How Long Does It Take to Detox From Benzodiazepines?
Benzodiazepine detox can vary from person to person for a variety of reasons. This can include personal metabolism, significance of benzodiazepine dependence, presence of underlying medical or mental health conditions, whether or not the drug was taken with other substances, and the type of benzodiazepine used.
There are both short-acting and long-acting benzodiazepines. Withdrawal symptoms for short-acting benzos are going to start sooner than they will with long-acting benzodiazepines.
This is due to the half-life of the medication. The shorter the half-life, the quicker the drugs will take effect, but also the faster they will process out of the body and the faster withdrawal symptoms will start.
These are common short-acting benzodiazepines:
Xanax (alprazolam)
Restoril (temazepam)
Halcion (triazolam)
Ativan (lorazepam)
These are common long-acting benzodiazepines:
Valium (diazepam)
Klonopin (clonazepam)
Librium (chlordiazepoxide)
Dalmane (flurazepam)
Typical Detox Timeline
A typical benzodiazepine detox timeline can look like this:
8–48 hours after stopping the medication: With short-acting benzodiazepines, you can start to experience withdrawal symptoms within 8 hours after the last dose. With longer-acting benzos, it can take 24 to 48 hours for withdrawal to start after stopping them.
1–4 days: Usually, withdrawal symptoms will peak in the first few days, and this often requires medical management of mental and physical symptoms during detox. This is generally when things are most severe, and it is considered acute withdrawal.
1–2 weeks: During this time, withdrawal symptoms will generally begin to wane and start to taper off. Medications and supportive care can be helpful to manage lingering sleep issues, anxiety, and drug cravings during detox. You can often transition from a detox center to a treatment facility after this time.
1 month: With long-acting benzodiazepines, some of the withdrawal symptoms can take longer to taper off. They may continue for as long as four weeks, requiring more close monitoring and care during detox.
2–6 months: After the initial withdrawal and detox, some people can still experience lingering side effects, including sleep disturbances, anxiety, depression, cravings, and cognitive issues. This can continue for a few months and will benefit from supportive care.
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