Has anybody successfully tapered off of lorazepam (Ativan)?

Posted by healthlady22 @healthlady22, Feb 5, 2019

Has anybody successfully managed to successfully wean off of Lorazepam?
If so how was it done?
And if it was by way of switching to other drugs, were you then able to taper off of those entirely under a doctor's guidance?
My husband has been on Lorazepam for 16 years
He did well for 14 years, but dragged his feet about trying to withdraw while he was feeling better.
In May he had a relapse of anxiety, and insomnia, with brain fog, heart palpitations, and more.
Currently he's doing better, thinking better, but still feels like crap a large part of the time, can't sleep without the drug, can't nap.and still struggles with anxiety.
At this point, I believe it's the drug that is actually causing the problem. Currently he's doing 1 mg at bedtime and 3/4 mg when he wakes up at 2:30 am.
I know it takes 2 years for the brains GABA receptors to normalize after taking Benzodiazepines.
Also know it's really hard to withdraw, has to be done extremely slowly, and the side effects are exactly the same as the symptoms it is meant to help.
My goal is to eventually wean him off of all drugs as functional health tests show they block his nutritional absorption and may be damaging his intestinal lining. I would like to be able to repair his health using nutrition, supplements, and neurotransmitter amino acids.
All feedback is welcomed!
.

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Profile picture for sle737 @sle737

I want to say thank you @frouke for your kind words.

I’ve hesitated to speak ill of my doctor, despite the way he has handed this. I do feel that he doesn’t take me seriously and that didn’t have the level of expertise in this particular issue that I need. The one thing that we do agree on though is the benefit of getting off of this medication. I really want to be rid of it but I’m not sure I have the sheer “willpower” that he believes I should.

I am in Canada and it’s not so easy to find a new family doctor where I am specifically. I’m trying to and have met with someone recently who seems promising. Fingers crossed!

I’m a little bit stuck right now in terms of my immediate future. I’ve been without any med for 10 days now and I’ve read in a few forums that you should never go “backwards” in terms of increasing the dose. That said, I’m quite full of worry about how I’m feeling and if I should jump back up to .25 for another month and try to get down to .125 for a month beyond before I am off completely.

If I’m going to have the same symptoms that I’m having today eventually, a part of me just wants to power through it and remain optimistic that the worst is “nearly” over.

I probably should have tried harder to find resources like this one before I stopped taking it, I’ve learned so much over the past few days reading posts and similar experiences. I’ve read it can take people months to feel better but also stories of people that have very mild symptoms that pass pretty quickly. I feel very confused!

Thanks again for your reply and support. 😊

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@sle737, I think you have this under control and are making the right decisions for yourself. I must apologize for coming off so aggressive about doctors but some of my own struggles fueled my response, I have never felt so bad like I do now and my struggles are more with my family doctor who is failing me in his lack of care, I used to think that I had the best doctor and sometimes a friend for 20 plus years and I realize he’s only human perhaps dealing with problems of his own. I would also like to thank @ellerchim for saying that you’re fortunate to have a doctor who helped you taper because my doctor hasn’t a clue how to do that, his idea of help was to reduce my pills by half without even taking to me or leaving hurtful messages via his secretary. Today he put the responsibility with the pharmacy which poses other problems, their job is to dispense medication not to try and counsel people at the counter in front of strangers, I call this a form of shaming. I too live in Canada and you’re fortunate to have found another doctor who hopefully will be helpful when you need it, Frouke.

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Profile picture for sle737 @sle737

I have ended a 10+ year Ativan prescription 9 days ago after a 12 month taper. I had been taking 1mg at bedtime only and a year ago with guidance from my doctor I began to alternate 1mg & .05mg nightly. It took me about 4 months to get down to .05mg nightly.Since then, I’ve been steady holding at .05 until about a month ago. I went down to .25mg using a pill cutter for about a week and then stopped it altogether.Today has been the worst day so far, I have a persistent headache and fairly frequent brain “zaps”. I’ve had a couple of sweating episodes and have a general feeling of anxiety.I really just wanted to hear from people that might have some experience and to give me an idea of when the worst of the symptoms are likely to pass.For context, I have suffered from chronic insomnia and periodic mild to moderate anxiety. I was seeing a psychiatrist for 10 years who had me taking the 1mg nightly and sublingually for anxiety “as needed”, that was pretty infrequent. She retired almost two years ago and when I went to my PCP for a new referral he encouraged me to try to taper due to the side effects and he scared the crap out of me frankly. He has basically said that I am pretty much guaranteed to develop dementia from the long term use. He does not advocate for anxiety medication at all, his perspective is that anxiety and stress are natural and adults should learn to cope. I’m trying my best but it feels like I’m quite a bit more anxious than I’ve felt in years. I attribute this to my body adjusting to being without the Ativan.Any and all advice, experience or opinions are welcome.Thanks in advance

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All I can say is pick your poison. I also have used Ativan successfully for many years. The only drug I take without visible side effects that does it's job. I am treating "my today" and just trying to get through what I need to now. Good luck!

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Profile picture for sle737 @sle737

I have ended a 10+ year Ativan prescription 9 days ago after a 12 month taper. I had been taking 1mg at bedtime only and a year ago with guidance from my doctor I began to alternate 1mg & .05mg nightly. It took me about 4 months to get down to .05mg nightly.Since then, I’ve been steady holding at .05 until about a month ago. I went down to .25mg using a pill cutter for about a week and then stopped it altogether.Today has been the worst day so far, I have a persistent headache and fairly frequent brain “zaps”. I’ve had a couple of sweating episodes and have a general feeling of anxiety.I really just wanted to hear from people that might have some experience and to give me an idea of when the worst of the symptoms are likely to pass.For context, I have suffered from chronic insomnia and periodic mild to moderate anxiety. I was seeing a psychiatrist for 10 years who had me taking the 1mg nightly and sublingually for anxiety “as needed”, that was pretty infrequent. She retired almost two years ago and when I went to my PCP for a new referral he encouraged me to try to taper due to the side effects and he scared the crap out of me frankly. He has basically said that I am pretty much guaranteed to develop dementia from the long term use. He does not advocate for anxiety medication at all, his perspective is that anxiety and stress are natural and adults should learn to cope. I’m trying my best but it feels like I’m quite a bit more anxious than I’ve felt in years. I attribute this to my body adjusting to being without the Ativan.Any and all advice, experience or opinions are welcome.Thanks in advance

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Not sure if my experience will help. Psychiatry engages in overmedication when perhaps major lifestyle and behavioral interventions will help a lot. I took many benzodiazepines over 4 decades. The last one was clonazepam. At the time my psychiatrist and neurologist supervised my taper off of it. August 2017 to January 2019. It was successful. I did have a seizure risk at the time so it was scary. As the taper progressed my cognition improved. It was like my brain waking up. My seizure has healed.i have an abnormal eeg called a breach rhythm but it is non epileptic. The ony psychiatric med I take now is esitalopram 10mg. I do take lamotrigine for seizure prophylaxis. I am very sorry you are going through so much. My journey was worth it but only you can decide

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Profile picture for gmamrj @gmamrj

I am 81 years old. Have been taking Ativan for 5 years for PTSD after open heart surgery. Started off with 1mg a day and have reduced it to .5 mg per day for about 4 years now.
I am now feeling anxious, jittery and dealing with insomnia. Do not want to increase dosage. I want off Ativan My
PCP prescribed Lexapro (small dosage) to take along with Ativan to start withdrawal. That was the worse 2weeks of my life. Insomnia, climbing the wall. Quit the lexapro. Still on .5 mg of Ativan.
Feel terrible. Any help would be appreciated.

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I’m wondering so many months after your post if you found help weaning off your Ativan? I have taken alprazolam .5 mg daily for several years and really want off the stuff. I’m pretty sure it’s now causing increased anxiety and depression. I’m 72 years old and had a litany of meds I was blaming for this issue, but never the alprazolam. Well, with the doctor’s help, I’ve stopped statins and beta blockers. Now, nothing left to stop but 50 mg of Losartan which doctor said stopping is out of the question. A have an ascending aortic aneurysm that needs protecting. Wondering if you ( or anyone else) can help with weaning off this drug?

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Profile picture for gmamrj @gmamrj

I am 81 years old. Have been taking Ativan for 5 years for PTSD after open heart surgery. Started off with 1mg a day and have reduced it to .5 mg per day for about 4 years now.
I am now feeling anxious, jittery and dealing with insomnia. Do not want to increase dosage. I want off Ativan My
PCP prescribed Lexapro (small dosage) to take along with Ativan to start withdrawal. That was the worse 2weeks of my life. Insomnia, climbing the wall. Quit the lexapro. Still on .5 mg of Ativan.
Feel terrible. Any help would be appreciated.

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I did wean off. 7/11/24 thru 8/26/24
Original dose .5mg a night
2 weeks. .375 mg
2 weeks .25 mg
1 week .125mg then stopped.
It has been hell. Started back .25
Saw sleep doctor today. She said to stop Ativan tonight and start .2mg of Lunesta. Having a sleep study done in a couple of weeks.
The thought of taking Lunesta and reading some of the side affects has my anxiety soaring.

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Profile picture for gmamrj @gmamrj

I did wean off. 7/11/24 thru 8/26/24
Original dose .5mg a night
2 weeks. .375 mg
2 weeks .25 mg
1 week .125mg then stopped.
It has been hell. Started back .25
Saw sleep doctor today. She said to stop Ativan tonight and start .2mg of Lunesta. Having a sleep study done in a couple of weeks.
The thought of taking Lunesta and reading some of the side affects has my anxiety soaring.

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I've had no problems with Lunesta at all. I do often have to take another 1mg around 3am to get in a full night, but when I'm awake from it, I am fully awake and no weird behaviors. My sleep is sound with dreams.

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Profile picture for gmamrj @gmamrj

I did wean off. 7/11/24 thru 8/26/24
Original dose .5mg a night
2 weeks. .375 mg
2 weeks .25 mg
1 week .125mg then stopped.
It has been hell. Started back .25
Saw sleep doctor today. She said to stop Ativan tonight and start .2mg of Lunesta. Having a sleep study done in a couple of weeks.
The thought of taking Lunesta and reading some of the side affects has my anxiety soaring.

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I will say that was a very rapid taper. It took me 9 months to taper off 1-1.5mg of Klonopin and I still had problems with insomnia and anxiety for the next year. Lunesta solved the insomnia problem and I just use yoga, meditation, exercise, nature, puzzles, birding, music and dance for anxiety!

REPLY
Profile picture for carolinlv @carolinlv

I’m wondering so many months after your post if you found help weaning off your Ativan? I have taken alprazolam .5 mg daily for several years and really want off the stuff. I’m pretty sure it’s now causing increased anxiety and depression. I’m 72 years old and had a litany of meds I was blaming for this issue, but never the alprazolam. Well, with the doctor’s help, I’ve stopped statins and beta blockers. Now, nothing left to stop but 50 mg of Losartan which doctor said stopping is out of the question. A have an ascending aortic aneurysm that needs protecting. Wondering if you ( or anyone else) can help with weaning off this drug?

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I did a VERY slow wean from .5 Ativan over 6 months. Earlier, the wean recommended by my pcp was too fast. I have been off it for two years.

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Profile picture for con123 @con123

I will say that was a very rapid taper. It took me 9 months to taper off 1-1.5mg of Klonopin and I still had problems with insomnia and anxiety for the next year. Lunesta solved the insomnia problem and I just use yoga, meditation, exercise, nature, puzzles, birding, music and dance for anxiety!

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I took my first Lunesta pill last night. 2 mg
I slept a solid 6 hours. No problems. I feel great.
How long have you been taking Lunesta?

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Profile picture for kawanhee @kawanhee

I did a VERY slow wean from .5 Ativan over 6 months. Earlier, the wean recommended by my pcp was too fast. I have been off it for two years.

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Thanks for this help! Did you do half the dose or skip days…curious about exactly how you did it if you have time to explain. I’ve tried just talking .25 in the am and the same in the pm and wasn’t the best feeling. I don’t expect this to be easy, but day 1 wasn’t encouraging☹️

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