Tapering Benzodiazepine
Tapering Benzodiazepine
Stage 13
diazepam 20mg -- diazepam 25mg 45mg
(1-2 weeks)
Stage 14
diazepam 20mg -- diazepam 20mg 40mg
(1-2 weeks)
Catatan Schedule 2:
1. Anda bisa mengatur Stage 1 – 5 (bahkan 1 – 10) dalam interval satu minggu (tapi boleh interval dua
minggu jika anda mau)
2. Stage berikutnya lebih baik dilakukan setelah dua minggu dari stage sebelumnya.
3. Ketika anda turun ke dosis 5 mg per hari, anda bisa memulai dengan mengurangi 0,5 mg dosisnya.
Tapi rata-rata orang mengatur dengan pengurangan dosis 1 mg.
4. Anda akan perlu menggunakan campuran 10mg , 5 mg , dan tablet 2 mg diazepam untuk
mendapatkan dosis yang diperlukan . Membagi dua ( mencetak ) tablet 2mg untuk mendapatkan dosis
1 mg .
5. Jika dosis awal Anda 20mg diazepam per hari, Anda bisa mulai di Tahap 10 , tetapi dalam kasus ini
Anda bisa mengurangi dengan 1 mg setiap 2 minggu .
6. Jika mulai dari Jadwal 1 ( alprazolam 6mg harian ) terus pengurangan Anda menggunakan jadwal ini
.
Stage 12
diazepam 5mg diazepam 5mg diazepam 18mg 28mg
(1-2 weeks)
Stage 13
diazepam 5mg diazepam 5mg diazepam 16mg 26mg
(1-2 weeks)
Stage 14
diazepam 5mg diazepam 5mg diazepam 14mg 24mg
(1-2 weeks)
Stage 15
diazepam 5mg diazepam 5mg diazepam 12mg 22mg
(1-2 weeks)
Stage 16
diazepam 5mg diazepam 5mg diazepam 10mg 20mg
(1-2 weeks)
Stage 17
diazepam 5mg diazepam 4mg diazepam 10mg 19mg
(1-2 weeks)
Stage 18
diazepam 4mg diazepam 4mg diazepam 10mg 18mg
(1-2 weeks)
Stage 19
diazepam 4mg diazepam 3mg diazepam 10mg 17mg
(1-2 weeks)
Stage 20
diazepam 3mg diazepam 3mg diazepam 10mg 16mg
(1-2 weeks)
Stage 21
diazepam 3mg diazepam 2mg diazepam 10mg 15mg
(1-2 weeks)
Stage 22
diazepam 2mg diazepam 2mg diazepam 10mg 14mg
(1-2 weeks)
Stage 23
diazepam 2mg diazepam 1mg diazepam 10mg 13mg
(1-2 weeks)
Stage 24
diazepam 1mg diazepam 1mg diazepam 10mg 12mg
(1-2 weeks)
Stage 25
diazepam 1mg Stop diazepam diazepam 10mg 11mg
(1-2 weeks)
Stage 26
Stop diazepam -- diazepam 10mg 10mg
(1-2 weeks)
Stage 27
-- -- diazepam 9mg 9mg
(1-2 weeks)
Stage 28
-- -- diazepam 8mg 8mg
(1-2 weeks)
Stage 29
-- -- diazepam 7mg 7mg
(1-2 weeks)
Stage 30
-- -- diazepam 6mg 6mg
(1-2 weeks)
Stage 31
-- -- diazepam 5mg 5mg
(1-2 weeks)
Stage 32
-- -- diazepam 4mg 4mg
(1-2 weeks)
Stage 33
-- -- diazepam 3mg 3mg
(1-2 weeks)
Stage 34
-- -- diazepam 2mg 2mg
(1-2 weeks)
Stage 35
-- -- diazepam 1mg 1mg
(1-2 weeks)
Catatan Schedule 3:
1. Tidak ada penarikan yang pasti (hanya substitusi diazepam) pada Stage 1 – 5, jadi bisa dilakukan
dalam interval mingguan (tapi anda boleh mengambil interval dua mingguan).
2. Dosis malam bisa diambil sebelum tidur, daripada lorazepam yang harus diminum lebih awal (jangan
meminum obat tidur yang lain).
3. Beberapa pengurangan dosis terjadi selama tahap akhir dari peralihan diazepam ( Stage 6-11 ) ,
sehingga tahap ini bisa dilakukan di interval dua minggu . Bahkan mengurangi dosis , diazepam harus
mencakup penarikan dari lorazepam , karena saat ini telah memiliki waktu untuk bekerja melalui
tubuh dan akan bertindak dengan lancar baik siang dan malam . Tujuannya adalah untuk
mendapatkan dosis diazepam yang menghindari gejala penarikan tapi tidak begitu besar untuk
membuat Anda mengantuk .
4. Dosis siang diazepam secara bertahap menurun ( Stage 17-25 ) ; dalam mensukseskan tahap Anda
hanya perlu untuk menurunkan dosis malam - waktu dengan 1 mg setiap minggu atau dua .
nitrazepam 5mg
Stage 1 (1 week)
diazepam 5mg
Stop nitrazepam
Stage 2 (1 week)
diazepam 10mg
Catatan Schedule 4:
Jika anda meminum lebih dari 10 mg nitrazepam, gantikan tiap 5 mg dengan diazepam, sekali saja,
dengan 5 mg diazepam, lalu kurangi diazepam sebanyak 1 atau 2 mg setiap stage.
Stage 7
diazepam 10mg diazepam 6mg diazepam 10mg 26mg
(1-2 weeks)
Stage 8
diazepam 10mg diazepam 4mg diazepam 10mg 24mg
(1-2 weeks)
Stage 9
diazepam 10mg diazepam 2mg diazepam 10mg 22mg
(1-2 weeks)
Stage 10
diazepam 10mg Stop diazepam diazepam 10mg 20mg
(1-2 weeks)
Stage 11
diazepam 8mg -- diazepam 10mg 18mg
(1-2 weeks)
Stage 12
diazepam 6mg -- diazepam 10mg 16mg
(1-2 weeks)
Stage 13
diazepam 4mg -- diazepam 10mg 14mg
(1-2 weeks)
Stage 14
diazepam 2mg -- diazepam 10mg 12mg
(1-2 weeks)
Stage 15
Stop diazepam -- diazepam 10mg 10mg
(1-2 weeks)
Continue reducing remaining diazepam by 1 mg every 2 weeks (see Schedule 3 Stage 26)
Stage 9
diazepam 10mg diazepam 2.5mg diazepam 15mg 27.5mg
(1-2 weeks)
Stage 10
diazepam 12mg Stop diazepam diazepam 15mg 27mg
(1-2 weeks)
Stage 11
diazepam 10mg -- diazepam 15mg 25mg
(1-2 weeks)
Stage 12
diazepam 10mg -- diazepam 14mg 24mg
(1-2 weeks)
Stage 13
diazepam 10mg -- diazepam 12mg 22mg
(1-2 weeks)
Stage 14
diazepam 10mg -- diazepam 10mg 20mg
(1-2 weeks)
Catatan Schedule 6:
Pengurangan kecil ( dari 27,5 mg ke 27 mg) antara Stage 9 dan Stage 10 membolehkan anda untuk
menyesuaikan ke dosis dua kali sehari.
Schedule 7. Withdrawal from alprazolam (Xanax) 4mg daily with
diazepam (Valium) substitution (4mg alprazolam is
approximately equivalent to 80mg diazepam)
Daily
Morning Midday Afternoon Evening Diazepam
Equivalent
Starting
alprazolam 1mg alprazolam 1mg alprazolam 1mg alprazolam 1mg 80mg
dosage
alprazolam
Stage 1
alprazolam 1mg alprazolam 1mg alprazolam 1mg 0.5mg 80mg
(1 week)
diazepam 10mg
alprazolam
Stage 2 alprazolam 0.5mg
alprazolam 1mg alprazolam 1mg 0.5mg 80mg
(1 week) diazepam 10mg
diazepam 10mg
alprazolam
Stage 3 alprazolam 0.5mg alprazolam 0.5mg
alprazolam 1mg 0.5mg 80mg
(1 week) diazepam 10mg diazepam 10mg
diazepam 10mg
alprazolam
Stage 4 alprazolam 0.5mg alprazolam 0.5mg alprazolam 0.5mg
0.5mg 80mg
(1 week) diazepam 10mg diazepam 10mg diazepam 10mg
diazepam 10mg
alprazolam
Stage 5 alprazolam 0.5mg alprazolam 0.5mg alprazolam 0.5mg
0.5mg 80mg
(1 week) diazepam 10mg diazepam 10mg diazepam 10mg
diazepam 10mg
alprazolam
Stage 6 alprazolam 0.5mg alprazolam 0.5mg
0.25mg diazepam 20mg 75mg
(1-2 weeks) diazepam 10mg diazepam 10mg
diazepam 10mg
alprazolam alprazolam
Stage 7 alprazolam 0.5mg
0.25mg 0.25mg diazepam 20mg 70mg
(1-2 weeks) diazepam 10mg
diazepam 10mg diazepam 10mg
alprazolam alprazolam
Stage 9 Stop alprazolam
0.25mg 0.25mg diazepam 20mg 60mg
(1-2 weeks) diazepam 10mg
diazepam 10mg diazepam 10mg
alprazolam
Stage 10 Stop alprazolam
diazepam 10mg 0.25mg diazepam 20mg 55mg
(1-2 weeks) diazepam 10mg
diazepam 10mg
Stage 12
diazepam 5mg diazepam 10mg diazepam 20mg 45mg
(1-2 weeks) diazepam 10mg
Stage 13
diazepam 5mg diazepam 10mg diazepam 20mg 40mg
(1-2 weeks) diazepam 5mg
Stage 14
diazepam 5mg diazepam 5mg diazepam 20mg 35mg
(1-2 weeks) diazepam 5mg
Stage 15
diazepam 5mg diazepam 5mg diazepam 15mg 30mg
(1-2 weeks) diazepam 5mg
Stage 16 diazepam
diazepam 5mg diazepam 5mg 27.5mg
(1-2 weeks) diazepam 5mg 12.5mg
Stage 17
diazepam 5mg diazepam 5mg diazepam 10mg 25mg
(1-2 weeks) diazepam 5mg
Stage 18
diazepam 2.5mg diazepam 5mg diazepam 10mg 22.5mg
(1-2 weeks) diazepam 5mg
Stage 19
Stop diazepam diazepam 5mg diazepam 10mg 20mg
(1-2 weeks) diazepam 5mg
Stage 20
-- diazepam 5mg diazepam 10mg 19mg
(1-2 weeks) diazepam 4mg
Stage 21
-- diazepam 4mg diazepam 10mg 18mg
(1-2 weeks) diazepam 4mg
Stage 22
-- diazepam 3mg diazepam 10mg 17mg
(1-2 weeks) diazepam 4mg
Stage 23
-- diazepam 3mg diazepam 10mg 16mg
(1-2 weeks) diazepam 3mg
Stage 24
-- diazepam 2mg diazepam 10mg 15mg
(1-2 weeks) diazepam 3mg
Stage 25
-- diazepam 2mg diazepam 10mg 14mg
(1-2 weeks) diazepam 2mg
Stage 26
-- Stop diazepam diazepam 10mg 12mg
(1-2 weeks) diazepam 2mg
Stage 27
Stop diazepam -- -- diazepam 10mg 10mg
(1-2 weeks)
Continue reducing diazepam by 1mg every 2 weeks (see Schedule 3, Stage 26)
Catatan Schedule 7:
Dosis malam diazepam boleh diminum sebelum tidur, daripada alprazolam yang harus diminum lebih
awal.
Stage 7
diazepam 10mg diazepam 8mg diazepam 10mg 28mg
(1-2 weeks)
Stage 8
diazepam 8mg diazepam 8mg diazepam 10mg 26mg
(1-2 weeks)
Stage 9
diazepam 8mg diazepam 6mg diazepam 10mg 24mg
(1-2 weeks)
Stage 10
diazepam 6mg diazepam 6mg diazepam 10mg 22mg
(1-2 weeks)
Stage 11
diazepam 6mg diazepam 4mg diazepam 10mg 20mg
(1-2 weeks)
Stage 12
diazepam 6mg diazepam 2mg diazepam 10mg 18mg
(1-2 weeks)
Stage 13
diazepam 6mg Stop diazepam diazepam 10mg 16mg
(1-2 weeks)
Stage 14
diazepam 5mg -- diazepam 10mg 15mg
(1-2 weeks)
Stage 15
diazepam 4mg -- diazepam 10mg 14mg
(1-2 weeks)
Stage 16
diazepam 3mg -- diazepam 10mg 13mg
(1-2 weeks)
Stage 17
diazepam 2mg -- diazepam 10mg 12mg
(1-2 weeks)
Stage 18
diazepam 1mg -- diazepam 10mg 11mg
(1-2 weeks)
Stage 19
Stop diazepam -- diazepam 10mg 10mg
(1-2 weeks)
Continue reducing night time diazepam by 1 mg every 1-2 weeks (See Schedule 3, Stage 26)
temazepam 15mg
Stage 1 (1-2 weeks) 15mg
diazepam 7.5mg
temazepam 7.5mg
Stage 2 (1-2 weeks) 15.75mg
diazepam 12mg
Stop temazepam
Stage 3 (1-2 weeks) 15mg
diazepam 15mg
Stage 7
diazepam 10mg diazepam 2mg diazepam 10mg 22mg
(1-2 weeks)
Stage 8
diazepam 10mg Stop diazepam diazepam 10mg 20mg
(1-2 weeks)
Stage 9
diazepam 8mg -- diazepam 10mg 18mg
(1-2 weeks)
Stage 1
chlordiazepoxide 25mg chlordiazepoxide 20mg chlordiazepoxide 25mg
(1-2 weeks)
Stage 2
chlordiazepoxide 20mg chlordiazepoxide 20mg chlordiazepoxide 25mg
(1-2 weeks)
Stage 3
chlordiazepoxide 20mg chlordiazepoxide 20mg chlordiazepoxide 20mg
(1-2 weeks)
Stage 4
chlordiazepoxide 25mg chlordiazepoxide 5mg chlordiazepoxide 25mg
(1-2 weeks)
Stage 5
chlordiazepoxide 25mg Stop chlordiazepoxide chlordiazepoxide 25mg
(1-2 weeks)
Stage 6
chlordiazepoxide 20mg -- chlordiazepoxide 25mg
(1-2 weeks)
Stage 7
chlordiazepoxide 20mg -- chlordiazepoxide 20mg
(1-2 weeks)
Stage 8
chlordiazepoxide 15mg -- chlordiazepoxide 20mg
(1-2 weeks)
Stage 9
chlordiazepoxide 15mg -- chlordiazepoxide 15mg
(1-2 weeks)
Stage 10
chlordiazepoxide 10mg -- chlordiazepoxide 15mg
(1-2 weeks)
Stage 11
chlordiazepoxide 10mg -- chlordiazepoxide 10mg
(1-2 weeks)
Stage 12
chlordiazepoxide 5mg -- chlordiazepoxide 10mg
(1-2 weeks)
Stage 13
chlordiazepoxide 5mg -- chlordiazepoxide 5mg
(1-2 weeks)
Stage 14 chlordiazepoxide
-- chlordiazepoxide 5mg
(1-2 weeks) 2.5mg (½ tablet)
Stage 16 chlordiazepoxide
Stop chlordiazepoxide --
(1-2 weeks) 2.5mg (½ tablet)