More detailed examples of tapering schedules for various benzodiazepines can be found on the Ashton Manual. These can be used as a reference when designing one's own tapering schedule. Emergency tapering. Emergency tapering can be done if one does not have the time or enough of the psychoactive substance to attempt a slow, planned taper. A list of antidepressant drugs and brief advice on how to taper them is given in Schedule 13 of this chapter. Some antidepressant withdrawal ('discontinuation') symptoms are shown in Chapter III (.
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In terms of seizure risk how fast can one taper? I've read 2 extremes. The Ashton Manual which calls for pretty slow taper schedule which can take 30-60 weeks(but it also says some can go faster or slower). Then I've seen another taper schedule that has a starting point of 6mg xanax a day and says drop 1.5mg every two weeks.
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I've been prescribed alprazolam daily for 4-5 years at different levels that went up and down. It was never more than 2mg until just short of a year ago and now has been 3mg a day and some days 3.25 and tops of 3.5 but on average 3mg a day.
Ashton Tapering Schedule
Well a little over a month ago I decided it was time to start tapering and try to get off these things or at minimum reduce my dose quite a bit. In the past when I've tapered I would do .25 mg reduction every week and the first 4-5 days were hell(okay, maybe not hell but pretty uncomfortable). This time I decided to make a bigger drop each step and go 10-14 days between reductions. To my surprise I started off reducing around .66mg(which put me at 2.33mg a day) a day and the first 4-5 days were hell as usual but not any worse than dropping .25 a day which I found odd. I stuck with that for 2 weeks and then dropped to 2 mg a day and the withdrawals from .33mg reduction were pretty much as bad as the .66mg a day reduction. I stuck with 2mg a day for around 8-9 days and then dropped to 1.5mg a day and I'm on day 7 of that and after day 4 I haven't felt too bad.
So it's been about 46 days since I started tapering and I've reduced my dose by half or just slightly more than half. Physically I don't feel bad I just don't want to go too fast and risk a seizure. I will probably wait until day 14 on 1.5mg and then drop to 1 or 1.33mg a day. I would just go straight to 1 a day but don't want to risk a seizure.
Ashton Manual Taper
Long post, I know, but hopefully this will inspire some of you that need reassurance that it is possible to get off benzos.
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