Withdrawls "withdrawal" Deutsch Übersetzung
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Depending on which benzodiazepine you are currently taking, your doctor may want to switch you to a different one before your taper begins.
Short-acting benzos complicate withdrawal with too many ups and downs. Diazepam, a long-acting benzo, is the most common choice for dose tapering.
There is no standard tapering schedule for you to follow. Your doctor will help make an individualized tapering schedule based on your current dose and particular circumstances.
Some people taper quickly, finishing up within two to three weeks. Others taper slowly over the course of several months.
During your taper, you may still experience some of the symptoms of withdrawal. This can happen after each dose reduction.
If your symptoms are intolerable, your doctor can pause or slow down the taper. Most doctors choose not to reverse the taper and up the dose in response to withdrawal symptoms.
To cope with these breakthrough symptoms, it helps to have a backup plan for dealing with anxiety. Helpful strategies include:.
Benzodiazepine withdrawal can be dangerous when not handled properly. There is a risk that people who quit benzos without a taper may experience a life-threatening grand mal seizure.
If you go into withdrawal without tapering, you also risk experiencing delirium and hallucinations that cause you to lose touch with reality—a terrifying and dangerous experience.
Some drugs are safe to quit on your own, but benzodiazepines are not. In fact, most people do okay with tapering their benzos at home with the help of their primary care doctor or psychiatrist.
You should plan to stay in touch with your doctor regularly during the tapering process, either by phone or during office visits.
Depending on your situation, your doctor may think it best to prescribe very small amounts of medication at a time. This will prevent you from altering the taper, but it might mean frequent trips to the pharmacy.
Some people, such as those with a history of complicated withdrawal, seizures, or severe mental illness, may be better suited for in an inpatient setting.
This can involve living at a detox facility or hospital for several weeks, where you can receive constant medical monitoring and psychological support.
Quitting benzos means that underlying psychiatric symptoms can reemerge worse than ever before.
These may include:. Inpatient treatment can be very expensive, depending on the facility, but it is covered by many insurance companies.
If you are pregnant or thinking about becoming pregnant, talk to your OBGYN or psychiatrist right away about your plans.
Benzodiazepine use in pregnancy carries some risks, however, going through any kind of withdrawal during pregnancy carries its own risks.
Your doctor can help you weight the potential risks and benefits around Benzodiazepine use and your pregnancy. Long-term treatment after benzo withdrawal will depend on your reasons for taking them in the first place and your reasons for quitting.
If you have a psychiatric condition that was managed by the benzos, you will need an alternative plan to manage your condition.
Typically, this is a combination of therapy and pharmacologic support. If your reasons for quitting benzos are that you were abusing them or unable to control your use, then you may require further substance use treatment.
This is particularly true if you are also giving up other substances, like alcohol or opioids. It can also help you learn to identify psychological triggers that may cause you to relapse so that you can avoid them in the future.
The best resource in your quest to quit benzos is your prescribing doctor. But if you would prefer someone else, any primary care physician or psychiatrist will be able to help you taper your dose.
For more mental health resources, see our National Helpline Database. For a lot of people, quitting benzos feels like waking up from a long dream.
To achieve your best health, talk to your doctor about the best way for you to quit and how you can maintain long-term success.
Learn the best ways to manage stress and negativity in your life. Am J Public Health. HHS Publication No. Benzodiazepine dependence and its treatment with low dose flumazenil.
Br J Clin Pharmacol. Brett J, Murnion B. Management of benzodiazepine misuse and dependence. Aust Prescr. American Psychiatric Association.
Diagnostic and statistical manual of mental disorders 5th ed. Bachhuber, M. Brett, J. Australian Prescriber.
Center for Substance Abuse Treatment. Insomnia can be both mentally and physically taxing and can contribute to feelings of anxiety and agitation.
Symptoms may come and go during your Xanax taper. At various points, you may experience physical symptoms such as headaches, muscle aches, or hand tremors.
The symptoms of Xanax withdrawal typically appear within 8 to 12 hours of your last dose. Withdrawal is generally at its worst on the second day, and improves by the fourth or fifth day; however, acute symptoms can last significantly longer.
Unfortunately, that is not the end of it for some people. Protracted withdrawal is a prolonged withdrawal experience marked by waves of mild psychological symptoms that come and go over the course of several months.
Protracted Xanax withdrawal can last up to one year. The best way to avoid a difficult withdrawal is to slowly taper down your dose of Xanax.
Tapering means taking progressively smaller doses over the course of several weeks. It is not recommended to taper without the assistance and recommendations from your prescribing doctor.
Xanax is a short-acting drug, which means your body metabolizes it very quickly. Tapering Xanax is challenging because the amount of drug in your system is going up and down.
To help you avoid these peaks and valleys, doctors often switch you from Xanax to a long-acting benzodiazepine such as diazepam. Switching from short-acting Xanax to its longer-acting cousin diazepam will make it easier for you to quit.
Once you are stabilized on a dose of diazepam, your doctor will help you slowly taper down a little bit at a time. This gives your body and mind the time to adjust to life without Xanax.
If you have breakthrough withdrawal symptoms when your dose is reduced, your doctor can pause or stretch out your taper.
Seizures may occur in some individuals undergoing untreated withdrawal from these substances. If you have been diagnosed with a serious mental illness in the past, such as a panic disorder , PTSD , bipolar disorder , or borderline personality disorder , then great care should be taken when coming off of Xanax.
It can be difficult to predict which dormant symptoms, if any, may return when Xanax is removed from the equation. People with a history of complicated withdrawal syndromes and people with underlying health issues should also work closely with their doctor.
Xanax withdrawal does carry a risk of seizures. Some women continue taking benzodiazepines throughout their pregnancy while others follow a dose tapering schedule.
If you have acquired your Xanax illicitly, you can still work with a doctor to taper down your dose.
Start by visiting a primary care doctor or urgent care center and tell them that you are in or are planning to be in benzodiazepine withdrawal.
If you are concerned about the risks involved in Xanax tapering for any reason, discuss these concerns with a doctor. You may be better suited for inpatient detoxification.
While inpatient treatment is typically more expensive, it is covered by many insurance plans. When it comes to the long term management of getting off benzodiazepines, there are two directions you can go.
Research shows that most stable, healthy adults will achieve long-term abstinence after completing a taper. The key to achieving this goal is to follow the tapering schedule to the very end.
By the end of your taper, you might be cutting pills into halves or quarters. Some individuals may be better suited for a harm reduction approach, in which the taper leads to a maintenance dose rather than abstinence.
If you are ready to quit Xanax, you will need to meet with your prescribing doctor. Alternatively, you can find a free community health clinic with this searchable database from the U.
Department of Health and Human Services. For more mental health resources, see our National Helpline Database.
Quitting Xanax takes time, patience, and determination. There will be days where you want to give up and give in.
But with medical supervision and support, you can be successful. In the long-term, the health benefits to you will be considerable.
Learn the best ways to manage stress and negativity in your life. Brett J, Murnion B. Management of benzodiazepine misuse and dependence.
Aust Prescr. Updated July August Benzodiazepine dependence and its treatment with low dose flumazenil. Br J Clin Pharmacol. Lautieri A.
Xanax withdrawals duration, dangers, and treatment. American Addiction Centers. Updated February 4, Psychosocial interventions for benzodiazepine harmful use, abuse or dependence.
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