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Substance guide

Sedatives: never stop them suddenly.

Useful medicines short-term — but long use causes dependence, and sudden withdrawal can be dangerous.

What are benzodiazepines?

A group of sedative medicines such as alprazolam (Xanax), diazepam (Valium) and clonazepam (Rivotril), prescribed short-term for anxiety, panic and insomnia. With long use the body adapts and becomes dependent.

Signs of dependence

  • Needing higher doses for the same effect
  • Strong anxiety and insomnia between doses
  • Getting them without a prescription
  • Mixing them with alcohol or opioids

Risks

  • Breathing suppression when mixed with alcohol or opioids
  • Poorer memory and concentration
  • Falls and accidents
  • Sudden withdrawal can cause seizures

Safe gradual tapering

The safe way is a gradual reduction planned by a physician — sometimes over weeks or months — alongside therapy for the original anxiety or insomnia and healthier ways to cope with it.

Never stop sedatives suddenly after long use — it can cause seizures. See your doctor.

How Restart helps

General educational content from the Restart team — not a substitute for a medical assessment. In an emergency, call emergency services immediately. · Last reviewed: November 2026

Medically reviewed byDr. Huthayfa BarhamMedical Director · Addiction psychiatrist
FAQ

FAQ

Is Xanax addictive?
It can cause dependence with regular use over weeks or more, which is why it's usually prescribed short-term and monitored.
How long does benzodiazepine tapering take?
It varies widely — weeks to months depending on the drug, dose and length of use. The physician sets the plan.
What can I do instead of sedatives for anxiety?
CBT, sleep regulation, exercise and sometimes non-addictive medicines chosen by your doctor.
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