MarkP Posted July 14, 2009 Share Posted July 14, 2009 To fall asleep, I need either 1.5mg of lorazepam (sometimes 2 or 3mg if I'm really fired up), or 15mg (or 30mg) of temazepam. Been on one or the other for the past 8 months, 5 or 6 nights a week. Pharmacist insists that the benzo equivilancy between temazepam and lorazepam is 1mg lorazepam = 10mg temazepam. The Ashton chart states 15mg temazepam = 1mg lorazepam. The chart published in a reference guide for local doctors concerning benzo patient management says that 15mg temazepam = 6.66mg diazepam = 0.66mg lorazepam. My questions: a) Are low potency benzos easier to withdrawal from (ie: temazepam, chlordiazepoxide, oxazepam, diazepam), as opposed to high-potency benzos (alprazolam, lorazepam, triazolam, flunitrazepam)? b) If a lower diazepam-equivilant dose of temazepam does the job for me -- is it not most prudent to use that, as opposed to, say, lorazepam? c) Are benzos marketed for 'hypnotic' reasons truly more efficacious at accomplishing the job of being hypnotics, than the so-called 'anxiolytic' benzos, assuming dosing in diazepam-equivilancy? d) Despite temazepam's popularity, it seems that most of the problems reported on Heather Ashton's benzo.org.uk website relate to the high-potency (high binding affinity) benzos, ie: lorazepam, alprazolam, triazolam. temazepam complaints are rare, and it was claimed that temazepam has fewer than 2% of the adverse reactions as experienced with triazolam. Is this because of the lower binding affinity? e) My GP really is reluctant to prescribe Zopiclone, despite my pharmacist insisting that it is a safer alternative to the benzodiazepines. His attitude is, "if temazepam works well for you...why risk messing around". Is this something I should be concerned about? I guess I could doctor shop for another GP to give me a concurrent Rx of Zopiclone (not a controlled/scheduled drug, unlike benzos that are Schedule IV), but what would best for me in the long run? I've been for a psychiatric evaluation with a psychiatrist, and aside from getting a stern lecture on the evils/dangers of benzos, he was unable to find anything wrong with me mental illness-wise. I've also been given trials of SSRI's, trazodone, TCA's, mirtazapine, and Seroquel (quietiapine), and none really did me any good. The SSRI/trazodone/TCA/mirtazapine side effects were horrible, and Seroquel made me dysfunctional the next day. Link to comment Share on other sites More sharing options...
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