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Tapering: Difference between revisions
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'''Tapering''' refers to the gradual lowering of a drug's dosage over a prolonged period of time. It is a [[responsible use|harm reduction practice]] which is highly recommended for those who are physically dependent on [[psychoactive substances]] because stopping one's extended usage abruptly (also known as going [[cold turkey method|cold turkey]]) can result in unpleasant [[withdrawal|withdrawal symptoms]], which can sometimes be life-threatening.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref> The sudden discontinuation of [[alcohol]], [[benzodiazepines]], and [[barbiturates]] can result in seizures and death.<ref>A fatal case of benzodiazepine withdrawal. (PubMed.gov / NCBI) | http://www.ncbi.nlm.nih.gov/pubmed/19465812</ref> | '''Tapering''' refers to the gradual lowering of a drug's dosage over a prolonged period of time. It is a [[responsible use|harm reduction practice]] which is highly recommended for those who are physically dependent on [[psychoactive substances]] because stopping one's extended usage abruptly (also known as going [[cold turkey method|cold turkey]]) can result in unpleasant [[withdrawal|withdrawal symptoms]], which can sometimes be life-threatening.<ref>Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain - Appendix B-6: Benzodiazepine Tapering | http://nationalpaincentre.mcmaster.ca/opioid/cgop_b_app_b06.html</ref> The sudden discontinuation of [[alcohol]], [[benzodiazepines]], and [[barbiturates]] can result in seizures and death.<ref>A fatal case of benzodiazepine withdrawal. (PubMed.gov / NCBI) | http://www.ncbi.nlm.nih.gov/pubmed/19465812</ref> | ||
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==Tapering methods== | ==Tapering methods== | ||
[[File:Taper3.png|300px|thumbnail|right|This chart from [http://www.benzo.org.uk/manual/bzsched.htm#s3 the Ashton Manual] is an example of a slow taper from 6mg alprazolam daily with a diazepam substitution.]] | |||
To taper successfully, users should decrease their dose each day or at least stay at the same dosage; however, if withdrawal symptoms are intolerable, one may be tapering too quickly and should slightly increase the dosage until withdrawal symptoms become minimal. Generally, the longer one has been on the drug, the longer the taper should be.<ref>http://www.hrpub.org/download/201310/app.2013.010202.pdf</ref> Slow tapers will result in less withdrawal symptoms than faster tapers. It may be helpful for users to stay at the same dosage for several days/weeks and then decrease amount slowly. | To taper successfully, users should decrease their dose each day or at least stay at the same dosage; however, if withdrawal symptoms are intolerable, one may be tapering too quickly and should slightly increase the dosage until withdrawal symptoms become minimal. Generally, the longer one has been on the drug, the longer the taper should be.<ref>http://www.hrpub.org/download/201310/app.2013.010202.pdf</ref> Slow tapers will result in less withdrawal symptoms than faster tapers. It may be helpful for users to stay at the same dosage for several days/weeks and then decrease amount slowly. | ||