What is the recommended approach to benzodiazepine withdrawal?

• A. Abrupt cessation is safe, without supervision.
• B. Gradual taper is unnecessary.
• C. Taper gradually under supervision.
• D. Increase the dose to ease symptoms.

Answer: (C)

The key idea is that benzodiazepine withdrawal should be managed with a gradual taper under medical supervision. Stopping suddenly can provoke a dangerous withdrawal syndrome, including anxiety, insomnia, tremors, sweating, autonomic instability, and in some cases seizures. A slow, clinician-guided taper allows the body to readjust to lower receptor activity and helps minimize withdrawal symptoms. The rate and method are tailored to the individual, sometimes involving switching to a longer-acting benzodiazepine to ease the taper, followed by gradual dose reductions and close monitoring. Additional supports, such as psychotherapy, sleep hygiene, and non-benzodiazepine options as needed, can aid the process. Increasing the dose or stopping abruptly would heighten withdrawal risk, so the recommended approach is a gradual taper under supervision.