Benzodiazepines and Falls: Risks, Causes, and What You Can Do

When you take benzodiazepines, a class of central nervous system depressants used for anxiety, insomnia, and seizures. Also known as benzos, they work by calming brain activity—but that same effect can make you unsteady on your feet. This isn’t just a minor side effect. Studies show people over 65 who take benzodiazepines are up to 60% more likely to fall, and those falls often lead to broken hips, head injuries, or even death.

The problem isn’t just age. sedative medications, drugs that slow down brain function to induce calm or sleep. Also known as CNS depressants, they include not just benzodiazepines but also sleep aids like zolpidem and some antihistamines. These drugs blur your vision, slow your reaction time, and mess with your balance—even if you feel fine. You might not feel dizzy, but your body’s already struggling to keep up. Combine that with night-time trips to the bathroom, uneven floors, or poor lighting, and you’ve got a recipe for disaster.

It’s not just about the drug itself—it’s about how long you’ve been taking it and what else you’re on. fall risk in elderly, the increased chance of falling due to age-related changes and medication use. Also known as geriatric fall risk, it’s worsened when benzodiazepines are mixed with other sedatives, blood pressure meds, or painkillers. Many older adults take three or more drugs that each slightly slow them down. Together, they create a perfect storm. And because doctors often prescribe benzodiazepines for short-term anxiety or sleep issues, people don’t realize how long they’ve been on them—or how dangerous that can be.

You don’t have to quit cold turkey. Many people can safely taper off with help from their doctor, especially if they’re using it for sleep or anxiety that’s now better managed with therapy or lifestyle changes. Replacing it with non-drug options—like CBT for insomnia or improved sleep hygiene—can cut your fall risk without losing peace of mind. Even small changes, like adding night lights, removing rugs, or doing balance exercises, make a real difference.

Below, you’ll find real-world advice from people who’ve walked this path. You’ll see how others managed the switch, what alternatives worked, and how to talk to your doctor without feeling dismissed. These aren’t theoretical tips—they’re the kind of practical steps that keep you upright, independent, and safe.