Some doctors prefer to change their patients from Ativan to Valium, then withdraw the Valium—10 mg Valium are substituted for 1 mg Ativan. Others prefer their patients to cut down their Ativan as far as they can, and then change over to Valium for the last part of withdrawal. If side-effects are a problem it is sensible to change over at the beginning.

If you are on 6-8 mg Ativan you may be able to cut down to half the dose quite quickly, giving up 1 mg per 1 to 2 weeks and then proceed with slow withdrawal for the rest.

Ativan tablets are difficult to cut into small doses. Some chemists are willing to make up ? mg doses into capsules.

Some people prefer to dissolve ? mg Ativan in 10 ml of water, then divide it into 2?5 ml doses. Plastic 5 ml spoons are available from chemists.

Librium (Chlordiazepoxide)

Some capsules can be taken apart and fitted together again. If not, ask the doctor to prescribe empty capsules. Divide powder and put it into empty capsule.

Some powders are irritants. Avoid taking powder without capsule. When 2l/2 mg ( ? capsule) daily dose is reached, you may wish to ask your doctor to substitute an equivalent amount of Valium. It will be easier to complete withdrawal by cutting up tablets rather than dividing tiny amounts of powder.

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