Lower the risk of future adverse drug-related risks such as falls.
Increased alertness and energy.
Approach to Tapering
Taper slowly: slow tapers are more likely to be successful than fast tapers.
Use scheduled rather than p.r.n. doses.
Halt or reverse taper if severe anxiety or depression occurs.
Schedule follow-up visits q. 1–4 weeks depending on the patient’s response to taper.
At each visit, ask patient about the benefits of tapering (e.g., increased energy, increased alertness).
Protocol for Outpatient Benzodiazepine Tapering
May taper with a longer-acting agent such as diazepam or clonazepam, or taper with the agent that the patient is taking. (Diazepam can cause prolonged sedation in the elderly and those with liver impairment.)
There is insufficient evidence to strongly support the use of one particular benzodiazepine for tapering.