg+ of Xanax daily).

A bit about my dependency for others to compare.... at the moment I take (randomly) anywhere from 1.5mg to 2.5mg of Xanax per day + alcohol 3-4 units (about 2 strong beers) to suppress social anxiety. However if I'm not socialising 0.25mg-0.5mg of Xanax is enough to suppress any Xanax withdrawals for 6 hours. 10-20mg of Diazepam (taken without Xanax) is enough to suppress any Xanax withdrawals and take the edge off social anxiety, and with its considerably longer half-life (72+ hours) compared to Xanax's 6 hours, I can take Diazepam once every 24-48 hours to suppress benzo withdrawals and keep my anxiety to a manageable level. Whereas with Xanax I need to take it every 5-6 hours, else withdrawals start quite quickly after that time, and by the 48-72 hours mark I'm into acute rebound anxiety, serious physical withdrawals and seizure risk territory.

So anyway, back to my psychiatrist and his clinical expertise, which hopefully others undergoing benzo withdrawal and with similar usage/tolerance may find useful....

He agreed that stopping Xanax immediately and moving onto Diazepam at an equivalent dose and then gradually tapering down the Diazepam dose week by week over several months is the easiest and safest way with the best chance of success without relapsing. This is what Professor Ashton proposes but her taper regime tables are based on higher Xanax dependency than my own.

So, based on my own Xanax tolerance and usage, my psychiatrist has just prescribed me 30mg Diazepam daily for the two weeks. He wants to see me every 2 weeks for a repeat script and proposes to monitor me and reduce the Diazepam dose by 5mg every week until I get down to 2mg a day, after around 5 months he thinks...then he suggested I can split the 2mg dose into 1mg for another 2 weeks or take 1mg alternate days, else just or stop completely safely if I feel ok after 5 months at the lower dose.

It has to be said here, that withdrawing from benzo's is only part of the equation.

You still have to do some personal work to deal with the underlying issues (if you have those, which most do) which caused you to take Xanax or other benzo's in the first place. For me that's mainly the chronic life-long social anxiety, from lack of social skills and low confidence. So my psychiatrist has also teamed me up with a substance dependency therapist and over the next 5 months I'll be learning how to manage anxiety and developing my self-confidence and learning social skills. So by the time I'm off benzo's it won't be such a shock with massive rebound anxiety to deal with or the tendency for addicts like myself to immediately switch to replacement substances (particularly alcohol) to replace benzos.

I'm still in my first 2 weeks of withdrawal on 30mg Diazepam. I have only taken Xanax once or twice for big social events I had to face (my last 2 bars) and have made a commitment (and agreement with my psychiatrist never to buy Xanax or Diazepam online again, and only take what he prescribes). I can say that the 30mg Diazepam is quite a high dose for me, but it isn't making me drowsy, it's suppressing my anxiety well, and I'm feeling *a lot* better than when I was taking Xanax *and* Diazepam randomly, as well as drinking.. My mood has improved, my head is a lot clearer, my sleep is more regular, I'm even exercising and more productive. You don't realise you're in the grip of an addiction, or just how bad benzo dependency and daily alcohol/drugs use are until you quit.. they seem like they're helping you and you can't live or function without them. In reality they're just holding you back, messing up your health and life.

So in summary:

A withdrawal regime has to be unique to you, and your own tolerance and situation and you really should do this under proper clinical supervision to be safe and for the best chance of successful withdrawal. The best doctors to seek out for benzo withdrawal are psychiatrists who are medically trained doctors able to prescribe benzo's. Ideally you want a psychiatrist who deals with substance dependency. In many areas you have to seek these out but can get referred to these services via your family doctor. Or access them directly as a self-referral patient. Psychiatrists often work in substance dependency services, which are often privately run charities and it's often free, or not very expensive to access these services.

If you're looking to withdraw from benzo's, avoid family doctors who have little or no experience in this field. They're usually the ones who write out repeat scripts for benzo's (particularly Xanax in the States) for anxiety conditions without any thought for tolerance dependency, or safe withdrawal. Then they suddenly stop prescribing after a few months. And then their idea of withdrawal in my experience, is to give you 2-4 weeks of Diazepam and say 'good luck', with no follow-up and no chance of any repeat scripts which is really dangerous. Trust me, I've been there.

Once you have a realistic withdrawal regime worked out by a psychiatrist or specialist doctor who deals with substance dependency recovery, stick with it. Go slowly, monitor your progress in a journal to see what triggers anxiety or problems. Don't take more than what's prescribed on days you may feel a bit more anxious or whatever and only take what's prescribed (ie don't buy more online!). Be realistic about how long it will take to withdraw from high tolerance and long-term use (ie many months or years of daily use). Usually it's going to be several months (or even 1-2 years in worse cases to withdraw. Be prepared like me, for doing that work on yourself and taking a long-hard look at your life, during the withdrawal period. Don't waste that time while you have the support of the benzo's still it will be far easier to start learning skills and taking risks you find scary. At the end of the withdrawal period you'll be much better able to cope once you're off benzo's if you've done that work..that's really important and is a major reason why I, and so many relapse from benzo withdrawal many times according to my psychiatrist. I just didn't do that work or have the skills to cope once I came off benzos in the past so always went back to them when things got tough...it's a quick fix, but then the cycle of tolerance and dependency starts all over again!

Alcohol: One last piece of advice here....if you're drinking alcohol as well as taking benzo's (very common), this almost certainly likely to make it much more difficult to withdraw and develop those skills I mentioned according to my psychiatrist. So if you feel you have an alcohol dependency problem (ie you drink daily or can't do social things without alcohol) and cannot moderate your drinking to low levels occasionally, then you're better off just quitting alcohol completely. That's what I'm doing. It's not easy if you're a daily drinker and rely on alcohol like benzo's as a social crutch for a confidence boost/anxiety suppressant.
Remember though, withdrawing from alcohol although scary doesn't have to be a lonely experience. And it's a lot easier than benzo-withdrawal usually for most people, just requiring will-power and a commitment to change habits. Usually the first few days to a week is a bit rough as your body and liver begins to detox from alcohol then it gets easier after that. There's a lot of support available for alcohol dependency and quitting alcohol. Just take it one day at a time. Accept that your lifestyle will need to adjust. You may be less social or struggle a bit for a few weeks and months, but keep going and you'll do it...you will feel much healthier, sleep better, be more productive and in control of your life free of alcohol.

I decided to quit alcohol (2 weeks sober now) and it's astonishing. Already all the pains I had are going, headaches, foggy brain, concentration problems/chronic fatigue, depression/anxiety are slowly going away..I really thought I was seriously ill with some of the pains I had, but it's the alcohol does that to your body it's poision..but it's amazing how quickly your body recovers once you stop putting it in).


Good luck to anyone out there in the process of quitting benzo's I know how difficult it is.

Please do feel free to reach out to me (privately if you like) if you need any help or support, regardless of where you live, or how hopeless your situation seems. There is hope and you can recover. Just believe and have faith. We're all on this journey together and can help and support each other.




* Professor Ashton (also a medically trained and long-time practising doctor in UK) is considered the world expert on benzo dependency and withdrawal. Her free to download manual 'the Ashton Manual' has a number of proven withdrawal regimes for most benzo's, used in her own clinical practice with great success and is considered the safest way to withdraw from benzo-dependency without unpleasant side-effects and the risk of any serious life-threatening side-effects. I wouldn't use the Ashton Manual alone (unless you have to). It's still best to show it to a medical professional and let them decide the best withdrawal dosage regime for you. However if you have no access to medical care professionals/rehab, the Ashton Manual has helped millions of people and is well worth reading.
 
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Oh, I just wanted to post a list of quick tips for anyone facing the scary prospect of running out of benzo's and into withdrawals...I found myself in this very situation a few weeks ago (for the 5th time) and here's what got me through it for 7 days, without a seizure or needing a hospital visit this time...

For anyone who doesn't know... (this I know from experience) benzo withdrawals depend on what type of benzo you've been taking and for how long.. but for Xanax and other short-acting benzo's these are the worse. Expect mild withdrawals to start around 6-12 hours, increased anxiety etc.. severe withdrawals around 48 hours-72 hours. For Diazepam it take a lot longer for them to leave your body and withdrawals to start, can be 4-5 days or more depending on tolerance. Alcohol use with benzo's will almost certainly make withdrawals come on faster and reduce the effectiveness of them, so if you're down to last few benzo's ditch the alcohol!

Here's what to do if you can't get a repeat script and find yourself in this situation:

1. Ditch caffeine. Drink camomile tea when you feel anxious or physical symptoms. It will calm your over-active brain and anxiety levels right down.

2. Accept that you're ill and your brain is adjusting to massive GABA down-regulation. If you feel tired and exhausted, just rest and sleep a lot.

3. Buy some over the counter remedies for anxiety and sleep (Valerian, Passion Flower, Hop Strobile, 5-HTP..and there's plenty of others). They're not a replacement for benzo's of course, but will certainly take the edge off the anxiety and helped me cope much better in 7 days of cold-turkey withdrawal.

4. Alcohol will help (it works on similar GABA receptors in brain as benzos) but the relief is very temporary, so don't rely on it and only as a last resort,
ie to get you to the doctors or hospital if your anxiety is so bad you can't even get out.

4. Eat regularly and plenty of healthy fresh food, drink plenty of water too. Try to get enough sleep, taking naps if you need to. Lack of sleep and not eating
will make the symptoms of withdrawal far worse.

5. Try to distract yourself and keep yourself preoccupied. Don't focus too much on the withdrawal symptoms and anxiety. Whether it's reading, watching videos, working or doing some hobby...playing with your pet or chatting online, or just going for a walk somewhere quiet if you feel up to it, or sitting somewhere quiet.

6. Benzo withdrawals like chronic anxiety and physical symptoms shakes etc usually comes in waves. They will go down once you relax and don't focus too much on them, so just remind and reassure yourself of that when those waves start...and reach for the camomile tea!

7. Exercise and breathing slowly. This helps a lot in reducing the stress hormone and anxiety levels, just don't over-do the exercise as it can make you more stressed and harder to relax.

And If you're really unable to cope and feel you're having a mental breakdown/psychosis/seizure risk then just pick up the phone. Reach out to someone. Call a friend, family member, doctor/health-worker, or an ambulance if its bad. Don't feel ashamed. Benzo-withdrawal is serious and life-threatening. Hospitals know all about it and the crew that arrives will treat you respectfully and take it very seriously. Last time I went in hospital I got a private room, 2 days rest and was given a 4 weeks benzo script (which I would have never got from a normal doctor), that helped me get back to normal, so I was glad I called an ambulance.
 
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I'm working on day 69 here guys. Sure do miss my short term memory recall. Other than that, I'm feelin fine.

69 eh? ?

That's fucking awesome man. How good do you feel? ❤

Cognitive deficits like short term memory take a while to improve, fish oil and the like might help. Might even want to try supplementing a strong choline source like alpha GPC, this stuff has no perceivable effects but can help the brain run a bit more smoothly with less floundering after words and stuff.
 
I feel great in the sense that I'm not stuck on yet another shitty drug...

But the cognitive deficits really are getting me down and out. I Will forget what I'm talking about from the beginning to the end of a sentence. Like literally get to the middle of the sentence and I'm just lost. I'm also much more clumsy than I used to be. I actually had to tell my friend that it hurts a bit to be poked fun at about it, but only because she didn't know where the clumsy came from.

My friend, that same one, has been beyond supportive. I can't explain how good it feels to have somebody to talk to, someone who wants to know what's going through my head, someone whose love and care can be felt better than I've ever known.

All I know for sure, is that working on the aspects of myself that led to my poly addiction issues has helped me get through these last few month's. Sure, I can and have done it myself (like after 5 years of H), but it's so much easier when you have some real support.

Okay, over with that sappy shit.

Thanks Papadoc, you've got some real good shit to share.
 
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