Benzo Timeline Withdrawal

According to the Benzodiazepine Information Coalition, benzodiazepines (or ‘benzos’) accounted for about 30% of all prescription drug overdose deaths in the U.S., second only to opioids. The data underlines the dangers of benzos and the need for accessible addiction support to manage the Benzo withdrawal timeline.

Benzodiazepine withdrawal is a complex process that involves physical and psychological challenges. As one of the most commonly prescribed classes of medications for anxiety, insomnia, and other related conditions, benzodiazepines such as Xanax, Valium, and Ativan are widely used despite their potential for dependence and addiction. 

For those who attempt to discontinue use after prolonged periods, the withdrawal process can be grueling and sometimes dangerous. Understanding this timeline is crucial for patients and healthcare providers to effectively manage the withdrawal process and mitigate its effects. 

At Resurgence Behavioral Health, we seek to educate and treat anyone who has a substance use disorder. Our team of medical professionals has years of experience in the rehab industry and can answer any questions about the withdrawal timeline for Benzo addiction, recovery options, and more. Below, we’ll explore the stages of benzodiazepine withdrawal, the symptoms that characterize each phase, and the best practices for managing the process.

How Long Can Benzodiazepine Withdrawal Last?

The benzodiazepine withdrawal timeline can vary significantly depending on the specific drug used, the dosage, the duration of use, the method of tapering, and individual health conditions. In general, benzodiazepine withdrawal can last anywhere from a few weeks to several months and, in some cases, even longer. 

Here is a general overview of the timeline and stages of benzodiazepine withdrawal:

  1. Acute Withdrawal Phase (First Few Days to Weeks): The acute withdrawal phase usually begins within six to 24 hours after the last dose, depending on the half-life of the specific benzodiazepine. Short-acting benzodiazepines (like Xanax) may start to cause withdrawal symptoms more quickly, while longer-acting benzodiazepines (like Valium or Klonopin) may have a delayed onset.
  2. Protracted Withdrawal Phase (One to Six Months): Also known as protracted or post-acute withdrawal syndrome (PAWS), symptoms gradually decrease in this phase. However, recovery remains challenging as the brain and body continue to adapt to functioning without the drug. Neurotransmitter systems that were disrupted by long-term benzodiazepine use may take months to stabilize.
  3. Long-Term Withdrawal (Beyond Six Months): For some individuals, benzodiazepine withdrawal symptoms can persist even longer than six months, though this is less common. Symptoms that extend past six months are often more subtle, including ongoing anxiety, occasional sleep problems, or mood swings. The longer-term symptoms usually subside over time as the brain continues to heal, but it may take a year or more for full recovery, depending on the severity of dependence and other factors such as co-occurring mental health conditions or substance use.

Because of the potential risks associated with withdrawal, individuals undergoing the process should do so under the supervision of professionals like Resurgence Behavioral Health. A gradual tapering plan and appropriate management can help minimize the risks and discomforts associated with the withdrawal timeline for benzos and promote a safer, more effective recovery.

benzo timeline withdrawal

What Are the Symptoms of Benzodiazepine Withdrawal?

Benzodiazepine withdrawal symptoms can differ widely in severity and duration depending on the individual. The symptoms can be physical and psychological and are sometimes quite intense. Below is a breakdown of common symptoms across different stages of the benzo withdrawal timeline:

  1. Early Symptoms (First 24-72 Hours): Physical symptoms may include anxiety, irritability, sweating, tremors, muscle tension, vomiting, and headaches. Meanwhile, psychological challenges effects can involve panic attacks, insomnia, and depression. 
  2. Acute Withdrawal Phase: Symptoms can become more pronounced in this phase as the body and brain adjust to functioning without the drug. Physical symptoms may include increased heart rate, elevated blood pressure, lightheadedness, changes in appetite, hand tremors, and severe insomnia. Psychological symptoms like anxiety, mood swings, and depression may persist, with the added risk of cognitive impairment and cravings. 
  3. PAWS: Physical effects like muscle pain, stiffness, gastrointestinal problems, fatigue, and tremors may arise. Meanwhile, psychological distress can involve anxiety, depression, sleep disturbances, cognitive trouble, and mood instability. 
  4. Residual Symptoms: Lingering symptoms can continue to affect quality of life and include subtle anxiety, trouble sleeping, mood disorders, cognitive problems, and persistent cravings. 

While acute withdrawal symptoms are typically most intense within the first few days to weeks, many individuals experience ongoing discomfort for weeks or even months. Managing withdrawal under medical supervision, with a measured tapering process, psychological support, and appropriate treatments, can help mitigate the severity of symptoms and support long-term recovery.

Can Benzodiazepine Withdrawal Kill You?

While it is rare, benzodiazepine withdrawal can be life-threatening. The risk of severe complications increases when withdrawal is abrupt or unmanaged, particularly after long-term or high-dose use. The most dangerous risk associated with benzodiazepine withdrawal is seizures, which can occur when the brain’s neurotransmitter systems, particularly GABA (which benzodiazepines modulate), become dysregulated. Seizures can lead to severe injury or death if not treated promptly.

In addition to seizures, other severe symptoms such as delirium, hallucinations, severe agitation, and cardiovascular instability (e.g., dangerously high blood pressure or heart rate) can occur in extreme cases. These symptoms are more likely if a person abruptly stops using benzodiazepines, especially if they have been using the drug for an extended period or at high doses.

For most individuals, gradual tapering under medical supervision at facilities like Resurgence Behavioral Health significantly reduces the risk of life-threatening withdrawal symptoms. It’s essential never to attempt to quit benzodiazepines suddenly without professional guidance. If you or someone you know is experiencing severe withdrawal symptoms, medical intervention is crucial to ensure safety and appropriate treatment.

how long can benzodiazepine withdrawal last

How Do You Treat Benzodiazepine Withdrawal?

Treating benzodiazepine withdrawal requires a gradual tapering of the drug, along with supportive care to manage symptoms and reduce risks. The goal is to slowly reduce the dose over time, allowing the brain and body to adjust without triggering severe withdrawal symptoms.

  • Tapering Protocol: A doctor will create a personalized tapering plan, gradually lowering the benzodiazepine dose. This reduces the shock to the nervous system, minimizing withdrawal symptoms like anxiety, insomnia, and seizures. The tapering process can take weeks or months, depending on the length of use and dose.
  • Medical Supervision: Withdrawal should be managed under medical supervision, especially for those with long-term or high-dose use. A healthcare provider may monitor the patient for signs of severe withdrawal, such as seizures or delirium, and provide medications to ease symptoms.
  • Psychotherapy: Cognitive Behavioral Therapy (CBT) or other therapeutic approaches can help address anxiety, depression, and cravings during withdrawal. Psychological support is essential for managing emotional distress and preventing relapse.
  • Lifestyle and Support: Staying hydrated, maintaining proper nutrition, and getting adequate rest are crucial. Support from family, friends, or support groups can also help individuals cope with the emotional challenges of withdrawal.

At Resurgence Behavioral Health, we offer patients a medical detox program that will ensure they move through the benzo withdrawal timeline safely and successfully. 

Reach out Resurgence Behavioral Health for Info On the Benxo Withdrawal Timeline and Treatment Options

If you or a loved one is struggling with a benzodiazepine addiction and seeking treatment options, Resurgence Behavioral Health is here to help. Our team of experienced professionals can provide you with detailed information on what to expect during the Benzo withdrawal timeline and offer personalized treatment plans tailored to your needs. We understand that benzodiazepine withdrawal can be a challenging and sometimes dangerous journey, which is why we provide comprehensive care that includes medically supervised detox, gradual tapering programs, and emotional support through therapy and counseling.

Resurgence Behavioral Health is committed to ensuring your safety and well-being throughout the withdrawal process. Contact us today at 855-458-0050 to learn more about how we can assist you in managing benzodiazepine withdrawal and support you on the path to recovery.

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