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 naturalblondeone @naturalblondeone

I was on 2 mg three times a day for a very long time. I have managed to taper back to one pill at night. I had to do this very slowly starting in quarter increments. I have been doing fine on that. I would eventually like to taper completely off that off too but since I also have long Covid right now, I will wait until I am better. Honestly, my body is just chemically dependent on it right now and doesn’t help with my anxiety anymore. I’m also on two other depression medication‘s that help with my anxiety.

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What are the 2 meds that help your anxiety?

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Profile picture for biggsy @biggsy

What are the 2 meds that help your anxiety?

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Seroquel.

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I would be careful with SSRI and SNRI meds. Prozac caused a gigantic surge in cholesterol for me, which is apparently a pretty common side effect for SSRI meds. SNRI meds almost killed me.

Ativan helps me a great deal. I've only had it when admitted to the hospital, and every time it has worked to calm my anxiety AND my pain. I have multiple cancers and Anxiety that is worse than the pain, because it is making it impossible to function. Mindfulness isn't helping. Yoga, nothing. I can sometimes "keep busy" and ward off the surge of terror caused by anxiety, but only for so long. And sometimes, I can't do a thing because it feels like I am having a heart attack.

I guess I'm just not brave enough to face having multiple cancers. I applaud those that are that brave, and I wish I could find my courage somewhere, but right now, it has deserted me, and I need medication or my life will end sooner.

There is supposed to be help in the form of Palliative Care in California, where I live. That would include medicine for both pain AND anxiety. But actually GETTING that care? Good luck with that. All I have gotten is the death stare and/or the "opioids are bad" shuffle. Seriously, when a patient has multiple cancers, two of which are incurable and only "manageable" if I have a good doctor (I don't) and a whole bunch of luck (VERY unlucky year for me), at what point will the Medical Mafia acknowledge that sick people like us still have stuff to do, like get our affairs in order, and we CAN'T DO THAT WHEN WE ARE SCREAMING IN PAIN AND SORROW.

Sorry for the rant. I'm literally sick to death of being sick, and can't get past the horror of having to have my genitals removed to try and slow down cancer "down there." I just can't get there. I'm also poor, and am finding out - the hard way - that poor patients are just plain screwed. I guess our lives really do NOT matter.

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Profile picture for rickame @rickame

Can you or someone share experience or suggest tapering from .5m Ativan. A family member has been on for about a year, starting with 1m and just .5 for past few months and wants to suggest a schedule to Dr, perhaps 25% less every week or two (.5 to .375 to .25 to .125). Would that be reasonable, or would you suggest the staggered and longer taper schedule shared by Kawanhee above? So much info out there is for tapering from much higher doses. Looking for some guidance and experience. Family member also takes melatonin, sometimes valerian spray, and ramelteon for sleep. She used to just take melatonin, and I believe other stressors contributed to insomnia so they started to take (too) many meds/supplements. Any advise on stoping or weaning from the others first or ok to taper Ativan. They'd like to just get back to the melatonin and some camomile/lavender tea;) Thanks for sharing.

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The Benzo coalition
They have the latest and best info including supplements you shouldn’t take and taper schedules. No more than 10% a month taper. Board members include a cardiologist who was damaged by Benzos. Very reliable info.

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Profile picture for pamee @pamee

Hi my name is pamee. I need help as I have a rare disorder from Ativan. It's horrific excruciating pain 24/7 with minimal sleep so I'm also sleep deprived. The pain is killing me at times I want to die. I take 2 mg 4x a day fir 13-14 yrs and recently been having blackouts. I'm scared. Can anyone please give me suggestions whether I taper one dose at a time or should I taper all 4 doses in a day at about 1/4 of the pill. Thank you for any help you can give. Kind regards, pamee

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Hi guys. I ve been taking Lorazepam for 5 years 1 mg before bed. I want to taper off. Do you think going to 0.5 mg is good?
thanks

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Profile picture for pitilina @pitilina

Hi guys. I ve been taking Lorazepam for 5 years 1 mg before bed. I want to taper off. Do you think going to 0.5 mg is good?
thanks

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After 5 years, I'd drop down to 0.75mg for a while, not down to 0.5mg. I've not been on lorazepam steadily for more than a year at a time, but it's such a powerful Rx that I'd be very leery of dropping by 50%, esp. after 5 years.

What does your doctor recommend? ****It's really important to have their input when tapering off a controlled substance.****

Also, what are your dr.'s thoughts on OTC helpers such as Calms Forte or ashwagandha? (I'm not urging you to try either of those -- just noting that both have been helpful for me on the nights that I don't take lorazepam. You and I might take lorz. for different reasons; I take it bc I have difficulty falling asleep and staying asleep.)

Wishing you well with this -- and pls do talk to your dr.

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Profile picture for paul65 @paul65

I think the reason not one is addressing .5 mg is because it such a miniscule dosage. I take .5 mg Ativan on AS NEEDED basis. I have gone weeks without taking it with no noticeable withdrawal. And the suggestion to chop up these .5 tablets doesn't really work. They are so tiny you can barely manipulate them much less cut them into fourths. Ativan comes in 0.5 mg, 1 mg, 2 mg and some are prescribed two or three "2s" or more. That's where tapering really comes in. Anyway, also get professional medical advice when dealing with psychotropics, as several have suggested.

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I must disagree a bit....5 mg Atavan or Lorazepam can be quite problematic if you've taken it once every day for years like I have. I got on it after heart problems put me in the hospital and I've been taking it for 15 years. So it's a matter of time, dosage, and frequency. Taking .5 every day for sleep has become a habit that I can't kick easily. It's part psychological and part physiological. What seems like a small dose to some is a bigger problem for others. I appreciate any advice I can get on this blog. Thanks.

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Profile picture for ch2232 @ch2232

Has anyone tapered from 0.5mg of lorazepam per day? Can you share your experience? Thank you.

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I agree with you, some people don’t have a very addictive nature and they are often able to use things that others can’t do. I’ve known people who can smoke randomly and inhale as well but they just stop when they want…I think it’s like we all vary from one another and this is just another example of this. I also take Ativan daily for over 20 years and I struggle to reduce my dose which is 0.5 twice daily, a low dosage but a long time. I know someone who has been on Ativan over 40 years and I don’t think he will ever stop but he doesn’t worry about it…I told him that it’s a controlled substance and I also mentioned what is happening in the US where its stricter and it’s just a matter of time we will get the same thing…

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Profile picture for ch2232 @ch2232

Has anyone tapered from 0.5mg of lorazepam per day? Can you share your experience? Thank you.

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It’s best to consult with your doctor before trying to taper off by yourself

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Profile picture for paul65 @paul65

I think the reason not one is addressing .5 mg is because it such a miniscule dosage. I take .5 mg Ativan on AS NEEDED basis. I have gone weeks without taking it with no noticeable withdrawal. And the suggestion to chop up these .5 tablets doesn't really work. They are so tiny you can barely manipulate them much less cut them into fourths. Ativan comes in 0.5 mg, 1 mg, 2 mg and some are prescribed two or three "2s" or more. That's where tapering really comes in. Anyway, also get professional medical advice when dealing with psychotropics, as several have suggested.

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Totally disagree. Everyone handles these benzos differently. I was on .5 mg and I had to do a very low taper to get off it. It stopped working for sleep and I was feeling horrible. I was able to cut in halves and quarters with a pill cutter and after 6 months, I was off it. Have been free of it since June.

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