Reduce Dose

Consider starting with: 25% reduction every 1-2 weeks

Can switch to 12.5% reduction near end (+/- drug-free holidays)
If dose does not allow for 25% reduction, consider using 50% reduction with drug-free days

Resources

Benzodiazepine Tapering Strategies (UNC resource) [recommended resource]
Benzodiazepine & Z-Drug (BZRA) Deprescribing Algorithm (deprescribing.org provider resource)
I s a Benzodiazepine or Z-Drug Still Needed for Sleep? (deprescribing.org patient resource)
EMPOWER Trial Brochure (patient education resource)
Benzodiazepine Information Sheet (UNC resource)
Alternatives to Benzodiazepines [VIDEO 11:01] (UNC resource)

Resources

Safe Drug Storage and Disposal (UNC Health Care resource)
Drug Disposal Options (FDA resource)

Some patients may experience withdrawal symptoms during the tapering process. Educating patients about common withdrawal symptoms and how these symptoms can be mitigated will help facilitate a successful taper.

Resources

Benzodiazepine Information Sheet (UNC resource)
Planning to Stop Taking Benzodiazepine: Care Instructions (Epic patient education resource)

BACK: Engage Patient During Planning Process A-TAPER Resource Library

Implement plan for benzodiazepine tapering and initiation of any alternate therapies

Educate patient on how to store and dispose of unused benzodiazepines appropriately

Educate patient about signs/symptoms of withdrawal or re-emergence of their disease symptoms