Benzodiazepines (benzos) are a fairly common class of medications that are used to treat anxiety, however, they are also quite popular drugs of abuse. A benzo overdose can be extremely dangerous and even fatal. Below, we list some ways to identify a benzo overdose and some things you can do to help someone who has overdosed.
What Are Some Common Benzos?
Commonly prescribed for anxiety disorders or insomnia, some of the most popular benzos include:
These are all depressant medications that can be eaten, but when used for recreation, are often snorted. These can cause dangerous depression of vital functions and may lead to some serious complications.
Signs & Symptoms Of A Benzo Overdose
Some of the common signs of a benzo overdose may include:
- Confusion and Delirium
- Depressed or Irregular Breathing
- Impaired Coordination and Slurred Speech
- Unconsciousness (with an inability to wake up)
While benzodiazepine overdoses rarely affect breathing to a dangerous degree, the common trend to mix benzos with alcohol can lead to potentially fatal respiratory depression. If someone is experiencing an overdose, there is a medication that can be used to reverse a benzo overdose, although it is a controlled substance and requires medical professionals to administer it safely.
What To Do If Someone Overdoses On Benzos
While medical professionals are required to effectively treat a benzo overdose, there are some things that someone may do to increase the victim’s chances of survival. Some of the most helpful things someone may do to help include:
- Summon Medical Help Immediately: In the US, Canada, and Mexico someone can call 911 for emergency medical services.
- Check Vital Signs: While death from a benzo-only overdose is quite rare, it is still possible. The more pressing concern is if someone mixed benzos with another drug, such as alcohol. This can increase the risk of dangerous complications immensely.
- If Unconscious, Place Them In The Recovery Position: While vomiting is quite rare during a benzo overdose, it is not unheard of. If someone is unconscious, place them into the recovery position so that if they do vomit, they will not suffocate.
- Stay With Them Until Help Arrives: Stay with someone and continue to monitor their vitals until medical help arrives, and be prepared to give as much information as possible to the paramedics.
Doing these 4 things can greatly increase someone’s chance of making it to the hospital alive, where medical professionals may use the medication flumazenil if necessary. This medication can reverse a benzo overdose, although it comes with its own set of unique risks.
A benzo overdose can be extremely dangerous, and not necessarily for the reasons you may think. While it is possible that vital functions are dangerously altered, this is fairly rare in cases of benzo-only overdose. Confusion, delirium, and impaired coordination may be the most direct danger during a benzo overdose. This could lead someone to, for example, walk into traffic, try to fight people for no reason, or otherwise act strangely or irrationally. This could lead to a wide variety of potentially deadly situations.
The absolute best way for someone to avoid a benzo overdose is to not use benzos other than as directed by a doctor. That being said, if someone is going to use benzos illicitly, there are some things they could do to minimize the risks of potentially dangerous outcomes. Some harm-reduction measures include:
- Do Not Snort Benzos: This can lead to an overdose much more easily than if someone had been eating benzo pills.
- Do Not Use Benzos That You Are Not Prescribed: Over the last decade, counterfeit benzos have been appearing more and more frequently, usually containing fentanyl as a cutting agent and this has resulted in many opioid overdoses from someone doing a drug that they thought was a benzo.
- Do Not Mix Benzos With Other Drugs: Alcohol and opioids, in particular, can greatly increase the risks of a fatal overdose.
After someone has suffered an overdose from benzos, they will still be at risk if they continue to use these drugs. The only way to avoid another overdose for certain is to enter treatment and get sober. If someone wants the best chance at achieving long-term sobriety from benzodiazepine addiction, then their best chance is usually entering a professional benzo rehab program.
Here are some additional resources and educational guides. The more information someone has regarding benzo overdoses, the better prepared they will be if and when an overdose occurs.