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Benzodiazepine Abuse
Aka: Benzodiazepine Abuse, Benzodiazepine Dependence, Tranquilizer, Benzodiazepine Withdrawal
- See Also
- Chemical Dependency
- Substance Abuse Evaluation
- Class
- Sedative-relaxant
- Medical Uses
- See Benzodiazepines
- Signs: Toxicity
- See Benzodiazepine Overdose
- Respiratory Depression
- Coma
- Hypotension
- Rarely lethal alone, but dangerous with Alcohol
- Management: Toxicity
- See Benzodiazepine Overdose
- Flumazenil (Romazicon)
- Management: Taper Schedules
- Calculate Valium to Benzodiazepine Equivalents
- Start at 50% of calculated Valium dose
- Example
- Xanax 6 mg is equivalent to 60 mg Diazepam
- Xanax 10 mg is equivalent to 100 mg Diazepam
- Start taper at 50% or 50 mg Valium per day
- Decrease dosing per Valium taper below
- Valium Protocol
- Days 1-3: 10 mg tid (30 mg/day)
- Days 4-6: 5 mg qid (20 mg/day)
- Days 7-9: 5 mg tid (15 mg/day)
- Days 10-12: 5 mg bid (10 mg/day)
- Days 13-15: 5 mg qd (5 mg/day)