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Benzodiazepine and z-drug withdrawal - Management
How do I manage someone who does not want to stop taking benzodiazepines or z-drugs?
- Do not pressurize the person to stop if they are not motivated to do so.
- Listen to the person, and address any concerns they have about stopping.
- Explain that for most people who withdraw from treatment slowly, symptoms are mild and can usually be effectively managed by other means.
- Reassure the person that they will be in control of the drug withdrawal and that they can proceed at a rate that suits them.
- Discuss the benefits of stopping the drug.
- The discussion should include an explanation of tolerance, adverse effects, and the risks of continuing the drug. See Reasons for stopping for further information.
- Review at a later date if appropriate, and reassess the person's motivation to stop.
- In people who remain concerned about stopping treatment despite explanation and reassurance, persuading them to try a small reduction in dose may help them realize that their concerns are unfounded.
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