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Benzodiazepine Tapering: A Marathon, Not a Sprint.
Journal of Addiction Medicine
|January 20, 2026
Summary
Benzodiazepine tapering guidelines were released in 2025, addressing risks like impairment and withdrawal. This commentary examines the impact of these new guidelines on addiction treatment protocols.
Area of Science:
- Pharmacology
- Clinical Practice Guidelines
- Addiction Medicine
Background:
- Benzodiazepines have been widely prescribed since 1960, with diazepam being highly prevalent.
- Growing awareness of risks including falls, cognitive impairment, withdrawal, benzodiazepine use disorder (BzUD), and suicidality poses challenges.
- Limited long-term safety and efficacy data complicate clinical decision-making for benzodiazepine tapering.
Purpose of the Study:
- To explore the implications of the 2025 Joint Clinical Practice Guideline on Benzodiazepine Tapering.
- To provide insights for addiction treatment professionals regarding benzodiazepine management.
Main Methods:
- Commentary on the newly released Joint Clinical Practice Guideline.
- Analysis of the guideline's relevance to addiction treatment.
Main Results:
- The 2025 guideline offers a framework for safe benzodiazepine tapering.
- The commentary highlights key considerations for clinicians managing patients with benzodiazepine use disorder.
Conclusions:
- The 2025 guideline represents a significant step in addressing benzodiazepine tapering challenges.
- Effective implementation of these guidelines is crucial for improving patient outcomes in addiction treatment.
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