ALERT: Benzodiazepine Addictiveness

by Richard C. Raynard, Ph.D.

Despite the controversy over the physical addictiveness of benzodiazepines (BZ's) like Xanax and Ativan, recent evidence shows the risk is quite small. Much of the alarm was raised in the early 1980's when epidemiology studies showed about 2% of the adult population were chronic users of BZ's.

In the late 80's, BZ addictiveness was better defined. Tolerance (one sign of addiction) increases rapidly only during the first 4-6 weeks of dosage, then there is little or none. Withdrawal symptoms can be severe for 80% of those who withdraw all at once, but with a gradual taper of 4-8 weeks, only 10% experience even some symptoms.

Perhaps most important, there is no narcotic "high" or "rush" of the addictive street drugs. In one study, users preferred the sugar pill placebo more than diazepam (Valium). In fact, nearly all abuse of BZ's includes the use of more addictive and lethal drugs.

So, this ALERT is a postive one. By following the usual recommended dose levels and duration of treatment, there is little addictive risk in your getting on or off of the BZ's. We highly recommend continued monitoring and supervision by a qualified MD; initially, throughout treatment, and when tapering off.
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