Can I Stop Lorazepam After 8 Days? Withdrawal Concerns Explained - Psychiatry

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What are the issues related to stopping medication after eight days?


Two years ago, I took Lorazepam 0.5 mg for three months.
After stopping the medication, I experienced insomnia for two years.
Recently, I started taking it again at a dosage of 0.5 to 0.75 mg.
Before I resumed taking it, I was able to fall asleep naturally, but now it has worsened; I either can't sleep at all or I keep waking up throughout the night.
Additionally, I have been experiencing significant stomach discomfort since I started taking it.
I have been on 0.25 mg for the past eight days.
Can I stop the medication directly? Will there be withdrawal issues after taking it for eight days?

Xiao Niu, 30~39 year old female. Ask Date: 2023/02/23

Dr. Wu Kunhong reply Psychiatry


There are many causes of insomnia, and medication adjustments depend on individual symptoms and constitution.
It is recommended that you consult with a trusted physician to discuss and identify the best treatment strategy.
Wishing you all the best.
Dr.
Kun-Hong Wu

Reply Date: 2023/02/23

More Info


When considering whether to stop Lorazepam after eight days of use, it's essential to understand both the pharmacological properties of the medication and the potential for withdrawal symptoms. Lorazepam, a benzodiazepine, is commonly prescribed for anxiety and sleep disorders. While it can be effective in the short term, it is also associated with risks, particularly when used for extended periods or when discontinuing use.

After eight days of taking Lorazepam, particularly at a low dose (0.25 mg), the likelihood of experiencing significant withdrawal symptoms is generally lower compared to longer-term use. However, individual responses to medication can vary widely. Factors such as your previous history with benzodiazepines, the dosage, and your overall health can influence how your body reacts to stopping the medication.

Given your history of taking Lorazepam for three months two years ago and then experiencing insomnia for an extended period, it is crucial to approach discontinuation cautiously. Although you have only been on the medication for a short duration this time, your body may still have some sensitivity to the drug due to your past experiences.
Withdrawal symptoms from benzodiazepines can include anxiety, insomnia, irritability, and physical symptoms such as nausea or gastrointestinal discomfort. Since you mentioned experiencing stomach discomfort while on Lorazepam, it’s possible that this could be exacerbated by withdrawal or could be a side effect of the medication itself.
If you decide to stop Lorazepam after eight days, it is advisable to do so gradually rather than abruptly. Tapering the dose can help mitigate withdrawal symptoms. For instance, if you are currently taking 0.25 mg, you might consider reducing the dose further or spacing out the doses before stopping entirely. This approach allows your body to adjust more comfortably to the absence of the medication.

It is also important to consider alternative strategies for managing insomnia and anxiety. Cognitive-behavioral therapy (CBT) for insomnia, sleep hygiene practices, and relaxation techniques can be effective in improving sleep quality without the need for medication. Additionally, consulting with a healthcare provider who understands your medical history and current symptoms can provide personalized guidance and support.

In summary, while stopping Lorazepam after eight days is generally feasible, it is essential to approach the process thoughtfully. Monitoring for any withdrawal symptoms and considering a gradual tapering strategy can help ease the transition. Furthermore, engaging with a healthcare professional for tailored advice and exploring non-pharmacological treatments for insomnia may enhance your overall well-being and reduce reliance on medication.

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