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It’s never a good idea to quit these cold turkey
Matt Cook here, and treatments called Benzodiazepines — like Valium, Xanax, and Klonopin — can be hard to get off of.
What doctors usually don’t tell you when they are prescribing them is that they can cause people to develop a dependence that requires a slow taper if you want to stop taking them.
Look… I know that the treatments that have been in the news for causing addictions and dependency problems are mainly opioids…
…but they aren’t the only ones that can cause dependency issues.
Nearly 10 million Americans are on some kind of benzodiazepines (benzos for short).
Even though these treatments can cause serious dependency issues, benzos are normally hard to OD on, but it’s not impossible.
When they are combined with opioids, the dangers of dying from an overdose go up by a lot.
This is an important interaction to know about!
I would personally try very hard to stay away from a benzo/opioid combo.
It can be pretty bad news.
In a study published in 2015, researchers found that benzos coupled with opioids increased the risk of death.
“Among veterans receiving opioid analgesics, receipt of benzodiazepines was associated with an increased risk of death from drug overdose in a dose-response fashion.”
The risk is significant enough that the FDA now even puts it right on Valium as a black box warning.
“WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS
Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death.”
In addition to the challenges with prescribing benzos and opioids together, there is a growing amount of evidence that this class of treatments…
…should not usually be prescribed to older adults because it increases the risk of falls, accidents, and abuse.
“Benzodiazepines (BZD) impair cognition and are associated with motor vehicle accidents, misuse and abuse, as well as falls and fractures among older adults. After opioids, BZDs are the second-most common medication class linked with pharmaceutical overdose deaths, the rate of which grew 13.6% per year from 1996 to 2013.”
Even with some of these very significant risk factors, you should not try to get off of benzos unsupervised.
If you are taking a benzo and want to get off of it, make sure that you consult with your doctor.
It can be VERY difficult to get off of these treatments.
Here’s what the FDA says about Xanax (alprazolam).
“Certain adverse clinical events, some life-threatening, are a direct consequence of physical dependence to XANAX. These include a spectrum of withdrawal symptoms; the most important is seizure.
“In a controlled clinical trial in which 63 patients were randomized to XANAX and where withdrawal symptoms were specifically sought, the following were identified as symptoms of withdrawal: heightened sensory perception, impaired concentration, dysosmia [smell disturbance], clouded sensorium, paresthesias, muscle cramps, muscle twitch, diarrhea, blurred vision, appetite decrease, and weight loss. Other symptoms, such as anxiety and insomnia, were frequently seen during discontinuation, but it could not be determined if they were due to return of illness, rebound, or withdrawal.”
The withdrawal side effects are no joke and can include things as serious as seizures if they are not tapered properly.
Personally, I can’t tell you what to do, but I wouldn’t take benzos in the first place.
However, if you are taking one of these and want to quit, make sure that you consult a qualified physician to help you taper off over time.
Your safety is paramount.
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