Switching back to Xanax from diazepam for taper?

[[Buddie]]

[...] you are right. 0.5 mg = 10mg Valium.

[[Buddie]]

Hi everyone,

no, 1mg. of Xanax is 10mg. Diazepam (Valium).

https://www.benzo.org.uk/manual/bzcha01.htm

Potency. A large number of benzodiazepines are available (Table 1). There are major differences in potency between different benzodiazepines, so that equivalent doses vary as much as 20-fold. For example, 0.5 milligrams (mg) of alprazolam (Xanax) is approximately equivalent to 10mg of diazepam (Valium). Thus a person on 6mg of alprazolam daily, a dose not uncommonly prescribed in the US, is taking the equivalent of about 120mg of diazepam, a very high dose. These differences in strength have not always been fully appreciated by doctors, and some would not agree with the equivalents given here. Nevertheless, people on potent benzodiazepines such as alprazolam, lorazepam (Ativan) or clonazepam (Klonopin) tend to be using relatively large doses. This difference in potency is important when switching from one benzodiazepine to another, for example changing to diazepam during the withdrawal, as described in the next chapter.

Hi [...], did you just discover a typo in the Ashton manual?  The first of the sentence says .5 mgs is equivalent to 10 mgs Diazepam but the second part suggests that 6 mgs Xanax is equal to 120 mgs Diazepam, this table backs up the second part of the sentence.  https://www.benzo.org.uk/bzequiv.htm

[[Buddie]]

Hi [...],

yes, I believe so! I will make a new thread about equivantcies.

Hi everyone,

no, 1mg. of Xanax is 10mg. Diazepam (Valium).

https://www.benzo.org.uk/manual/bzcha01.htm

Potency. A large number of benzodiazepines are available (Table 1). There are major differences in potency between different benzodiazepines, so that equivalent doses vary as much as 20-fold. For example, 0.5 milligrams (mg) of alprazolam (Xanax) is approximately equivalent to 10mg of diazepam (Valium). Thus a person on 6mg of alprazolam daily, a dose not uncommonly prescribed in the US, is taking the equivalent of about 120mg of diazepam, a very high dose. These differences in strength have not always been fully appreciated by doctors, and some would not agree with the equivalents given here. Nevertheless, people on potent benzodiazepines such as alprazolam, lorazepam (Ativan) or clonazepam (Klonopin) tend to be using relatively large doses. This difference in potency is important when switching from one benzodiazepine to another, for example changing to diazepam during the withdrawal, as described in the next chapter.

Hi [...], did you just discover a typo in the Ashton manual?  The first of the sentence says .5 mgs is equivalent to 10 mgs Diazepam but the second part suggests that 6 mgs Xanax is equal to 120 mgs Diazepam, this table backs up the second part of the sentence.  https://www.benzo.org.uk/bzequiv.htm

[[Buddie]]

Hi [...]

Can you indicate where Ashton says 1mg Xanax =10mg Valium?

Table 1 shows equavalencies and its correct.
https://www.benzo.org.uk/manual/bzcha01.htm#24

[[Buddie]]

Hi [...],

yes, I believe so! I will make a new thread about equivantcies.

Hi everyone,

no, 1mg. of Xanax is 10mg. Diazepam (Valium).

https://www.benzo.org.uk/manual/bzcha01.htm

Potency. A large number of benzodiazepines are available (Table 1). There are major differences in potency between different benzodiazepines, so that equivalent doses vary as much as 20-fold. For example, 0.5 milligrams (mg) of alprazolam (Xanax) is approximately equivalent to 10mg of diazepam (Valium). Thus a person on 6mg of alprazolam daily, a dose not uncommonly prescribed in the US, is taking the equivalent of about 120mg of diazepam, a very high dose. These differences in strength have not always been fully appreciated by doctors, and some would not agree with the equivalents given here. Nevertheless, people on potent benzodiazepines such as alprazolam, lorazepam (Ativan) or clonazepam (Klonopin) tend to be using relatively large doses. This difference in potency is important when switching from one benzodiazepine to another, for example changing to diazepam during the withdrawal, as described in the next chapter.

Hi [...], did you just discover a typo in the Ashton manual?  The first of the sentence says .5 mgs is equivalent to 10 mgs Diazepam but the second part suggests that 6 mgs Xanax is equal to 120 mgs Diazepam, this table backs up the second part of the sentence.  https://www.benzo.org.uk/bzequiv.htm

Hey [...],

I'm way off here, I'm sorry.  I don't see the same thing I saw with this yesterday, not sure what I was thinking but in looking at this again, I see the sentence is consistent throughout. 

Professor Ashton is on the heavy side with her equivalencies and this is most likely the result of her actually working with patients but it seems like most doctors use a different range.  https://clincalc.com/Benzodiazepine/

I'm sorry for the confusion, I'm not sure what I saw yesterday. 

[...]

[[Buddie]]

 No worries at all!  We are all struggling (at least me) to figure this stuff out!   I have the worst brain fog ever right now!!!  This is a great forum to discuss these issues- this process is also so individual and that also makes it so hard!

All the Best!

[[Buddie]]

Same,

while in withdrawal my intellect is comprimised for sure. Equivalencies are an estimate and makes it hard to know where we need to start.

No worries at all!  We are all struggling (at least me) to figure this stuff out!   I have the worst brain fog ever right now!!!  This is a great forum to discuss these issues- this process is also so individual and that also makes it so hard!

All the Best!

[[Buddie]]

I know when i switched over from xanax to valium about 10 years ago, i was all over the board with how much xanax i took...somedays it would be 3MG other days it would be 1mg or .5, normally though it was about at least 1mg a day. My Dr. started me on 30MG valium which was way too much, i was dizzy all day and was doing reckless things (im super sensitive to meds) so she took me down to 10MG and man that sucked, i felt horrible like i had the flu it was the worst, so we settled on 15MG. That seemed to fit me just fine, after two weeks i felt completely stable. I think maybe its a case of everyones system is different and we all handle this stuff different at different levels. Its finding the right starting point for you that is important? Using the manuals as general guidelines? Thats what it seemed like at the time anyways.

[[Buddie]]

.5 Alprazolam = 10.0 Diazapam
1.0 Alprazolam = 20.0 Diazapam
6.0 Alprazolam = 120.0 Diazapam

Yes?

[[Buddie]]

.5 Alprazolam = 10.0 Diazapam
1.0 Alprazolam = 20.0 Diazapam
6.0 Alprazolam = 120.0 Diazapam

Yes?

There is actually a range of acceptable equivalencies but for the purposes of crossing over to Diazepam from another benzo, the rates you've listed are probably the best.  https://clincalc.com/benzodiazepine/default.aspx