By rray, 25 September, 2023 Any darr in BZD use beneficial if initial attempt unsuccessful treat underlying conditions and encourage subsequent taper attempt3
By rray, 25 September, 2023 If taper of short acting BZD intolerable consider switch to longer acting BZD diazepam if
By rray, 25 September, 2023 Follow q1 4wk 2 3 7 monitor for w d sx and treat symptomatically 2 3 5 pause slow taper if needed1 3 5 7
By rray, 25 September, 2023 Rapid taper of alprazolam or abrupt switching not recommended due to w d sz risk1 3 7
By rray, 25 September, 2023 A more rapid taper e g darr by 25 of original dose qwk may be appropriate if respiratory depression risk or evidence of misuse diversion2 3
By rray, 25 September, 2023 Shorter taper darr by 10 to 15 of original dose qwk x4wk until 50 of original dose reached then maintain that dose x1 2mo then darr by 25 of remaining dose q2wk consider if low dose BZD use for
By rray, 25 September, 2023 Longer taper darr by 10 of original dose no faster than q2 4wk 1 3 7 recommended to prevent severe w d and aid in BZD d c 1 longer or high dose BZD use warrants longer taper1 7
By rray, 25 September, 2023 Individualize gradual taper via shared decision making 2 6 provide written taper schedule 1 2 7 taper rate determined by w d sx severity1 3
By rray, 25 September, 2023 Consider specialist referral if substance use d o hx severe medical or psychiatric d o high dose BZD 4 concurrent stimulant or opioid use drug w d sz hx2 3
