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Is Drug Tapering Safe?

Last Updated on August 25, 2025 by Carol Gillette

Alternative to Meds Editorial Team
Medically Reviewed by Dr Samuel Lee MD

ATMC’s success in safe tapering methods is consistent and reliable. That’s because we rely on proven science-based protocols and methods of healing that actually work. The program’s founder, Lyle Murphy, spent decades researching the safest and most effective methods of recovery.

We will look at the many nuances that should be examined while answering “Is tapering safe?” to provide a comprehensive look at the protocols used at the center and why they are successful.


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Is tapering safe?
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Is Drug Tapering Safe?

This is a common question, and for good reason. It’s a bit like asking, “Is dieting safe?” or “Is deep-sea diving safe?” Tapering is going to go poorly if it is done too fast, or in a haphazard way, and if basic safety protocols are neglected. Many of our clients come to us after more than one failed attempt, but it wasn’t for lack of trying or for lack of sincerity.

In most cases, safe tapering protocols were not used, not understood, not explained, or their concerns were dismissed and ignored. Unfortunately, medical doctors are placed in a very difficult position of being largely untrained in medication tapering, yet responsible for helping their patients who want to stop medication. However, they don’t receive adequate training in this highly specialized field. The BMJ has called attention to this “information deficit” in published research.1

Doctors in daily practice are rushed and pressured to get as many patients in and out of the office as quickly as possible. This is a hard fact, and one that we would wish to see changed as soon as possible. Both doctors and patients are short-changed in such a treatment context. 1

A lack of understanding of the relationship between nutrition, toxicity, and natural neurochemistry is too often neglected, but can afford the most reliable tool set needed for walking the positive path of recovery safely, for the rest of your life. Safety is our top priority, which is why our program is so rich with the strategies and methods that have been refined over nearly 2 decades of successfully helping our clients attain authentic recovery.

What Makes Tapering Safe?

If you haven’t already watched the video above, we strongly recommend you do so. In it, Lyle covers some of the factors that are absolutely pertinent to safe tapering methods and that actually lead to recovery. To make sure tapering is safe, there are many different aspects that should be understood and coordinated to accomplish safe and gentle tapering from medications. These points will be equally pertinent if reduction is the goal rather than 100% elimination. Some examples follow.

Examples of factors that ensure safe tapering methods and recovery:

  • test for neurotoxicityA detailed nutritional profile, deficits revealed through lab testing
  • Providing clean, organic food and supplementation to rebuild neurotransmitter systems naturally
  • Testing for levels of neurotoxicity present in the body
  • Providing chelation and other methods of releasing toxins safely
  • Nutritionally modifying known genetic markers to ease the mechanics of detox
  • A stress-free environment
  • Psychological therapies to address and relieve underlying trauma issues
  • A rate of reducing medication that is well-tolerated
  • Closely monitoring and adjusting the rate of reduction for optimum results
  • Holistic strategies to improve the quality of sleep
  • Exercise and physical comfort therapies
  • Restructuring lifestyle where needed
  • Avoiding recreational drugs, alcohol, and environmental sources of overstimulation
  • Social and familial connections to support transformation
  • A thorough understanding of natural neurochemistry and how to support it for life
  • The practice of removing toxic chemicals from your home and workplace, including personal hygiene products, cleaning solutions, air quality, and water quality

If these protocols and precautions are in place, then assuredly, tapering is safe. Not only does ATMC use the above protocols, but the purified air is as clean as humanly possible, and the water in our facility is absolutely pristine. Supplements used are pharmaceutical-grade and non-toxic, foods are chemical-free and organic wherever possible, and the personal hygiene, laundry, and cleaning products used are free of toxic chemicals, all of which help support the facility for safe tapering and holistic mental health treatments at exceptionally high standards.

It is important to note that the goal may not be 100% elimination, for some, reduction to the lowest possible level while maintaining the highest quality of life possible, may be the best outcome. But in all cases, a reduction in unwanted symptoms is the shared and most valuable goal.

Mechanics of Drug Cessation

Understanding the mechanics of safe drug tapering also involves a deeper dive into how different classes of drugs affect our neurochemistry, internal organs, and the entire central nervous system. The neuro-adaptive characteristic of the human central nervous system explains why you cannot simply stop taking a drug without an avalanche of withdrawal reactions. The following points may illustrate some of these mechanics.

mechanics of drug cessationTapering and discontinuing opioid use has its own specific mechanics and underpinnings. Opiates spend the body’s store of available endorphins. This leaves the body without the natural protection (including pain relief) inherent in these neurotransmitters. Walking back a dependence successfully entails replenishing the body’s capacity to produce and store an adequate supply of endorphins. Neglecting this aspect makes withdrawal hellish and intolerable, often leading to relapse. This level of suffering is unnecessary if the mechanics of safe opioid tapering are employed.2

Benzodiazepine tapering strategies and solutions must be in place. Benzos are a distinct class of drugs that use up natural stores of GABA, a naturally produced chemical that reduces anxiety, fear, allows sleep to occur, and performs many other functions. Success will not occur if the benzo is withdrawn before natural GABA production is restored. What will occur is debilitating anxiety, sleeplessness, possible seizures, muscle spasms, and even death. Therefore, abrupt benzodiazepine withdrawal is NOT safe at all. Benzodiazepine tapering strategies include extremely slow and measured tapering, adequate time for neurochemistry to transition back to drug-free, and the body must be supplied with the raw materials required to rebuild these vital neuronal systems.3

You can find out more about protocols for specific classes of drugs.

How do Toxic Chemicals Affect Mental Wellness?

Toxic chemicals are linked with mental health issues, as shown in the body of research published in many international medical and neuroscience journals.4-8

These toxins are often fat-soluble. Some drugs, such as THC, are likewise fat-soluble, and some, such as vaccines and antibiotics, are placed into a fat (lipid) delivery system. These tend to build up in the body and may stay there for a long time. There are methods of converting these trapped molecules into a water-soluble form, so they can be easily excreted. Neurotoxin removal is an essential step in the safe drug tapering protocols at ATMC.

Drug-specific Protocols for Safe Tapering

The form or version of a drug can require special treatment for safety reasons. One example that is particularly common is a time-release version of a drug, like Effexor XR, a controlled-release antidepressant. Cutting the tablets negates the “controlled release” characteristic, which can cause a sudden shock to the system. Alternative tapering methods include converting to an equivalent but non-slow-release version to allow for a more gradual reduction. Near the end of a taper, it may be difficult to “cut” pills accurately enough, as the increments can become very tiny and must be done precisely. Sometimes a liquid version can be used for extra precision.

You can find more details on additional methods of safe tapering that may be helpful to discuss with your prescriber.

Severe cases of alcohol cessation must be done in a controlled inpatient hospital/clinical setting due to the risks of seizures, delirium tremens, damage to internal organs, and in severe cases, fatality.9 Once a person has completed alcohol medical detox in such a setting, coming to ATMC for follow-up care is recommended.

While alcohol passes from the body relatively quickly, the damage left in its wake can linger. Symptoms like anxiety, depression, physical discomfort, and cravings are common. However, such health concerns respond well to a nutrition-based program blended with psychological support, including learned relaxation techniques, physical exercise programs, and many other types of healing support for long-term success.

Orthomolecular Approach to Drug Recovery & Mental Wellness

nutrition-based therapy for substance abuseAs Lyle explains in his video, “ortho” means straight or correct, and molecular refers to molecules. So it means the correct molecules, or correcting the molecules to optimize health, making a workable approach to both physical and mental health.

Attempting to heal after damage from drug use is a bit like attempting to deep-sea dive without your oxygen tanks filled and strapped on. Which you would only do if you didn’t have the knowledge and training about diving and safety. And probably a crew surrounding you to assist.

In asking if drug tapering is safe, with the above protocols in place, we can say yes, and safety is the key point. It requires a level of education and understanding to navigate these waters well.

Nutrition is the fuel and the raw materials for building the neurochemicals used in day-to-day living, but also in responding to life’s challenges, and in recuperating after damage has occurred on some level, be it physical or mental injury. That is why orthomolecular medicine, nutrition-based therapy, is such a prominent pillar in our treatment programs. If tapering medications is to be safe, it must be accompanied by highly-researched, proven protocols that allow and accelerate healthy recovery. This is what makes Alternative to Meds Center so unique in today’s world.10-12

For more information, please visit the following pages:

Sources:


1. Treadwell J, Crocker J, Rushforth A, Mahtani K, Greenhalgh T. GPs’ use and understanding of the benefits and harms of treatments for long-term conditions: a qualitative interview study. Br J Gen Pract. 2021 Aug 26;71(710):e660-e667. doi: 10.3399/BJGP.2020.1027. PMID: 33950852; PMCID: PMC8279656.[cited  2025 June 17]

2. Peciña, M., Karp, J.F., Mathew, S. et al. Endogenous opioid system dysregulation in depression: implications for new therapeutic approachesMol Psychiatry 24, 576–587 (2019). https://doi.org/10.1038/s41380-018-0117-2 [cited  2025 June 17]

3. Tan KR, Rudolph U, Lüscher C. Hooked on benzodiazepines: GABAA receptor subtypes and addiction. Trends Neurosci. 2011 Apr;34(4):188-97. doi: 10.1016/j.tins.2011.01.004. Epub 2011 Feb 25. PMID: 21353710; PMCID: PMC4020178. [cited  2025 June 17]

4. Brown RS, “Introduction: An Update on Psychiatric Effects of Toxic Exposures.” Psychiatric Times Volume 30, Issue 9 [Internet] 2016 Sep 30 [cited 2020 Oct 20] [cited  2025 June 17]

5. Nigg JT, “Understanding the Link Between lead Toxicity and ADHD.” Psychiatric Times Volume 33, Issue 9 [Internet] Sept 30, 2016 [cited  2025 June 17]

6. Kim S, et al., “Lead, mercury and cadmium exposure and attention deficit hyperactivity disorder in children.” Environ Res [Internet] 2013, PubMed ID 24034783 [cited  2025 June 17]

7. Chen A, Kim SS, Chung E, Dietrich KN, “Thyroid hormones in relation to lead, mercury, and cadmium exposure in the National Health and Nutrition Survey, 2007-2008.” Environ Health Perspect 2013 Feb [Internet] PubMed ID 23164649 [cited  2025 June 17]

8. Bernhoft RA, “Mercury toxicity and treatment: a review of the literature.” Environ Public Health [Internet] PubMed ID 22235210 [cited  2025 June 17]

9. Canver BR, Newman RK, Gomez AE. Alcohol Withdrawal Syndrome. 2024 Feb 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 28722912. [cited  2025 June 17]

10. Zell M, Grundmann O. An orthomolecular approach to the prevention and treatment of psychiatric disorders. Adv Mind Body Med. 2012 Fall;26(2):14-28. PMID: 23341413. [cited  2025 June 17]

11. Bourre JM. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 1: micronutrients. J Nutr Health Aging. 2006 Sep-Oct;10(5):377-85. PMID: 17066209. [cited  2025 June 17]

12. Bourre JM. Effects of nutrients (in food) on the structure and function of the nervous system: update on dietary requirements for brain. Part 2 : macronutrients. J Nutr Health Aging. 2006 Sep-Oct;10(5):386-99. PMID: 17066210. [cited  2025 June 17]


Originally Published June 17, 2025 by Diane Ridaeus


This content has been reviewed and approved by a licensed physician.

Dr. Samuel Lee

Dr. Samuel Lee is a board-certified psychiatrist, specializing in a spiritually-based mental health discipline and integrative approaches. He graduated with an MD at Loma Linda University School of Medicine and did a residency in psychiatry at Cedars-Sinai Medical Center and University of Washington School of Medicine in Seattle. He has also been an inpatient adult psychiatrist at Kaweah Delta Mental Health Hospital and the primary attending geriatric psychiatrist at the Auerbach Inpatient Psychiatric Jewish Home Hospital. In addition, he served as the general adult outpatient psychiatrist at Kaiser Permanente.  He is board-certified in psychiatry and neurology and has a B.A. Magna Cum Laude in Religion from Pacific Union College. His specialty is in natural healing techniques that promote the body’s innate ability to heal itself.

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Nothing on this Website is intended to be taken as medical advice. The information provided on the website is intended to encourage, not replace, direct patient-health professional relationships. Always consult with your doctor before altering your medications. Adding nutritional supplements may alter the effect of medication. Any medication changes should be done only after proper evaluation and under medical supervision.

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