Things to note: The therapeutic relationship between client and physician is extremely important for reducing dose. Take the time to explain concepts such as tolerance and patient withdrawal and then convince them that the best thing to do is to stop benzodiazepine.Encourage patients to not seek other doctors for medication. Negotiate with the patient each reduction.
Avoid abrupt Benzodiazepine withdrawal.
It takes time to withdraw from benzodiazepines. Be patient.
The patient needs regular monitoring and motivation.
Medical Treatment: Replace short- acting benzodiazepine with a long- acting dose of diazepam. Patients may have medicinal products not available in the public sector. Approximately 5 mg diazepam equivalent doses are:
Chlordiazepoxide 15 mg
Lorazepam 1 mg
Alprazolam 0,5 mg
Bromazepam 1,5 mg
Flunitrazepam 0,5 mg
Nitrazepam 5 mg
Oxazepam 15 mg
Temazepam 10 mg
Zopiclone 7,5 mg
Zolpidem 10 mg
Note: Only comparison drugs were included Reduce the dose of diazepam by 2.5 mg every 2 weeks. If symptoms reappear, the dose increases slightly and slowly decreases.