Symptoms

 

Below is a list of possible withdrawal symptoms that can occur when in tolerance or tapering off a benzodiazepine such as Valium, Ativan, Xanax, or Klonopin. These symptoms can also persist after one has ceased taking the medication. 

You may experience one or many, mild or severe, depending on how much damage the benzodiazepine caused. Please do not let this list frighten you. It is shared as education. It is better to know what benzo withdrawal symptoms have been reported than to wonder and worry about what you are experiencing.

Always see a doctor if you are concerned about a symptom. Although the medical community isn’t usually educated about benzo withdrawal symptoms, they can rule out other things which may put your mind at ease.

Remember that “benzo withdrawal” is the term used to discuss symptoms until the drug is out of the body. After that, symptoms are referred to as BIND, benzodiazepine-induced neurological dysfunction. The symptoms are due to the neuroadaptation from the benzodiazepine. 

  • Abdominal pains and cramps
  • Aching jaw
  • Aching joints
  • Aching muscles
  • Acute hyper-excited state
  • Aggressive behavior
  • Agitated sight
  • Agitation
  • Agoraphobia
  • Allergic reactions
  • Allergic reactions to foods previously tolerated
  • Allergy & nasal symptoms exacerbated
  • Anger
  • Anhedonia- reduced motivation or ability to feel pleasure
  • Anxiety
  • Apathy
  • Appetite – either loss of or voracious appetite with a constant desire to eat
  • Arms and legs feel detached from the body
  • Ataxia – can’t coordinate muscle movement
  • Back pain
  • Band around the head
  • Bladder incontinence
  • Bladder irritation – the feeling of having an infection or cystitis
  • Bleeding between menstrual cycles
  • Bleeding from the nose
  • Blepharospasm – eye twitches
  • Bloated stomach, distended abdomen (benzo belly)
  • Bloated belly
  • Blood pressure fluctuations
  • Blurred vision       
  • Blurred vision with seeing spots, flashes, vivid vision
  • Body feels like jelly
  • Body odor – stinking sweat
  • Body temperature fluctuations
  • Body temperature reading higher or lower than 98.6
  • Bone pain
  • Brachycardia – slow heartbeat/pulse
  • Brain moving within the skull
  • Breasts – heavy, over-sensitive, swollen, enlarged, painful
  • Breathing difficulties
  • Breathlessness
  • Bruxism (teeth grinding)
  • Buildings appear to be leaning.      
  • Burning along the spine
  • Burning sensation around the mouth
  • Buzzing, burning, tingling limbs
  • Changes in perception (faces distorting and inanimate objects moving)
  • Changes in skin color, tone, texture
  • Chemical sensitivities
  • Chest tightness
  • Chills – (can feel like the heebie-jeebies you get when viewing a scary movie)
  • Choking
  • Claustrophobia
  • Clumsiness
  • Cognitive impairment
  • Confusion
  • Constipation
  • Cracked and sore lips
  • Cramping in the stomach
  • Craving sweets and sugary foods
  • Crying jags
  • Cuts and abrasions take weeks to heal
  • Dark circles under the eyes
  • Decaying teeth and gums
  • Dehydration
  • Delirium
  • Demented and murderous thoughts      
  • Dental pain
  • Depersonalization (a feeling of not knowing who you are)
  • Depression
  • Derealization
  • Diarrhea
  • Difficulty in writing slowly       
  • Difficulty swallowing
  • Difficulty writing or holding a fork due to muscle weakness
  • Difficulty writing
  • Discharge from the breasts
  • Disorientation     
  • Distended abdomen
  • Distortions or hallucinations
  • Dizziness – in general or a feeling like you are falling off the couch/chair/bed, disequilibrium
  • Double vision       
  • Dry mouth
  • Dry throat, sore tongue, and thrush
  • Dry, itchy skin
  • Dry, tickly cough
  • Dyspepsia (indigestion)
  • Dysphagia (difficulty eating or swallowing)
  • Dysphoria (inability to feel pleasure or happiness)
  • Dyspnea (breathing difficulty)
  • Earache       
  • Earworms, looping music, songs stuck in head
  • Electric shock feelings
  • Emotional blunting – can’t receive or give
  • Encopressia (fecal incontinence)
  • Esophageal spasms
  • Excitability
  • Exercise – exacerbating all benzo symptoms
  • Exhaustion
  • Extremely cold
  • Extreme lethargy
  • Extreme thirst
  • Extremely disturbed       
  • Extremely nervous and jumpy       
  • Eyes – sore, tired, seeing floaters, spots, itchy, pain, pressure
  • Falling hair
  • Fatigue, leaden heaviness
  • Fear
  • Fear of being a burden or unlovable
  • Fear of being alone (monophobia)
  • Fear of dying
  • Fear of insanity
  • Fear of losing control       
  • Fear of never recovering
  • Fear of water       
  • Feces – appear abnormal looking
  • Feeling bloated
  • Feeling like the ground is moving beneath you, as if on a cruise ship or boat (called Floaty/Boaty in the benzo community.)
  • Feeling of extreme cold
  • Feeling of impending doom       
  • Feeling of vulnerability       
  • Feelings of shaking inside and out
  • Feelings of shame, despite realizing benzo withdrawal was all accidental and not your fault
  • Feelings of the spirit being out of synchronization with the body
  • Feelings of unreality
  • Feelings of worms under the scalp
  • Female ejaculation or incontinence during orgasm
  • Fingernail problems – median nail dystrophy (line/ridge down the center)
  • Flashbacks
  • Fluctuations in blood pressure
  • Flu-like symptoms
  • Flushing
  • Formication (sensations of bugs crawling on the skin)
  • Fuzzy feeling in the head
  • Gait disturbance – hard to walk straight
  • Gastritis
  • Glassy eyes
  • Goosebumps – very visible to the eye
  • Grinding teeth
  • Hemorrhoids
  • Hair – loss, thinning, dullness
  • Hallucinations (auditory, olfactory, and visual)
  • Head pressure
  • Headaches – mild or severe
  • Heart palpitations, pounding or racing heart
  • HeartburnHeavy arms, legs, and head
  • Heavy pounding heart
  • Holding onto the walls in the shower or while on the toilet
  • Hostility
  • Hot flashes
  • Hurts to wear clothes, a car seatbelt
  • Hypersensitive (unable to watch the news, see films, read the newspaper)
  • Hyperactivity
  • Hyperacusis – profound hearing sensitivity
  • Hyperosmia (sensitive sense of smell)
  • Hyperreflexia (“jumpiness”)
  • Hypersensitivity to being touched
  • Hypersensitivity to light, sound, and other stimuli
  • Hypersensitivity to stress
  • Hyperventilation (over breathing)
  • Hypnogogic dreams (hallucinations, sleepwalking)
  • Hysterical and inappropriate laughter
  • IBS – irritable bowel syndrome
  • Ice-cold terror in the body/veins
  • Impacted bowels
  • Impairment of motor coordination
  • Impotence
  • Inability to comprehend the most straightforward things
  • Inability to concentrate
  • Inability to cope with a lot of informationInability to draw a satisfying breath
  • Inability to make a decision
  • Inability to read or write
  • Incontinence, frequent or urgent need to urinate, unable to hold or pass urine
  • Inability to sweat
  • Increased saliva
  • Indigestion
  • Insomnia       
  • Intense fuzzy feeling in the head              
  • Intense jaw pain
  • Internal vibrations       
  • Intrusive thoughts
  • Iris in the eyes changes color       
  • Irrational rage
  • irritability
  • Jaundice
  • Jaw, tooth, neck, and shoulder aches and pains
  • Jaws clamped together
  • Jerks in arms, legs, fingers
  • Joint aches and pains
  • Joylessness
  • Jumpiness
  • Jumping toe
  • Lack of concentration
  • Lack of coordination
  • Left/Right-sided symptoms
  • Legs, arms, and head are very heavy
  • Leukonychia (whitening of nails)
  • Libidinal changes – variances in sex drive
  • Life review
  • Loneliness
  • Loss of balance
  • Loss of concentration
  • Loss of confidence
  • Loss of control of movement
  • Loss of interest in people and/or things
  • Loss of memory
  • Loss of self-respect
  • Loss of taste or metallic taste
  • Loss or changes in appetite
  • Lung pain
  • Memory problems – short-term
  • Menstrual problems (painful periods, irregular periods, cessation of periods)
  • Metallic taste
  • Mild hypertension
  • Mood swings
  • Morbid thoughts
  • Mouth and tongue soreness
  • Muscle spasms
  • Muscle tone, wastage
  • Muscle wastage
  • Muscle weakness
  • Muscle locking and rigidity
  • Muscular aches, pains, cramps, spasms
  • Muscular rigidity
  • Nausea, flu-like symptoms
  • Nervous ticks or twitches
  • Nervousness
  • Neuralgia       
  • Neurological problems – topical nerve anesthesia
  • Neuropia
  • Night apnea
  • Night sweats
  • Nightmares
  • Nose bleeds
  • Numbness – around the face, mouth, or any other part of the body
  • Numbness, pain
  • Obsessions
  • Obsessive behavior
  • Oedema – especially face or ankles
  • Oesophagitis
  • Old wounds, scars, surgery site pain
  • Orgasm changes – significant symptom flare after orgasms
  • Outbursts of rage or aggression
  • Over breathing
  • Painful scalp
  • Pains in the neck and shoulders
  • Pains in temple
  • Pains in the chest       
  • Pains in the lungs
  • Pains in the neck
  • Panic attacks
  • Paraesthesia (numbness, tingling)
  • Paranoia
  • Passing gas frequently
  • Pelvic floor dysfunction
  • Pelvic pain
  • Penis and testicle sensitivity
  • Persistent, unpleasant memories
  • Perspiring, night sweats
  • Phobias (hydrophobia, agoraphobia, monophobia)
  • Pins and needles
  • Post Traumatic Stress Disorder
  • Premature menopause
  • Premature wrinkling around the eyes and face
  • Problems of decaying teeth
  • Psychotic symptoms – usually transient and confined to rapid withdrawal
  • Pupils of eyes become small
  • Pushing away friends
  • Racing thoughts
  • Rage
  • Rapid blinking of the eyes
  • Rapid changes in body temperature
  • Rapid mood changes
  • Rapid weight loss
  • Rashes and blotches on the skin
  • Recurring mild sore throat
  • Repetitive thoughts       
  • Restless legs in bed at night
  • Restlessness
  • Saliva running from the mouth at night
  • Scalp pain and burning
  • Screwing up the eyes
  • Seeing spots before the eyes
  • Seizures (fits)
  • Sensation of the brain moving within the skull
  • Sensitive or painful teethSevere cramping in the stomach       
  • Severe headaches
  • Severe muscle rigidity
  • Sexual problems – no sex drive or ultra-high sex drive
  • Shaking – inside or out or both
  • Sharp, throbbing pain in the wrists
  • Shivering – feelings of extremely cold or hot
  • Short-term memory impairment
  • Sinus pain
  • Skin problems – dry, itchy, rashes, slow healing, tickling, burning
  • Sleepwalking
  • Smell problems – everything smells bad
  • Smelling bad, but only to you
  • Sore and tired eyes
  • Sore mouth and tongue
  • Speech difficulties
  • Stomach cramps
  • Stuttering
  • Suicidal feelings/ideation
  • Swallowing difficulties       
  • Sweating
  • Swollen breasts
  • Teeth – pain, throbbing, sensitivity, feel like they are falling out, grinding
  • Tension between eyes
  • Terror attacks
  • Thinking you are dying
  • Thinking you have some awful disease other than benzo withdrawal
  • Thirst
  • Thrush-like symptoms
  • Thyroid disturbances
  • Tickling and itching
  • Tight band around the head       
  • Tight band around the legs and ankles
  • Tightness in the chest
  • Tightness in the head
  • Tinnitus (buzzing or ringing in the ears)
  • Tiny pupils
  • Tiredness       
  • Toe and fingernails change color
  • Tongue – sore, burning
  • Total loss of confidence       
  • Toxic naps – feeling worse upon awakening
  • Tremor or feeling of inner vibration
  • Twitching of the head
  • Unable to walk
  • Under-eye puffiness
  • Unusually sensitive (unable to watch the news on television or read the newspaper)
  • Urinary problems (continence or incontinence)
  • Vaginal discharge, or extremely dry or wet vagina
  • Vertigo
  • Vibrations
  • Visual disturbances – waves, sparks, flashes of light, seeing spots, floaters,  blurry
  • Voice quality changes
  • Vomiting
  • Vulnerability
  • Walking side to side like a drunken sailor
  • Weakness – “jelly legs”
  • Weight loss or gain (can be rapid)
  • Yellow coating on the tongue (which can yellow the teeth)

Coping with withdrawal symptoms can be challenging. A good strategy is to practice acceptance, patience, gratitude, and distraction. 

Acceptance is a powerful tool for cultivating peace, resilience, and well-being. By accepting what we cannot change, we free ourselves from unnecessary stress and worry. Practicing acceptance involves acknowledging the reality of the present moment, letting go of resistance, and embracing what is.

We can also practice acceptance by cultivating gratitude, focusing on what we can control, and developing a growth mindset. Acceptance takes practice, but the benefits are profound, including improved relationships, greater emotional stability, and increased self-awareness. When we accept ourselves and our circumstances, we can approach life with greater ease and contentment.

Practicing patience can help you reduce stress, improve relationships, and achieve your goals with less frustration. To practice patience, it’s important to focus on the present moment, take deep breaths, and maintain a positive mindset. You can also try techniques like meditation, mindfulness, or visualization to help you cultivate patience. Remember, developing patience is a process, and it takes time and practice, but the benefits are worth the effort.

Distraction can be a useful coping tool for navigating benzo withdrawal/BIND.By focusing on something other than symptoms and negative emotions, you improve your overall well-being.

Some ways to practice distraction may include engaging in hobbies or leisure activities, spending time with loved ones, practicing mindfulness or meditation, listening to music, reading a good book, learning something new, or, my favorite, gardening.

These activities can help shift your focus away from your symptoms and turn down the volume, so to speak, of your suffering.

It’s important to note that distraction should not be used as a substitute for proper medical care. If you are concerned about a symptom, get checked out for peace of mind.