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Benzodiazepine Withdrawal and Sleep Disturbances

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March 13, 2025

Benzodiazepine Withdrawal and Sleep Disturbances: What to Expect

Medically reviewed by: 

Dr. Shiyan Ooi

School of Medical Sciences, University of Manchester

Benzodiazepines are commonly prescribed for anxiety and insomnia, but long-term use can lead to dependence. When individuals stop taking these medications, withdrawal symptoms often include significant sleep disturbances.

Common Withdrawal Symptoms

Individuals who discontinue benzodiazepines may experience the following withdrawal symptoms:

  • Rebound insomnia (worse sleep than before treatment)
  • Anxiety and restlessness
  • Nightmares and vivid dreams
  • Muscle tension and tremors
  • Headaches and dizziness

These symptoms typically appear within 24 to 48 hours after stopping the medication and can last for weeks or even months (National Institutes of Health).

How Long Does Withdrawal Last?

The duration of withdrawal varies based on factors such as dosage, length of use, and individual metabolism. General withdrawal timelines include:

  • Short-acting benzodiazepines (e.g., Xanax, Ativan): Symptoms peak within 1-4 days and can last up to two weeks.
  • Long-acting benzodiazepines (e.g., Valium): Withdrawal may take longer to appear but can persist for several weeks.

Coping Strategies for Sleep Disturbances

To ease sleep difficulties during withdrawal, individuals can try:

  • Cognitive Behavioral Therapy for Insomnia (CBT-I): A structured, drug-free approach to improving sleep.
  • Relaxation techniques: Meditation, deep breathing, and progressive muscle relaxation.
  • Improving sleep hygiene: Establishing a consistent bedtime and avoiding stimulants before bed.

For those looking for non-medication sleep solutions, Sleep Reset provides an evidence-based approach to better sleep through CBT-I techniques.

When to Seek Medical Help

In severe cases, benzodiazepine withdrawal can cause seizures or psychotic symptoms. Individuals experiencing extreme withdrawal effects should seek immediate medical attention (FDA).

Conclusion

Benzodiazepine withdrawal can be challenging, particularly due to its impact on sleep. Understanding what to expect and exploring non-medication alternatives can help individuals navigate withdrawal safely and improve their long-term sleep health.

Dr. Shiyan Ooi

Dr. Shiyan Ooi is a medical doctor with over a decade of experience treating patients with chronic conditions. She graduated from the University of Manchester with a Bachelor of Medicine and Surgery (MBChB UK) and spent several years working at the National Health Service (NHS) in the United Kingdom, several Singapore government hospitals, and private functional medicine hospitals. Dr. Ooi specializes in root cause analysis, addressing hormonal, gut health, and lifestyle factors to treat chronic conditions. Drawing from her own experiences, she is dedicated to empowering others to optimize their health. She loves traveling, exploring nature, and spending quality time with family and friends.