Benzodiazepine withdrawal syndrome

signs and symptoms due to benzodiazepines discontinuation in physically dependent persons

The benzodiazepine withdrawal syndrome refers to set of symptoms that occurs when someone on benzodiazepine suddenly stops taking it.[1]

Core structure of the most common pharmacologically active benzodiazepine.
4-step metabolism of diazepam (diazepam → nordiazepam → oxazepam → glukuronate conjugate).

Symptoms

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Those suffering from the benzodiazepine withdrawal syndrome tend to have at least one of the following symptoms:[1]

The symptoms can last up to two weeks,[1] or until some treatment is given to the patient.[1] The higher doses of benzodiazepine a patient takes, the more serious the withdrawal symptoms can be if he or she suddenly stops taking it.[1]

Complications

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In serious cases, seizures or psychosis can happen,[1] which are life-threatening.[1]

Risk factors

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Addiction to alcohol or sedatives is found to make the symptoms worse.[1]

Diazepam is sometimes prescribed for treating the benzodiazepine withdrawal syndrome.[2]
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References

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  1. 1 2 3 4 5 6 7 8 H Pétursson (1994). "The benzodiazepine withdrawal syndrome". Addiction. 89 (11): 1455‒9. doi:10.1111/j.1360-0443.1994.tb03743.x. PMID 7841856.
  2. Soyka M (2017). "Treatment of Benzodiazepine Dependence". The New England Journal of Medicine. 376 (12): 1147–1157. doi:10.1056/NEJMra1611832. PMID 28328330. S2CID 205117734.