💊 Benzodiazepine Equivalent Converter
Convert between benzodiazepines by diazepam equivalents (Ashton values) to support switching and tapering. Instant, browser-side calculation.
Clinical takeaway
Equivalences differ widely between references — treat as an estimate only.
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When to use
Estimate equivalent doses when switching agents or substituting long-acting diazepam for short-acting drugs during a taper.
How it works
Diazepam equivalent = dose × (10 / agent equivalence); target = diazepam-eq × (target equivalence / 10). Ashton: diazepam 10 = alprazolam 0.5 = lorazepam 1 = clonazepam 0.5 = oxazepam 20 mg.
Key points
- Equivalences differ widely between references — treat as an estimate only.
- When tapering, long-acting diazepam smooths withdrawal from short-acting agents.
- In hepatic impairment prefer oxazepam/lorazepam (not oxidatively metabolised).
- Titrate gradually to response; never stop abruptly.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
Frequently asked questions
- What is Benzodiazepine Equivalent Converter?
- Convert between benzodiazepines by diazepam equivalents (Ashton values) to support switching and tapering. Instant, browser-side calculation.
- How is Benzodiazepine Equivalent Converter calculated? What is the core formula?
- Diazepam equivalent = dose × (10 / agent equivalence); target = diazepam-eq × (target equivalence / 10). Ashton: diazepam 10 = alprazolam 0.5 = lorazepam 1 = clonazepam 0.5 = oxazepam 20 mg.
- When is Benzodiazepine Equivalent Converter used?
- Estimate equivalent doses when switching agents or substituting long-acting diazepam for short-acting drugs during a taper.
- What are the key clinical points for Benzodiazepine Equivalent Converter?
- Equivalences differ widely between references — treat as an estimate only. When tapering, long-acting diazepam smooths withdrawal from short-acting agents. In hepatic impairment prefer oxazepam/lorazepam (not oxidatively metabolised). Titrate gradually to response; never stop abruptly.
- What are the limits and cautions when using Benzodiazepine Equivalent Converter?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.