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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We’ve filled out some of the form to show you this clinical calculator in action. Page Contents Page Contents Benzodiazepines Equivalents Alprazolam Bejzodiazepine Alprazolam 0. Patients should address specific medical concerns with their physicians.

Equivalent Benzodiazepine Calculator

Related Bing Images Extra: Content is updated monthly with systematic literature reviews and conferences. The following bioavailabilities are available based on published literature. Unlike nearly all other benzodiazepine conversions, the conversion between intravenous midazolam and lorazepam has been well studied in mechanically ventilated patients. Although access to this website is not restricted, the information found here is intended for use by medical providers.

It should be noted, however, that this conversion is based on chronic administration of continuous intravenous lorazepam or midazolam. In addition equivallency an overall lack of evidence to support specific conversions, there are a number of other limitations that should be recognized:.


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In fact, most benzodiazepine equivalence estimates are based on expert opinion, uncited tables in published documents, and clinical practice. Br J Clin Pharmacol.

This calculator is not a substitute for clinical experience and must be used in conjunction with reasonable clinical judgment. Updated June 3, How they work and how to withdraw; The Ashton Manual. Due to discrepancies in equivalncy literature, many benzodiazepine conversions may have a potential conversion range that is extremely variable eg, by a factor of 10x or greater.

A Comprehensive Study Guide. Bioavailability of diazepam after intravenous, oral and rectal administration in adult epileptic patients.

Mental Health – Chemical Dependency Pages. This calculator only accounts for differences in bioavailability with midazolam.

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.

Unlike opioid equipotent dosingbenzodiazepine equivalence is much less evidence-based and poorly described in the literature.

Benzodiazepine Equivalents

A psychometric study based on flicker sensitivity, reaction time and digit symbol substitution test. These images are a random sampling from a Bing search on the term “Benzodiazepine Equivalents. Related Topics in Chemical Benzoduazepine. Barbiturate Abuse Benzodiazepine Abuse. A double-blind, randomized comparison of i.


While barbiturates do share similar pharmacology to benzodiazepines, they have a more concerning safety profile with a higher incidence of respiratory depression. This conversion tool estimates a reasonable benxodiazepine dose between two benzodiazepines.


Miscellaneous Sedative Equivalents References Extra: Diazepam Long Duration Variable. Accessed December 31, Click here to start from scratch and enter your own patient data.

Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

Search Bing for all related images. Indications Benzodiazepine Withdrawal Barbiturate withdrawal Sedative withdrawal.

Dose equivalence of midazolam and triazolam. Home Academy Blog About. Because published benzodiazepine dose conversions are based on oral administration, parenteral formulations may not use the same conversion ratio.