Management of Benzodiazepine Withdrawal – WS DASSA August Benzodiazepine equivalents. Name. Duration of. Action #. Approx dose. Alprazolam. Xanax. Y**. B. Chlordiazepoxide Librium. Y**. B,E. Clonazepam. Klonopin. – N**. A,B,D,E. Diazepam. Valium. This Benzodiazepine Equivalence Table is based on the extensive research and clinical experience of Professor C Heather Ashton, DM, FRCP.

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Although phenobarbital and secobarbital are not benzodiazepines, they are commonly grouped with this drug class and cited within benzodiazepine conversion charts due to their use in alcohol withdrawal. Eur J Clin Pharmacol. For more information, please view the website disclaimer.

Handbook of Psychiatric Drugs. Benzodiazepines Equivalents Alprazolam Xanax Alprazolam 0. These wide benzoddiazepine of confidence highlight the lack of firm, evidence-based literature supporting specific conversion ratios.

It should be noted, however, that this conversion is based on chronic administration of continuous intravenous lorazepam or midazolam. Benzodiazepine Equivalents Conversion Calculator.

Unlike nearly all other benzodiazepine conversions, the conversion between intravenous midazolam and lorazepam has been well studied in mechanically ventilated patients. Miscellaneous Sedative Equivalents References Extra: Pharmacokinetics of midazolam following intravenous and oral administration in patients with chronic liver disease and in healthy subjects.

Note how the large variances in oral bioavailability highlight the significant inter-patient variability:.

The following guiding principles govern the calculator’s logic:. A psychometric study based on flicker sensitivity, reaction time and digit symbol substitution test.


Page Contents Page Contents A double-blind, randomized comparison of i. References Ashton Curr Opin Psychiatry Most benzodiazepines included in this calculator are only available as oral dosage forms. This conversion tool estimates a reasonable equipotent equivvalency between two benzodiazepines. While barbiturates do share similar pharmacology to benzodiazepines, they have a more equivwlency safety profile with a higher incidence of respiratory depression.

The Ashton Manual Online. Dose equivalence of midazolam and triazolam. Barbiturate Abuse Benzodiazepine Abuse.

Patients should address specific medical concerns with their physicians. In fact, most benzodiazepine equivalence estimates are based on expert opinion, uncited tables in published documents, and clinical practice. Can J Hosp Pharm.

Equivalencg Comprehensive Study Guide.

Back Links pages that link to this page. These images are a random sampling from a Bing search on the term “Benzodiazepine Equivalents. Unlike opioid equipotent dosingbenzodiazepine equivalence is much less evidence-based and poorly described in the literature. Related links to external sites from Bing. Effect of age, gender, and obesity on midazolam kinetics. Given the numerous issues with benzodiazepine equivalence, the importance of reasonable clinical judgment, clinical experience, appropriate patient monitoring, and dose titration are of even greater significance.

Benzodiazepine Equivalents Conversion Calculator –

Accessed December 31, Updated June 3, Management of withdrawal syndromes and relapse prevention in drug and alcohol dependence. Click here to start from scratch and enter your own patient data. All benzodiazepine conversions used in this calculator are based on published equipotent dose estimates.


Evaluation of an alcohol withdrawal protocol and a preprinted order set at a tertiary care hospital. Because published benzodiazepine dose conversions are based on oral administration, parenteral formulations may not use the same conversion ratio. Content is updated monthly with systematic literature reviews and conferences.

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How they work and how to withdraw; The Ashton Manual. Bioavailability of diazepam after intravenous, oral and rectal administration in adult epileptic patients.

Due to discrepancies in the literature, many benzodiazepine conversions may have a potential benzodiazepiine range that is extremely variable eg, by a factor of 10x or greater. Although access to this website is not restricted, the information found here is intended for use by medical providers. This calculator is not a substitute for clinical experience and must be used in conjunction with reasonable clinical judgment. Search Bing for all related images.

Miscellaneous Sedative Equivalents Glycerol: Phenobarbital pharmacokinetics and bioavailability in adults. Home Academy Blog About. Related Topics in Chemical Dependency. Search other sites for ‘Benzodiazepine Equivalents’.