Shared Decision-Making
Tapering & Discontinuation
A pathway to recovery doesn't require a lifetime of medication. Learn about safe, supported tapering from MOUD/MAT with your healthcare team.
A pathway to recovery doesn't require a lifetime of medication. Learn about safe, supported tapering from MOUD/MAT with your healthcare team.
Per 2026 SAMHSA guidance, there are no arbitrary time limits on MOUD/MAT treatment. Duration should be determined through shared decision-making between you and your healthcare provider. Some people benefit from months of treatment, others from years—and that's okay.
Tapering is the gradual reduction of medication under medical supervision. It's not about "quitting"—it's about transitioning to a new phase of recovery with the right support.
Tapering may be appropriate when you've achieved stability and want to explore life with less medication. Key considerations include:
Stability: You've maintained recovery for an extended period
Readiness: You feel ready and are motivated to reduce
Support: You have a plan for increased support during taper
Alternatives: You have strategies for managing any symptoms that arise
Tapering is not a one-size-fits-all approach. Your plan should be individualized to your needs, circumstances, and recovery goals.
Work with your healthcare provider to create a personalized taper schedule. Consider your current dose, how long you've been on medication, and your recovery stability.
Most tapers involve slow, incremental reductions over weeks or months. The pace can be adjusted based on how you feel at each stage.
Frequent check-ins with your provider allow for adjustments. If you experience significant discomfort, the pace can be slowed or temporarily paused.
Intensify counseling, peer support, or other services during taper. Having extra resources in place increases your chances of success.
Never reduce or stop your medication without medical supervision. Sudden discontinuation can cause withdrawal symptoms and increase the risk of relapse. Always work with your healthcare provider on any changes to your treatment plan.
Research shows that people who increase their support services during tapering have better outcomes. Here's what to consider:
Increase session frequency with your counselor or therapist. Cognitive behavioral therapy (CBT) can help develop coping strategies for any discomfort or cravings.
Connect with others who've successfully tapered. Support groups and 12-step programs provide valuable community and accountability.
Include family members in your recovery plan. Family therapy can help loved ones understand what you're going through and how to support you.
Focus on physical health: exercise, nutrition, sleep, and stress-reduction techniques like mindfulness or yoga.
Work with your provider to create a clear plan for what to do if you experience setbacks. Knowing your plan in advance reduces anxiety.
Have 988 and your provider's contact info readily available. If you feel at risk, reach out immediately—asking for help is a sign of strength.
Your healthcare provider can help you understand if tapering is right for you and create a plan that prioritizes your safety and success.
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