How Long Does A Benzo Detox Take
Benzodiazepine medications are some of the most prescribed drugs in the United States. ABC News published that in 2007, more than 82 million prescriptions were written for these tranquilizers. Benzodiazepines are commonly used to manage anxiety, sleep issues, and sometimes to treat convulsions or seizures. Benzodiazepines, commonly referred to as “benzos,” may also be used during medically assisted detox for alcohol or opioid drug dependency.
6 benzodiazepine prescriptions. Xanax (alprazolam) Valium (diazepam) Ativan (lorazepam) Klonopin (clonazepam) These drugs are usually intended to be taken short-term, as they can lead to tolerance and dependence when taken regularly for longer periods of time. Even when taken as directed, benzodiazepine medications may cause withdrawal symptoms and physical dependence when stopped suddenly.
Benzos are also regularly diverted and abused, as the National Survey on Drug Use and Health (NSDUH) in 2013 found that approximately 0. 6 percent of the American population over the age of 12 had abused tranquilizers in the month prior to the survey. Chronic benzodiazepine use or abuse can lead to addiction and may require specialized treatment in order to recover.
Detox from a benzodiazepine medication should be closely monitored and supervised by medical professionals to ensure safety. how long is benzo detox. The initial goal of a detox protocol is generally physical stabilization. Benzos are central nervous system depressants that work by slowing down brain activity and suppressing certain regions of the brain that are responsible for stress and anxiety.
How Long Does Benzo Detox Last
This particular neurotransmitter is one of the brain’s chemical messengers that promote relaxation by telling neurons to slow down or stop firing. GABA is considered a natural tranquilizer, or hypnotic, and benzodiazepines increase its effectiveness. Suppressing the central nervous system also slows down respiration, heart rate, body temperature, and blood pressure.
After taking a benzodiazepine regularly for even a few weeks, the brain may become dependent on the chemical interaction in order to continue to function in what it now considers a “normal” manner. This is considered physical dependence. It is often followed by addiction, which is characterized by compulsive drug-seeking behavior and tolerance as well as physical and psychological dependence. how does hospital benzo detox work.
Instead, most medical professionals agree that the most successful way to avoid negative side effects and withdrawal symptoms is to slowly taper off the drug in a controlled manner under medical supervision. The duration of the weaning, or tapering schedule, will depend on the length of time you took benzos, the amount you took, the method in which you took it, your level of dependency, and some genetic or personal physiology factors.
Insomnia, restlessness, muscle weakness or tension, irritability, increased heart rate, muscle aches, blurred vision, anxiety, trouble concentrating, dizziness, memory issues, and sweating. More serious side effects may also occur including hallucinations, depersonalization, delirium, seizures, numbness or tingling, altered sensory perceptions, or psychosis. Benzodiazepines are often abused with other drugs or alcohol as well, which is called poly-drug abuse; this can increase potential side effects and may influence the detox protocol.
What Is Benzo Detox Like
It is important to be upfront with your medical team during recovery about what substances you may have taken in order for detox to be successful. Benzodiazepine withdrawal is rarely life-threatening, but without assistance managing symptoms, it can be very uncomfortable. By slowly lowering the dosage, called tapering, or by switching from a short-acting benzodiazepine like alprazolam to a longer-acting one with a longer half-life such as diazepam, withdrawal symptoms and drug cravings may also be successfully managed during detox.
Benzodiazepine detox is commonly recommended as a residential treatment in a specialized facility, although in some cases, an at-home detox may be successfully completed. Withdrawal symptoms may peak within a few days and can continue for weeks or even months so proper support and medical care really are essential. Benzodiazepine withdrawal syndrome has both physical and emotional components.
Often, benzodiazepines are prescribed to treat symptoms of mental illness, and these medications may even be abused in an attempt to self-medicate or provide temporary relief. Benzos also interfere with the brain’s natural reward circuitry, encouraging users to continue taking them in order to produce pleasant or euphoric results. One-half of those suffering from a severe mental illness and one-third of those suffering from any mental illness abuse substances, according to the National Alliance on Mental Illness (NAMI).
When two disorders occur in the same person at the same time, the disorders are considered co-occurring, and specialized integrated treatment produces the most successful results - what is medical detox from benzo. Both disorders are treated simultaneously with evidence-based treatment models that incorporate personal preferences, clinical experience, and scientific research. Since benzodiazepines are often prescribed for their calming effects, psychotherapies that focus on reducing stress and anxiety, and that provide healthy coping mechanisms and new life skills, are highly regarded.
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What Is Benzodiazepine Detox
Peer support groups can provide a safe haven for shared circumstances, creating a positive social network. Educating yourself and your family on what to expect during detox and recovery can help everyone to understand the process and limit the surprises faced, making the process smoother and easier to navigate. A serene and peaceful environment away from daily stressors may be most desirable during a more comprehensive residential detox.
Benzodiazepines are a class of medications used for anxiety, insomnia, panic attacks and other medical disorders. The benzodiazepine class of drugs includes Valium (Diazepam), Ativan (Lorazepam), Xanax (Alprazolam), Klonopin (Clonazepam), and Restoril (Temazepam). Benzodiazepines are powerful drugs that attach to the Gamma–Amino–Butyric-Acid (GABA) receptors in the brain. The GABA system in the brain is part of our “sedation” or calming down system.
In a normal situation, whenever we feel anxiety or stress, we all produce extra GABA molecules and this extra GABA attaches to our GABA receptors. This helps us feel calm and relaxed. It can also help us to sleep. Benzodiazepine dependence is a condition where people have been taking these benzodiazepine drugs and the body has become physically dependent on them.
Why Benzo Detox Is Difficult
When patients take any kind of benzodiazepine, the body essentially shuts down its own GABA production and then the body has very limited ability to feel calm or relaxed. If the person stops taking their benzodiazepine or even starts weaning off, patients feel severe anxiety and restlessness. Symptoms of benzodiazepine withdrawal include agitation, anxiety, panic, flushed feeling, increased pulse rate, increased blood pressure, sweating, and insomnia.
Some patients have a relatively easy withdrawal, but for others it can be a very difficult process. There are two phases to benzodiazepine withdrawal: Acute phase – lasting 7 days to 90 days Post-Acute Withdrawal Syndrome (PAWS) – in some cases, lasting up to 2 years The length of time to get completely free of the benzodiazepines varies according to the benzodiazepine that the patient was taking.
A long acting benzodiazepine, like Valium, can have acute withdrawal symptoms which last 90 days. The Post-Acute Withdrawal Syndrome (PAWS) Phase is usually mild and essentially consists of a slight increase in anxiety and insomnia. Patients find themselves worrying more than they need to, but this goes away over time.
The acute benzodiazepine withdrawal takes so long that it is almost never performed in a hospital. Insurance companies usually don’t want to pay for patients to stay in a hospital long enough to complete the withdrawal period. The withdrawal method that most doctors recommend is for patients to wean down from the benzodiazepine that they are taking.
How Does Benzo Detox Work
Doctors will usually try to get their patients to wean down by about 10% per week. This means the detox may be able to be completed in about 10 weeks. Unfortunately, this slow taper is almost never successful. The withdrawal symptoms are just so strong that most patients are unable to tolerate them.
They feel so bad that usually they go back up on their dose. Success rates of tapering benzodiazepines are very low. This outpatient program uses an accelerated detoxification method that can complete the acute withdrawal process in about 10 days. The patient stops their benzodiazepines, and is started on a subcutaneous infusion or injection of Flumazenil.
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