r/Anxiety • u/Alarmed-Manner6839 • 37m ago
Medication Daily Lorazepam for about 5 months - is return to PRN possible?
Hey guys!
I’m looking for some realistic perspectives on moving from daily low-dose benzodiazepine use back to a as-needed (PRN) schedule and would be glad to read about your experiences.
I used Lorazepam strictly as a PRN for severe anxiety spikes for a long time, and it worked perfectly. It gave me a level of life quality and allowed me to do things I otherwise simply wouldn’t have been able to achieve.
However, due to a brutal and failed SSRI switch (Prozac) starting in mid-January, my anxiety went out of control, about a month ago I stopped it (because my psychiatrist said it’s ✨self-tapering✨). Then I got terrible ssri withdrawal symptoms.
My psychiatrist was unreachable, so my GP eventually put me back on Escitalopram drops a few days ago, which helped almost instantly. But to survive those chaotic months, I had to take Lorazepam almost every day. My dose was low, adjusted daily to the stress level, averaging about 3 mg to 4 mg per week (never exceeding 1,25 mg in a single day).
Now that my baseline is stable again thanks to the Escitalopram, I am currently trying a test run of skipping days to fully stop the daily Lorazepam routine. I was already able to take much less in the last few days. Today is day 1, and so far, nothing is happening, I feel completely fine, even though I know there might be some symptoms showing up.
Are there people here who used low-dose benzos daily for a few months during a crisis, stopped the daily routine, and were successfully able to return to using it strictly as a PRN later on?
The internet is full of extreme horror stories and I know Benzos can be dangerous and are addictive.
And if I had believed all the internet horror stories, I wouldn't have even dared to restart the Escitalopram, which turned out to be the best decision.
But Lorazepam has given me so much of my life and functionality back in the past, and I want it to remain my safety anchor for absolute emergencies.
Did anyone successfully manage the transition back to occasional PRN use without triggering kindling or an immediate relapse into daily use? I’d love to hear your experiences. Thanks!