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 rickame @rickame

Thanks so much and glad you've been successful. FYI, I believe there is a typo on (5) meant to be .125 not .235, (or .25) if the same pattern continues. And can you clarify if each number in ( ) is a week or is that a step every 2-3 weeks, seems like its a week and the dose then reduces every 2-3 weeks if its a week and total taper off is 8 weeks...correct? Be well.

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Thank you for telling me about the typo. I corrected it in my notes.
Each step listed is meant to be two-three weeks.

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Profile picture for rickame @rickame

Could anyone specifically address the topic of weaning off of .5 of Ativan. A family member is on a number (too many) sleep meds, and wants to stop Ativan. What would be a reasonable approach if one was on for just about a year or so, initially taking 1mg, but now taking only .5 for a few months. Much online seems to only address higher doses...Can someone comment on perhaps going from .5 to .375 to .25 to .125 to stop make sense with at least a week between changes if no withdrawal is experienced. I'll ask another related question in another post, but any guidance appreciated.

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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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Profile picture for con123 @con123

I am at the end of a taper of Klonopin - not sure how it compares to Ativan. My psychiatrist had me decreasing every 6-8 months - that is slow, but the actual reduction was more than the recommended 10%. 1mg - .75 for 6 weeks went well; to .5mg for a month went well, Then to .375mg for a month, then .25mg (this is where it got tough and I had horrible insomnia and anxious feelings). I went a full 6 weeks and then to .125mg. Here is where it felt like I was taking nothing. Still bad insomnia and anxious/jittery/irritable. The total process has been 9 months now. I have no refills left and my doctor discharged me because I was going to be 65. I still have a little stash of .25 and .125 and I will take occasionally at bedtime. I never knew this would be so difficult and I wonder sometimes if I will ever have a great night's sleep again. 1mg at bedtime gave me the assurance I would sleep at least 8 hours, maybe 9. For over a decade and now I can't have it. But I know it will be best in the long run, or so they tell me.

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So sorry - I tried to edit but not able to do so. I meant to say 6-8 weeks, not months. Yikes but that would be super slow!

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Profile picture for con123 @con123

I am at the end of a taper of Klonopin - not sure how it compares to Ativan. My psychiatrist had me decreasing every 6-8 months - that is slow, but the actual reduction was more than the recommended 10%. 1mg - .75 for 6 weeks went well; to .5mg for a month went well, Then to .375mg for a month, then .25mg (this is where it got tough and I had horrible insomnia and anxious feelings). I went a full 6 weeks and then to .125mg. Here is where it felt like I was taking nothing. Still bad insomnia and anxious/jittery/irritable. The total process has been 9 months now. I have no refills left and my doctor discharged me because I was going to be 65. I still have a little stash of .25 and .125 and I will take occasionally at bedtime. I never knew this would be so difficult and I wonder sometimes if I will ever have a great night's sleep again. 1mg at bedtime gave me the assurance I would sleep at least 8 hours, maybe 9. For over a decade and now I can't have it. But I know it will be best in the long run, or so they tell me.

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You may be in trouble when your stash runs out. Be careful here.

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Profile picture for sears @sears

You may be in trouble when your stash runs out. Be careful here.

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Doubtful, since I only take .125mg once or twice a week and can hardly detect an effect. I believe the primary effect at this point is psychological. My body has gone through most of the withdrawal except insomnia.

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Profile picture for grumpypants @grumpypants

Hello everyone.

Long story short I've been on Ativan for 1 year, with 0.5 morning and evening. I tapered the morning dose 2 times in the past year. It's been a week since i finished my 2nd taper for the morning dose. I've noticed an increase in anxiety in the past week so obviously I'm scared of stating the evening taper.

I'm doing all of this under the direction of my doctor. And she does a taper that is once 1 day off several times, then every 2,3,4 days over the course of 2 months or so.

To be honest idk why i made this post. Maybe just wanted to put my fear of withdrawals, seizures somewhere.

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When I turned 65, my P-Doc told me I could no longer be on Ativan, which I’ve been taking .5 mg for 15+ years.
He had me take half the dose for a month and then cut me off! Ridiculous! I think a much slower taper should have been done along with some counseling to help cope…as I have PTSD.
I was using a high quality CBD to help with anxiety, but I’m on opiates for chronic pain and when the pain clinic tested my urine it came back showing a trace of THC. So… I can’t take that now unless I get a medical marijuana license. Again, ridiculous!
Maybe I’ll just start drinking again! 🤪

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Profile picture for ljob @ljob

Thanks for the positive encouragement. Can you please re-share that taper schedule here, and given that the lowest available dose of Ativan/Lorazepam is .5mg, how did you get it into very very small doses? Thanks.

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Ativan is made in a liquid suspension. With a prescription you can get it at CVS. Ask your doctor or pharmacist to help you adjust the dosage as you taper. This is the only way to do a taper as the small 0.5 cannot be cut properly. I am in my 9 month of my taper with 5 months to go. You must go slow to avoid horrible withdrawal effects. I taper 5 percent every 2 weeks. Best of luck to you.

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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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Staggering does is not a good way to go although a lot of doctors tell you to do that. Your taper needs to be consistent and never more than 10 percent per month. It takes a while but believe me it is the safe way to go. My doctor gives me a script for Ativan liquid and I taper 5 percent every two weeks. I have tapered for 9 months with 5 more months to go. At this rate my body is not really too bothered with the decrease. Good luck.

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Profile picture for benzossuck @benzossuck

Staggering does is not a good way to go although a lot of doctors tell you to do that. Your taper needs to be consistent and never more than 10 percent per month. It takes a while but believe me it is the safe way to go. My doctor gives me a script for Ativan liquid and I taper 5 percent every two weeks. I have tapered for 9 months with 5 more months to go. At this rate my body is not really too bothered with the decrease. Good luck.

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So you can get a liquid? And if only tapering from .5mg and been on for a year, seems 10% per month may be ok. Some have suggested up to 25%. Thoughts?

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Profile picture for rickame @rickame

So you can get a liquid? And if only tapering from .5mg and been on for a year, seems 10% per month may be ok. Some have suggested up to 25%. Thoughts?

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I am not a medical doctor but have done two Ativan tapers. I never thought I would let myself get back on this awful drug. This time when I decided to go off i went cold turkey even though I knew better. I lived through hell for 3 weeks until I reinstated and started a slow taper. Yes it is called Ativan suspension. Not t sure why doctors do not prescribe this for tapers. Some insurance companies won’t pay for it. It is about $60 but lasts a long time. Maybe u r seeing a doctor that is not experienced with tapers? My fist taper I saw a Naturalpatic (sp?) doctor that prescribed the liquid. This time around I am seeing a psychiatrist that specializes in all kinds of drug withdrawals. They are few and far between. I have to either do a zoom visit or drive two hours to see her. I googled “ drs that specialize in withdrawal. I think it was the Benzo Coalition. She uses the Ashton method which never recommends more than 10 percent reduction per month. It is a long process but it worth it if you can avoid going through nightmarish withdrawal symptoms.

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