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BENZODIAZEPINE EQUIVALENCE TABLE
(Benzodiazepine Equivalency Table)
Revised April 2007
This Benzodiazepine Equivalence Table is based on the extensive research and clinical experience of Professor C Heather Ashton, DM, FRCP, Emeritus Professor of Clinical Psychopharmacology at the University of Newcastle upon Tyne, England. Sources: NRHA Drug Newsletter, April 1985 and Benzodiazepines: How they Work & How to Withdraw (The Ashton Manual), 2002. The approximate equivalent doses to 10mg diazepam (Valium) are given.
For a discussion of half-lives and equivalencies see also the Benzo FAQ document.
Benzodiazepines1
Half-life (hrs)2
[active metabolite]
Approximately Equivalent
Oral dosages (mg)3
Market Aim4
Alprazolam
(Xanax, Xanor, Tafil)
6-12
0.5
a
Bromazepam
(Lexotan, Lexomil)
10-20
5-6
a
Chlordiazepoxide
(Librium)
5-30 [36-200]
25
a
Clobazam
(Frisium)5
12-60
20
a,e
Clonazepam
(Klonopin, Rivotril)5
18-50
0.5
a,e
Clorazepate
(Tranxene)
[36-200]
15
a
Diazepam
(Valium)
20-100 [36-200]
10
a
Estazolam
(ProSom, Nuctalon)
10-24
1-2
h
Flunitrazepam
(Rohypnol)
18-26 [36-200]
1
h
Flurazepam
(Dalmane)
[40-250]
15-30
h
Halazepam
(Paxipam)
[30-100]
20
a
Ketazolam
(Anxon)
30-100 [36-200]
15-30
a
Loprazolam
(Dormonoct)
6-12
1-2
h
Lorazepam
(Ativan, Temesta, Tavor)
10-20
1
a
Lormetazepam
(Noctamid)
10-12
1-2
h
Medazepam
(Nobrium)
36-200
10
a
Nitrazepam
(Mogadon)
15-38
10
h
Nordazepam
(Nordaz, Calmday)
36-200
10
a
Oxazepam
(Serax, Serenid,
Serepax, Seresta)
4-15
20
a
Prazepam
(Centrax, Lysanxia)
[36-200]
10-20
a
Quazepam (Doral)
25-100
20
h
Temazepam
(Restoril, Normison,
Euhypnos)
8-22
20
h
Triazolam
(Halcion)
2
0.5
h
Non-benzodiazepines
with similar effects 1, 6
Zaleplon
(Sonata)
2
20
h
Zolpidem
(Ambien, Stilnoct, Stilnox)
2
20
h
Zopiclone
(Zimovane, Imovane)
5-6
15
h
Eszopiclone
(Lunesta)
6
(9 in elderly)
3
h
(Benzodiazepine Equivalency Table)
Revised April 2007
This Benzodiazepine Equivalence Table is based on the extensive research and clinical experience of Professor C Heather Ashton, DM, FRCP, Emeritus Professor of Clinical Psychopharmacology at the University of Newcastle upon Tyne, England. Sources: NRHA Drug Newsletter, April 1985 and Benzodiazepines: How they Work & How to Withdraw (The Ashton Manual), 2002. The approximate equivalent doses to 10mg diazepam (Valium) are given.
For a discussion of half-lives and equivalencies see also the Benzo FAQ document.
Benzodiazepines1
Half-life (hrs)2
[active metabolite]
Approximately Equivalent
Oral dosages (mg)3
Market Aim4
Alprazolam
(Xanax, Xanor, Tafil)
6-12
0.5
a
Bromazepam
(Lexotan, Lexomil)
10-20
5-6
a
Chlordiazepoxide
(Librium)
5-30 [36-200]
25
a
Clobazam
(Frisium)5
12-60
20
a,e
Clonazepam
(Klonopin, Rivotril)5
18-50
0.5
a,e
Clorazepate
(Tranxene)
[36-200]
15
a
Diazepam
(Valium)
20-100 [36-200]
10
a
Estazolam
(ProSom, Nuctalon)
10-24
1-2
h
Flunitrazepam
(Rohypnol)
18-26 [36-200]
1
h
Flurazepam
(Dalmane)
[40-250]
15-30
h
Halazepam
(Paxipam)
[30-100]
20
a
Ketazolam
(Anxon)
30-100 [36-200]
15-30
a
Loprazolam
(Dormonoct)
6-12
1-2
h
Lorazepam
(Ativan, Temesta, Tavor)
10-20
1
a
Lormetazepam
(Noctamid)
10-12
1-2
h
Medazepam
(Nobrium)
36-200
10
a
Nitrazepam
(Mogadon)
15-38
10
h
Nordazepam
(Nordaz, Calmday)
36-200
10
a
Oxazepam
(Serax, Serenid,
Serepax, Seresta)
4-15
20
a
Prazepam
(Centrax, Lysanxia)
[36-200]
10-20
a
Quazepam (Doral)
25-100
20
h
Temazepam
(Restoril, Normison,
Euhypnos)
8-22
20
h
Triazolam
(Halcion)
2
0.5
h
Non-benzodiazepines
with similar effects 1, 6
Zaleplon
(Sonata)
2
20
h
Zolpidem
(Ambien, Stilnoct, Stilnox)
2
20
h
Zopiclone
(Zimovane, Imovane)
5-6
15
h
Eszopiclone
(Lunesta)
6
(9 in elderly)
3
h
- All these drugs are recommended for short-term use only (2-4 weeks maximum). See 1988 Guidelines.
- Half-life: time taken for blood concentration to fall to half its peak value after a single dose. Half-life of active metabolite shown in square brackets. This time may vary considerably between individuals.
- These equivalents do not agree with those used by some authors. They are firmly based on clinical experience during switch-over to diazepam at start of withdrawal programs but may vary between individuals.
- Market Aim: Although all benzodiazepines have similar actions, they are usually marketed as anxiolytics (a), hypnotics (h) or anticonvulsants (e).
- In the UK clobazam (Frisium) and clonazepam (Rivotril) are licensed for use as anti-epileptics only.
- These drugs are chemically different from benzodiazepines but have the same effects on the body and act by the same mechanisms.