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My PAWS Journal

A Clear Timeline Of Events (Illustrated)

The whole journey in one place, from the first pill to finding my way back to life.

WRITTEN BY

Picture of Brian L.

Brian L.

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TL;DR: I started benzodiazepines for anxiety and sleep, eventually developed tolerance and increased my dose, then abruptly stopped and experienced severe withdrawal. I reinstated, switched to diazepam and completed a slow taper, expecting recovery to follow, but instead developed PAWS and BIND that lasted for much longer than I expected. During that period I struggled with work, family and everyday life while trying different approaches and researching recovery. Eventually, I tried flumazenil, which helped enormously, while therapy and a strict sleep routine also became important parts of getting better. Today I am benzodiazepine-free, working, sleeping and rebuilding my life, even though I am not completely symptom-free.

Table of Contents

So I gave Claude all of my writing in the hopes of getting a visual representation of what the hell happened to me. I know that sometimes I’m not super exact with the duration of events, but some stuff happened comittantly, some I don’t quite remember. I hope you can get a glace of my story here and please forgive me if I stray from the timeline at times.

before
no medication

Anxious kid, terrible sleeper

I was always a bit of an anxious kid and never slept super well. No trauma, did fine in school, it just was never ideal.

♥ life

Late twenties, back to school for a certificate while working full time, and then a close friend died. It was a bit too much. Someone told me I should talk to a doctor.

year 0
on the drug

The lowest dose they make

I was innocent and I trusted the system. Nobody said a word about dependence, or short term use, or not stopping abruptly. Nobody suggested I see a mental health professional either. And honestly? At first it was marvelous. I slept. I felt like myself again, so why would I ever fret.

Clonazepam 0.5 mg per day
equivalent to about 10 mg diazepam

♥ life

Finished the certificate, kept working. Life felt like mine again, which is exactly why nothing seemed wrong.

years 1 to 2
stable dose

Two quiet years

Same dose for about two years, and nothing seemed wrong. This is the boring part of the story, and honestly, that’s kind of the point.

Clonazepam 0.5 mg, unchanged
year 3, then about 18 months
tolerance

The dose stops working

The sleep effect faded first, then the dose got raised four times in about a year and a half. That’s when the side effects really moved in, so slowly I didn’t even notice at first. All my tests came back normal and my prescriber was not concerned (lots of people take way more for years, he said).

Four increases, ending around clonazepam 2 mg per day
equivalent to about 40 mg diazepam

what it felt like

sick to the stomachpermanent hangoverfeeling druggedslow outside, jittery insidebody felt wrong to live inmind like mushworsening sleep

♥ life

I was working remote by then and mostly left alone, so nobody really noticed my performance. I was there, going through the motions and existing, but it felt wrong.

the crash
acute withdrawal

“You can stop if you want to”

So I stopped, because he said I could and I hadn’t done my reading yet. The first couple of days were fine, and then everything hit at once. I genuinely thought I was dying.

Clonazepam 2 mg to zero, abruptly
then reinstated at 2 mg

what it felt like

no sleep at allanxiety beyond anything beforeracing heartoutside my own bodylights too brightsounds overwhelmingthought I was dying

♥ life

The ER figured it might be withdrawal and sent me home, right back on my old dose. I missed work. I got medically gaslit a bunch along the way.

weeks 0 to 34, about 8 months
tapering

The taper, plotted in Excel

That’s when I finally started reading for real. I found the Ashton Manual, asked to be switched to diazepam, and planned a slow, symptom guided taper, armed with a spreadsheet, a scale and a pipette (yes, I planned every single dose in advance, I’m that kind of person). It was hell anyway, but I kept to the schedule.

40
20
0
wk 0
wk 12
wk 24
wk 34
mg diazepam equivalent per day

40, 35, 30, 25, 20, 15, 12, 9, 6.5, 4, 2, 0.5, then zero
reductions shrink from 5 mg to 0.5 mg as the dose falls

what it felt like

early cuts easier than expectedthen the zaps startedoverstimulated by noise and lightemotions amplifiedanxious one day, exhausted the next

♥ life

I started CBT and got really serious about sleep. I took some time off work here and there, and my social and family life suffered, but I could see the light at the end of the tunnel.

weeks 34 to 38
expected recovery

Ready to celebrate

Last dose! I knew symptoms might linger another two to four weeks, and I was ready for it. I sincerely assumed things could only get better from here.

Dose: 0 mg
roughly 18 to 24 months
PAWS and BIND

Then I got WORSE

Nobody warned me this was even possible. I was completely off the drug and deteriorating, with symptoms I’d never had in my life. But I was not about to accept years of suffering as a treatment plan. I tried supplements (some useless, some maybe a little help) and read everything ever published on flumazenil.

Dose: 0 mg, and still getting worse

new symptoms, none of which I had before

allergiesphotosensitivitybalance problemshard pulse through the whole bodywaking at night in panicnauseabuzzing in the brain

♥ life

This is where I almost lost everything. Sick leave, the job hanging by a thread (saved mostly by being remote), family strained, social life mostly gone. Some months I was too discouraged to do anything, others I researched obsessively.

about 21 days
the experiment

Flumazenil. It helped enormously. It was not a cure.

After two years of reading I finally went for the one option with actual research behind it. A low dose cream every six to eight hours, with weeks of planning and contingencies first (I read an astronaut book to prepare for this, no joke). I titrated up slowly, held for a week, then titrated back down. One morning I woke up feeling better than I had in years.

Doses deliberately not published. See the disclaimer.

what changed

woke up better than in yearsthe fog liftedthe zaps quietedsleep returned

♥ life

A very regimented little life for three weeks: same bedtime every night, alarms for every dose, a printed schedule and a nice pen.

now
present day

Not 100%, and that’s okay

The fog is gone, the zaps are mostly gone, and I sleep. Some things still come in waves, and that’s okay. There was no miracle cure, only tools: flumazenil was the biggest one, and a strict sleep schedule and therapy carried a lot of the rest.

Benzodiazepines: zero. Flumazenil: occasional, as needed.

♥ life

Work stable. Family okay. Social life returning. My body feels like mine again. And now, this blog.

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Hello,

I’m Brian

Welcome to my blog where I will share my personal experience with using flumazenil for PAWS and BIND and any other tricks and tips that helped me along the way. 

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