Tasha Hedges took Xanax for 20 years to treat her anxiety and panic attacks, exactly as a psychiatrist had prescribed it. Then in 2022, that doctor unexpectedly died. Discontinuing the drug typically requires decreasing the dose slowly over months or even years, a process called tapering. Ms. Hedges stopped cold turkey. Debilitating withdrawal symptoms followed: hot flashes, cold sweats, restless legs, the shakes and teeth grinding. "It was a nightmare," she said. Two years after discontinuing the medication, she is still dealing with the fallout. "My brain has not been the same." In 2019, an estimated 92 million benzodiazepine prescriptions were dispensed in the United States. Sometimes patients stay on them for years without regular check-ins to see if the drugs are still needed or well tolerated, said Dr. Edward K. Silberman ... who has frequently written about benzodiazepines. Going off the drugs even after a short period " requires a gradual process. However, many practitioners are not well trained in tapering the prescriptions. In 2023, advocates for those injured by benzodiazepines gave a name to the varied long-lasting symptoms that may emerge during the use, the tapering or the discontinuation of the drugs: benzodiazepine-induced neurological dysfunction, or BIND. Not everyone will experience BIND, they acknowledge. And with the right tapering plan, experts say, side effects can be minimized.