Pharmacological interventions for benzodiazepine discontinuation in chronic benzodiazepine users

If I want to come off lorazepam later, what taper schedule would you use, and over how many weeks or months?

strong evidence77/100

Well-supported by good-quality research. how we score evidence

FDA approvedlorazepam (Ativan)ativan

Across 38 randomized trials (2,543 people trying to stop long-term benzodiazepines), no add-on medication reliably improved discontinuation success, leaving gradual dose tapering as the mainstay of coming off drugs like lorazepam.

Worth asking

If I want to come off lorazepam later, what taper schedule would you use, and over how many weeks or months?

What it is FDA approved for

Read off the label. Trial duration and approval year are shown only where they were recorded — never inferred.

  • Anxiety disorders
  • Short-term relief of anxiety symptoms, including anxiety associated with depressive symptoms

Source

Pharmacological interventions for benzodiazepine discontinuation in chronic benzodiazepine users — Baandrup L, et al. (2018)

Top-tier peer-reviewed journal

Read the source: https://doi.org/10.1002/14651858.CD011481.pub2

DOI: 10.1002/14651858.CD011481.pub2

How this was scored

Study design
Meta-analysis of randomised trials
Funding
Funding not disclosed
Published in
Top-tier peer-reviewed journal
Sample size
2,543
Preregistered
Yes
Conflicts disclosed
No
Independent of proponent
not recorded
Retracted
No

Read the full scoring rubric, including what it can't tell you.

Published August 19, 2026.

Questions

How strong is the evidence behind this?

Resolv rates this source "strong evidence". Well-supported by good-quality research. It scores 77 out of 100 on our published rubric. The score is calculated from recorded facts about the source — study design, funding, publication venue, sample size, preregistration — not typed in by an editor.

What is the source for this?

Pharmacological interventions for benzodiazepine discontinuation in chronic benzodiazepine users — Baandrup L, et al. (2018). Published in: Top-tier peer-reviewed journal. DOI: 10.1002/14651858.CD011481.pub2. The full source is linked on this page so you can read it yourself.

Who paid for this research, and does that matter?

Study design: Meta-analysis of randomised trials. Funding: Funding not disclosed. Independence from the proponent is not recorded. Industry sponsorship is one of the most reliably measured biases in medicine, which is why funding carries real weight in the score rather than sitting in a footnote.

Is lorazepam (Ativan), ativan FDA approved?

Yes — FDA approved for Anxiety disorders, Short-term relief of anxiety symptoms, including anxiety associated with depressive symptoms. Approval is for a specific indication, not for everything the drug is prescribed for.

Is this medical advice?

This is information to bring to your prescriber, not medical advice and not a reason to change anything on your own. Nothing here is an instruction to stop or reduce a medication. If you are in crisis, call or text 988.

This is information to bring to your prescriber, not medical advice and not a reason to change anything on your own. Nothing here is an instruction to stop or reduce a medication. If you are in crisis, call or text 988.