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!
.

Interested in more discussions like this? Go to the Depression & Anxiety Support Group.

Profile picture for berekann @berekann

@happytoseeyou
Like you, I did too much reading about tapering! And it made me very anxious. But each reduction I made was .25 mg and I never had a horrible reaction. Although I did have some nights without much sleep, but we survive! My doctor said I could take Benadryl at midnight which did help, but it’s not really recommended and then that stopped working for me too. If you get anxious during the day, maybe try calm’s Forte. It’s homeopathic and it does help me.

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@berekann
I so appreciate your reassurance and suggestions! I was thinking about Benadryl, and used it here and there decades ago and sometimes it helped and others it didn't and actually made things worse. I tried Calm's Forte years ago too and sometimes helped and love that it's homeopathic , thanks again. If you don't mind me asking, and I think you mentioned it in an earlier message, how long did you take Ativan, and what dose and did you stay a week or longer each time you cut .25mg and how long did the whole taper take? If that's too much to go into, no problem and I appreciate your encouragement!

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Profile picture for happytoseeyou @happytoseeyou

@berekann
I so appreciate your reassurance and suggestions! I was thinking about Benadryl, and used it here and there decades ago and sometimes it helped and others it didn't and actually made things worse. I tried Calm's Forte years ago too and sometimes helped and love that it's homeopathic , thanks again. If you don't mind me asking, and I think you mentioned it in an earlier message, how long did you take Ativan, and what dose and did you stay a week or longer each time you cut .25mg and how long did the whole taper take? If that's too much to go into, no problem and I appreciate your encouragement!

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@happytoseeyou I was on Ativan for nine months and it wasn’t working as well after about three months, so my doctor upped my dose and then he upped it again so I was taking 1.5 mg and I cut it back about 2 weeks each taper. Then I moved from Arizona to California and had to find a new Doctor who was not very helpful, But I got through it pretty much on my own. My nephew is a nurse and he even said that 1.5 mg is a low-dose. I really wish I had started when I was at .5 mg cause it would’ve been much easier. Good luck!

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Profile picture for happytoseeyou @happytoseeyou

@berekann
I so appreciate your reassurance and suggestions! I was thinking about Benadryl, and used it here and there decades ago and sometimes it helped and others it didn't and actually made things worse. I tried Calm's Forte years ago too and sometimes helped and love that it's homeopathic , thanks again. If you don't mind me asking, and I think you mentioned it in an earlier message, how long did you take Ativan, and what dose and did you stay a week or longer each time you cut .25mg and how long did the whole taper take? If that's too much to go into, no problem and I appreciate your encouragement!

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@happytoseeyou and the whole taper probably took a little over a month. And at the higher doses, I think it was only a week for each reduction. And I went from .75 mg to .625 mg approximately and Then to .5mg. Sometimes at those lower doses, I went a few days more than two weeks. No hard and fast rule just when I felt ready

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Profile picture for berekann @berekann

@happytoseeyou and the whole taper probably took a little over a month. And at the higher doses, I think it was only a week for each reduction. And I went from .75 mg to .625 mg approximately and Then to .5mg. Sometimes at those lower doses, I went a few days more than two weeks. No hard and fast rule just when I felt ready

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@berekann Ok, so you went from .75mg to .625mg, and then to .5mg,.. which I would like to do and am terrified of going from .75mg to .5mg, or do you think I'll be ok? How did you do it, since the tablets only come in 1mg and .5mg? I'm splitting the .5mg tab and taking it with another .5mg tab to get .75mg. I asked my Nurse Pract about splitting the half of the half of the .5mg tab so I can do .625mg, and she said really not viable and it's standard procedure to go from .75mg to .5mg. Ok and you stayed at the lower doses for more than two weeks, so the whole taper was maybe longer than a month? And I agree about no hard and fast rule, just when you're ready!

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Profile picture for berekann @berekann

@happytoseeyou I was on Ativan for nine months and it wasn’t working as well after about three months, so my doctor upped my dose and then he upped it again so I was taking 1.5 mg and I cut it back about 2 weeks each taper. Then I moved from Arizona to California and had to find a new Doctor who was not very helpful, But I got through it pretty much on my own. My nephew is a nurse and he even said that 1.5 mg is a low-dose. I really wish I had started when I was at .5 mg cause it would’ve been much easier. Good luck!

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@berekann Ok, got it and glad you have your nephew that is a nurse and I agree that it would've been much easier starting at .5mg! Thanks again and All the Best!

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Profile picture for happytoseeyou @happytoseeyou

@berekann Ok, so you went from .75mg to .625mg, and then to .5mg,.. which I would like to do and am terrified of going from .75mg to .5mg, or do you think I'll be ok? How did you do it, since the tablets only come in 1mg and .5mg? I'm splitting the .5mg tab and taking it with another .5mg tab to get .75mg. I asked my Nurse Pract about splitting the half of the half of the .5mg tab so I can do .625mg, and she said really not viable and it's standard procedure to go from .75mg to .5mg. Ok and you stayed at the lower doses for more than two weeks, so the whole taper was maybe longer than a month? And I agree about no hard and fast rule, just when you're ready!

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@happytoseeyou I didn’t keep an accurate calendar, so maybe it was a little longer than a month. I didn’t stick to the whole two weeks sometimes and sometimes I went a couple days longer.. no .625 mg is not very accurate and I didn’t do that for more than a few days. I really think you’re overthinking this.. and my doctor said it was OK to go from .75 to .5 and then to .25 and then be done. I think I went through three days of four hours of sleep, but then it got better from there and I actually felt better on the smaller amount of sleep with less Ativan.

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Profile picture for happytoseeyou @happytoseeyou

@berekann Thanks so much and I'm on day 10 at .75mg, which was the first dose reduction from the 1mg I took for 5 weeks, and yes I was taking it an hour before bedtime and will continue taking at that time as I taper. I agree about never going backwards and want to be done with this asap! However, I had quite a rough time for a few days cutting from 1mg to .75mg, ( they say everyone is different and it's impossible to know how a person will do when tapering), so what if the withdrawl symptoms are unmanageable when I cut to .5mg? I'm thinking about doing so within the next day or 2 instead of staying at this dose for an entire second week, but am afraid because I believe it's a 33% cut from the .75mg that I'm at now as opposed to a 25% cut when I went from 1mg to .75mg. I know both are .25mg, but in my travels researching this, benzo tapering, how to do it safely, etc, I keep seeing that cuts should be 5 -10% to keep things safe and comfortable, little to no withdrawl symptoms. I know I haven't been on it for years, but have read about very bad outcomes, including severe and protracted withdrawls, with people that were also short term, and took a low dose if they made significant cuts in dose and also tapered too quickly. Hope this all makes sense, don't mean to sound negative at all, just want to stay healthy and safe, and I really had no idea this would be this way, and I wish I would have just used this med for a few days and then found another way so I wouldn't have to be doing this. Ok, sorry, that was long, and I appreciate all of your input!

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@happytoseeyou you’ve been on such a low amount for a short time. It shouldn’t be too difficult. Your mind is playing games with you perhaps- you’re really thinking too hard about this. Some people just quit entirely and some have the need for a very long taper and if that is you then so be it. If you’ve been on a higher dose for a couple years, then it would be much more difficult.

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Profile picture for happytoseeyou @happytoseeyou

@gingerw Thank you for welcoming me to Mayo Clinic Connect and I'm very happy to be in this wonderful place and so appreciate your input and all of the input from @diverdown1 @ashleyharris728 laughlin1947 @berekann and @bajjerfan and everyone!

I'm sorry to hear about why you cannot take medication for insomnia and I so appreciate your kind and thoughtful suggestions and am sending support, love and light your way.
Yes, I do all of the above and will continue to and have lived with severe primary insomnia without meds for decades, but then tried a few over the past few months due to several nights of no sleep at all, and am currently tapering off of Ativan after taking 1mg nightly for 5 weeks, have just completed 1st week of taper to .75mg and now scared to make the next cut, to .5mg and wondering if I should stay at .75mg longer before cutting to .5mg? Withdrawl has been overall manageable, but significant and have been able to get a few hours sleep, except last night, none at all and my Nurse Practitioner suggested Depakote or Mirtazapine, not sure what to do and if either would be helpful or negative value added, paradoxical effect, etc.

Thanks so much again and any input is greatly appreciated!

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@happytoseeyou I take a small dose of Mirtazapine for sleep every night for the past few months and sleep uninterrupted for 7 to 8 hrs. Also I no longer need the Xanax I used to take as I found a natural remedy called F'Anxiety. Just want you to know that once you get off the benzos, there is at least this one natural solution made up of herbs and amino acids that has completely solved my anxiety issues. Take your time getting off the benzos.

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Profile picture for hopefulme3 @hopefulme3

I understand. Been on Xanax since 1992 for panic attacks and have weaned down very slowly. Does Ativan come in a liquid? There’s a documentary called Xanax and a chemist was weaning off it drop by drop. They don’t have liquid Xanax in USA. Can he pinch off a teeny bit to very slowly get off it? Part of it is the negative opinions of others if on a drug like these. Just take his time & give himself time. Meanwhile, good for you, The healthy food will help. I’d love to get off it too but honestly, so many people are on these drugs, it blows my mind. Good luck to him (and me too)

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@hopefulme3 OK, the answer is yes to the liquid, but someone has to compound it for you. So I made a great deal of these for patients when I worked at a hospital the liquids that is. The tablets need to be ground up by a pharmacist. And then they are suspended in a liquid. Yes it can be made. You would have to get someone reputable and local to your area to make it and it definitely can be made. As to the answer of tapering off yes. People can be tapered off. It can be done in a differing manner, depending on who the doctor is. Some doctors will do it by decreasing the dose and then checking on the patient. If the patient is doing OK, They taper the patient off more and then recheck every month. If they’re not doing well, some doctors will hold for another month or however, long it takes. It can take a long time, but it can be worth it for a lot of people. You would want to talk to your doctor about the options of how to do this. Some doctors are comfortable doing this and some are not. I wish you all the best. I have seen patients come off of lorazepam. The ones that are harder for them to come off are morphine, oxycodone, and methadone. I’ve seen real success with patients getting off benzodiazepine. I wish you all the best in the world and I hope you feel better. I understand how hard this can be and I’m so sorry that you’re going through this.

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Profile picture for david707 @david707

@happytoseeyou I take a small dose of Mirtazapine for sleep every night for the past few months and sleep uninterrupted for 7 to 8 hrs. Also I no longer need the Xanax I used to take as I found a natural remedy called F'Anxiety. Just want you to know that once you get off the benzos, there is at least this one natural solution made up of herbs and amino acids that has completely solved my anxiety issues. Take your time getting off the benzos.

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@david707 Thanks so much for the natural solution and so glad it solved your anxiety issues and that the Mirtazapine works for you too!

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