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Benzos Benzo Taper LAPSE Consequences

infectedmushroom

Bluelighter
Joined
Mar 14, 2007
Messages
1,371
Hi guys,

How severe are the consequences regarding benzodiazepine taper lapsing? I don't mean going back up to the original dose you started tapering from and staying there, as in properly relapsing, but going up to that dose for one dose then immediately going back to the taper dose and continuing on the taper?

Would the outcome be worse on a longer or shorter acting benzo? What about if the person had been tapering for a longer or shorter amount of time?
 
One dose isn't going to affect the taper regiment all that much, so don't worry about too much.
I would think it would be worse to relapse on a longer acting benzo, it takes longer to completely recover from your mistake. Where as something like xanax, that comes and goes quickly, you'll have metabolized and out of your body within a few hours, ready to move onto the next dose..

I also think that a relapse would affect the person that has been tapering for a shorter amount of time, more than the longer amount. The guy that has been tapering for a long period of time, is at low levels, one high dose won't affect his base levels all that much. That's my 2 cents...


- Hopeless 7nos
 
I'm having a bit of trouble dropping my dose.

Brief background: abused various benzos for a month at 2-4mg alprazolam equiv.

Decided to rapid taper over two weeks rather than ct so I could avoid rebound symptoms and function as well as possible at work and home.

The taper was going fine (I started at 2mg with no issues) and then went to 1.5, then 1, then 0.5.

I'm now stuck fluctuating between 0.5 and 1mg of alprazolam.

I take 0.5 for 2-3 days, then find some excuse to take 1mg, like today.

I'm going to try stay on 0.5mg for a few more days, then 0.25mg for a few days, then off.

Any tips? No idea why this part of the taper in particular has been so difficult.
 
Are you doing this with medical supervision?

My understanding is that alprazolam is a bad candidate for tapering, due to its short half-life and duration of action.
I had a really smooth taper off of RC benzos (stupid, stupid amounts of shit like phenazepam and flubromazolam) using diazepam, under the guidance of a doctor at a drug and alcohol treatment centre.
I'd really recommend going down that path if you're struggling. I just followed his instructions, jumped off at 5mg (of diazepam) and came up totally fine.
All the best, you're nearly there....
 
Regarding you having a hard time with the dosages you are tapering with...

It is not hard to find a good way to taper...just taper the best way your body feels comfortable and adjust the dose slowly lower - making sure you feel fine and comfortable while doing so - until you are symptom free. Just listen to your body. that is the best way to do. We can not tell you the best way to dose it, and it wouldn't matter if you went up to 1mg and back down to .5mg that is and insignificant dosage difference.

but if you are uncomfortable as you wean try doing .75 and you need to stay on them longer; your receptors need time to adjust, especially since you are using a short acting benzo. You need to stay on that dose for at least a week. This is what you would do under medical supervision. And you need to take them three to four times a day
 
I agree with the two posts above.
Listen to your body, if it's saying the .5mg is too much of jump, then scale it back and use .25 increments. And you also have to give your body time to adjust to the dose, so a longer smoother taper is easier on you, than an abrupt rapid taper.


- Hopeless
 
I find a helpful taper technique is to skip days or transition between doses. So one day an individual may take 10 mg of diazepam then the next day 7 mg and then on the third day back to 10 mg. This takes place until the individual feels stable enough to then stay at 7mg. So taking a day or two at a previous dose will not seriously set you back and you could actually use it as a way to taper in a smoother fashion. You just have to stick with the taper even if you have days in which you backtrack or stabilize. Short acting benzo's are extremely hard to taper with. Switching to librium or diazepam would make the process much easier and likely safer.
 
You guys must still be having withdrawals because you only take one dose of your benzodiazepine a day during them. You're still supposed to follow the half-life dosing, such as take diazepam three times a day - or four times as is sometimes prescribed - or every 8 hours. Not just once a day.

It's effects only last 8 hours. It may half-half life, but that does not correspond to clinical effect and it does not correspond to efficacy in minimizing withdrawal symptoms. It will just help during the 8 hours.
 
That's not how it worked for me.
I was put on a script that - as i tapered down - i was told to dose either a couple of times a day or once a day.
The specialised addiction therapy doctor that i helped me through it told me it made no difference to my physical safety (ie seizure risk).
I tried various approaches over the course of the taper - and found that with diazepam, it made no difference.

As for withdrawals - i went from taking ~1 gram of flubromazolam every couple of months (a very potent benzo much stronger than even alprazolam - i shudder to think what my daily dosages got up to - i had a monster tolerance, but also spent a lot of time blacked-out) to a rapidly declining diazepam taper - and to be perfectly honest, i don't know what typical "benzo withdrawal" even feels like.
The seizure/hospital thing was a whole other story. But unlike opiate withdrawal - a very familiar sensation to me, as a long-time nuser - i can honestly say i'm not experiencing benzo withdrawals (the taper i did was almost a year ago) and when i ceased dosing, i experienced no discomfort whatsoever.
I have a great doctor and detox service - which are free in Australia, so there is no reason not to seek something like that out, mr mushroom, assuming you're still in australia :)

Now, everyone's metabolism is different, much like our psychological make-up and reasons for using.
But dosing once a day was no problem for me.

I'm not in withdrawal - and besides a bit of insomnia, and dilated pupils throughout the taper - i really had no wd synptoms to speak of (when undergoing a medically supervised taper).
I don't know the specifics - or relevance in tapering - of drug half-lives or "clinical effects"; which is why i recommend people seek professional medical assistance in coming off benzos. It's something you need to take seriously, and being helped by well trained and informed people is the most sensible way to do this, rather than trusting what you or i or anyone from an internet discussion board have to say on the matter.
I fell into a benzo habit after coming off opiates, so it was really just a matter of physical safety for me. The rebound anxiety and whatnot was of little concern to me, compared to having seizures, psychosis and the other nightmarish stuff that happened when i fucked up prior to this.
So, like i say - we're all different. But don't take my word for it - a doctor supervised taper is really the best option in my opinion.
 
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That's not how it worked for me.
I was put on a script that - as i tapered down - i was told to dose either a couple of times a day or once a day.
The specialised addiction therapy doctor that i helped me through it told me it made no difference to my physical safety (ie seizure risk).
I tried various approaches over the course of the taper - and found that with diazepam, it made no difference.

As for withdrawals - i went from taking ~1 gram of flubromazolam every couple of months (a very potent benzo much stronger than even alprazolam - i shudder to think what my daily dosages got up to - i had a monster tolerance, but also spent a lot of time blacked-out) to a rapidly declining diazepam taper - and to be perfectly honest, i don't know what typical "benzo withdrawal" even feels like.
The seizure/hospital thing was a whole other story. But unlike opiate withdrawal - a very familiar sensation to me, as a long-time nuser - i can honestly say i'm not experiencing benzo withdrawals (the taper i did was almost a year ago) and when i ceased dosing, i experienced no discomfort whatsoever.
I have a great doctor and detox service - which are free in Australia, so there is no reason not to seek something like that out, mr mushroom, assuming you're still in australia :)

Now, everyone's metabolism is different, much like our psychological make-up and reasons for using.
But dosing once a day was no problem for me.

I'm not in withdrawal - and besides a bit of insomnia, and dilated pupils throughout the taper - i really had no wd synptoms to speak of (when undergoing a medically supervised taper).
I don't know the specifics - or relevance in tapering - of drug half-lives or "clinical effects"; which is why i recommend people seek professional medical assistance in coming off benzos. It's something you need to take seriously, and being helped by well trained and informed people is the most sensible way to do this, rather than trusting what you or i or anyone from an internet discussion board have to say on the matter.
I fell into a benzo habit after coming off opiates, so it was really just a matter of physical safety for me. The rebound anxiety and whatnot was of little concern to me, compared to having seizures, psychosis and the other nightmarish stuff that happened when i fucked up prior to this.
So, like i say - we're all different. But don't take my word for it - a doctor supervised taper is really the best option in my opinion.

I've just been doing a bit of research on this one SJ mate as I know doctors do indeed put people on once a day diazepam for tapers yet TheGirlWithBlueHair is also correct that the therapeutic effects of diazepam generally last for about 8 hours when it's prescribed for seizure prevention, anxiety etc. even though the halfife is much, much longer.

The main active metabolites of diazepam are desmethyldiazepam, temazepam and oxazepam so maybe the action of these are sufficient to make once a dosing sufficient when using diazepam for tapering.

I know with methadone it's prescribed t.d.s.(8 hourly) for pain (that's how I was prescribed it by the pain clinic) yet is prescribed only once per day for opiate withdrawl since it's withdrawl prevention effects are longer lasting than it's pain relieving effects. I've a feeling that it's the same with diazepam in that when used for it's main therapeutic purposes it needs to be dosed several times a day but when used to prevent benzo withdrawl and taper it only needs to be taken once a day.
 
Withdrawal from benzos is just the worst ever.....Coming off Clonazepam at the moment, never had anxiety this bad, housebound.
 
Withdrawal from benzos is just the worst ever.....Coming off Clonazepam at the moment, never had anxiety this bad, housebound.

Are you coming of a high dose mate? Be really careful if you think you may be getting close to having a seizure and make sure to get medical attention straight away if you don't feel right.

Seizures from benzo withdrawl are serious business....

Stay safe bro..
 
Are you coming of a high dose mate? Be really careful if you think you may be getting close to having a seizure and make sure to get medical attention straight away if you don't feel right.

Seizures from benzo withdrawl are serious business....

Stay safe bro..

Thanks for your concern mate.

I was on 0.5mg for 6 years, now a tiny amount above 0.25mg, taken me 14 months to lower my dose by half. I am also on Diazepam, 10mg every morning, been on this for 16 years. These were all prescribed for anxiety/agoraphobia till I found out that long term usage actually makes anxiety worse so thus me coming off Clonazepam first then going to do Diazepam.......Then i can but hope that i will be anxiety free, be able to walk around a supermarket, clothes shopping, travel say 10 miles to a nice field to walk my dog.....At present my home is my only safe place, luckily have neighbours and friends who walk my dog for me and I do online shopping.
 
The original OP is on a shorter acting benzo. Really, at .5 a day single dose, I doubt there would be any point in switching to a longer acting benzo or taking it multiple times a day. If he's being monitored, a jump at .25 sounds reasonable. This does not substitute for medical advice but I just checked with a psychiatrist friend and he doubts the risk of seizures at such a low dose.
 
That single daily dose isn't going to do a damn thing at keeping withdrawals at bay. It may provide some symptom relief for a few hours, but that's it.

He needs to take a regular dose three times a day to maintain therapeutic blood levels.

That is what you do for withdrawals. You do the same thing for dosing as you do for therapy. it is no different.
 
That single daily dose isn't going to do a damn thing at keeping withdrawals at bay. It may provide some symptom relief for a few hours, but that's it.

He needs to take a regular dose three times a day to maintain therapeutic blood levels.

That is what you do for withdrawals. You do the same thing for dosing as you do for therapy. it is no different.

Sorry to pinch OP thread......Is this ok what I am doing.....10mg Diazepam in the morning around 8am and 0.25mg Clonazepam at around 6pm, could I do 5mg Diazepam at 8am, then 5mg Diazepam at say 1pm and Clonazepam 0.25mg at 6pm.....Would this be a better idea?
 
That single daily dose isn't going to do a damn thing at keeping withdrawals at bay. It may provide some symptom relief for a few hours, but that's it.

He needs to take a regular dose three times a day to maintain therapeutic blood levels.

That is what you do for withdrawals. You do the same thing for dosing as you do for therapy. it is no different.

This is not correct-the OP did not specify whether he was on tid, bid or what. It may be once a day before bed or even PRN.
 
I'm having a bit of trouble dropping my dose.

I take 0.5 for 2-3 days, then find some excuse to take 1mg, like today.

Any tips? No idea why this part of the taper in particular has been so difficult.
to be perfectly honest, STOP making excuses to take more. it would also help using a longer acting benzo as others have stated but you need to be diligent and stick to your taper plan. any and all tapers are difficult because it takes a lot discipline to stick to it versus just using as much as we want. i know it's easier said than done but that's what it really boils down to. Of course listen to what your body is telling you but make sure you examine why you feel like you need to take more than what your taper plan allows. realize that life has ups and downs, and while slowly tapering off a drug makes the downs seem really low, it's just part of life. dealing with life on lifes terms (mind altering substance free) isn't easy. good luck
 
Thanks for the feedback guys. I'm taking it all on board and having a good think about the best way to do this. I think splitting my dose into once in the morning and once at night to maintain comfortable blood levels would be better as right now I'm kind of taking it in one dose whenever I want.

So tomorrow I'm back to 0.5mg - 0.25mg in the morning and 0.25mg at night. I have a job which is quite physically demanding and thus takes my mind off a lot of the symptoms I have (all though it makes the muscle pains and headaches worse which can be helped quite a lot with neurofen and panadol.)

Time to nip this in the bud - I don't have an unlimited supply to do this, thank god, because now scarcity is going to force me to either do this properly or suffer even worse consequences if I lack discipline.

And also I agree with your post mazda01 %100 - the problem is i'm addicted psychologically to benzos, not just physically, so it's easy to justify taking a little bit extra rather than sticking to the plan. The fucked up thing is, I've been here before...
 
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