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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

EADD Benzo Discussion V. Waking up in a Wakefield skip

Even a small amount of opiates/alcohol can turn the relatively benign benzos into killer drugs.

Yeh, I know etizolam isn't strictly a benzodiazepine, but the effects profile is the same and so are the risks.

I personally found it to be a bit shit and never really understood what all the fuss was about, even in combination with gear/methadone/booze. But I can totally get how it could contribute to a lethal overdose...

Well taking ANY CNS depressant top of 2 more will always be hazardous... first generation anti-histamines are CNS depressants. Anyone else old enough to recall people mixing methadone with cyclizine to 'estimate' the effects of methadone. NOBODY seems to know why cyclizine potentiates the 3,3-diphenylheptanone class of opioid... but apparently it does.

Cyclizine is still around and is still killing people. Remember the news story about a girl who went on a date when Jagerbombs were the in thing? She was scared of puking so she necked a handful of Valoid and it killed her.

BTW before 'street Valium' was a thing, the most common benzos found in the bodies of poly drug victims were nitrazepam>clonazepam>temazepam>diazepam. I can dig out the reference but I guess it's no surprise that hypnotics are going to pose the greatest risk and that availability would more or less mean that if you wanted a benzo, you took what you could get. Oh, and of course clonazepam, while only prescribed for myoclonus, is very sedating. People with myolonus are told that this side-effect will go away as the body gets used to it... but I don't know what a 2mg Rivotril would do to someone who hadn't been on them for a long time.
 
It's mad but the only 2 benzos i ever had a safe and enjoyable time with were diazepam and temazepam.

Nitraz and clonaz were both too much. Midazolam was OK but didn't live up to the hype on here. Alprazolam is just straight blackout material with very little recreational satisfaction.

If I had to pick one now even I would still say Diazepam is both safest and gives the best effects.
 
I've posted it before but people have survived multiple grams of diazepam but nitrazepam, flunitrazepam, clonazepam and nimetazepam kill if you take 2-300mg.

Live failure, I guess. earlier in this thread fast&bulbous posted a great diagram showing WHY nitrobenzodiazepines cause liver failure. Mixed with booze, this subclass must be REAL killer.

In Sweden 76% of suicides were people taking the whole of their 28 day script at once. You might think that a high % but it seems that at least in 2014 (when the study was carried out) a LOT of sleepers seemed to be prescribed and people use the methods they have access to.
 
I've posted it before but people have survived multiple grams of diazepam but nitrazepam, flunitrazepam, clonazepam and nimetazepam kill if you take 2-300mg.

Live failure, I guess. earlier in this thread fast&bulbous posted a great diagram showing WHY nitrobenzodiazepines cause liver failure. Mixed with booze, this subclass must be REAL killer.

In Sweden 76% of suicides were people taking the whole of their 28 day script at once. You might think that a high % but it seems that at least in 2014 (when the study was carried out) a LOT of sleepers seemed to be prescribed and people use the methods they have access to.

Can Alprazolam, Diazepam and Temazepam cause liver damage too?
 
My friend took a big mix of meds and one of them was 40 x 2mg Clonazepam and he was sleeping for two days. He added some diazepams, Sertraline, paracetamol, lorazepams in crazy amount. He just fall a sleep. When ER came they told him he is fine 😂
 
Can Alprazolam, Diazepam and Temazepam cause liver damage too?

No - but their metabolism is altered in patients who have compromised liver function.

That's why oxazepam is used for alcohol detox & lorazepam is used for sedation in ICU wards. They don't undergo metabolism by the liver.

Look back through the thread. fast&bulbous wrote a splendid post on WHY nitrobenzodiazepines can cause liver injury.

https://www.sciencedirect.com/science/article/abs/pii/S0006295217304379

Above is just one of the references - note the nice picture that makes it simple to understand.
 
So I asked Michael Linell

Thanks xxxxxxxx

Mostly diazepam around here, and most fake is bromazolam. The million tablets made in Manchester and marked as 10mg diazepam, were intercepted on way to Scotland. They contained etizolam but in very small dose, less than a tenth of 1mg. Death stats for benzos show it is very rare for death without opioids also present.

Sent from my iPad

Hi,
I read time and time again that etizolam is the drug in 'street Valium' resulting in a spate of deaths among poly drug users. Here's the key detail - it's effects plateau at 1mg (i.e. 10mg of diazepam). You could eat them like smarties but all that would achieve is to increase duration, not subjective effects.

I believe too many people have read that it's ten times as potent as diazepam. Yes it is. BUT it's only ten times as potent as a SINGLE 10mg diazepam tablet.

The fact that it's effects plateau is why in many developing nations it's a [P] rather than a [POM]. I do appreciate that in rural locations of these nations, pharmacists are given more free rein simply because developing nations have limited health care. But the Indian company that developed etizolam (from an expired Japanese patent) did so specifically because the scope for abuse and dependence are very low.
I'm also aware that in India in particular, their is a prevalence of 'opiophobiia'. Even people prescribed opioids are often resistant to using such medications. While my information is somewhat old, I'm told that even codeine requires a prescription. It's the one class of drugs most Indian pharmacists seem unwilling to sell without a prescription. My guess is that it's because India has draconian laws surrounding the prescribing of opiates. Several Indian doctors have told me how difficult it is to prescribe.

I can only suggest it stems from when India was a British colony and we grew vast amounts of opium... which we then sold to the Chinese. It makes sense that you need to make certain that your highly profitable export isn't being stolen and used by the very people growing it for you - but that is pure speculation on my part.

Now, their COULD be an as-yet undiscovered interaction between opioids and this specific benzodiazepine but since I know of someone who is both a heroin user and an etizolam vendor that etizolam is only grudgingly accepted by users who thought they had purchased diazepam (due to the latter's duration, sedation, muscle relaxant and hypnotic activities). Etizolam is very selective and only possesses anxiolytic properties.

I have no idea if some users are injecting 'street valium' but etizolam is one of the less water-soluble benzodiazepines although given that only 0.5-1mg is in a tablet, I suppose that's not quite as big an issue as it might be.

But on Bluelight i note that 'Bromazolam' and other NPSs are the more potent and thus more popular compounds found in 'street valium'. I read that dealers are obtaining them in blister-packs and even then, the specific compound occasionally alters.
Best wishes,

 
@AlsoTapered Lots of good information there. Sounds like a huge batch of underdosed fake diaz was intercepted on it's way to the market.

One thing I did notice is that you've said that 1mg of etizolam is ten times as potent as 10mg of diazepam. That's not correct - 1mg of etizolam is generally stated to be roughly equivalent to 10mg of diazepam. 1mg of etizolam would be 10 times more potent than 1mg of diazepam.

A separate issue that may account for the perceptions of etizolam being more potent, is that it is often stated to be 6 times more effective against anxiety symptoms compared to diazepam, when comparing 1mg of etizolam to 10mg of diazepam. I have to agree with this, even though diazepam is seen as the gold standard by many users, probably because it's what they are used to, and also I believe its the most commonly prescribed benzo in the UK, and obviously any script that comes straight from the pharmacy can usually be relied on to be active, accurately dosed, and genuine.

You've also said there that the plateau dose of etizolam is 1mg, which is definitely not correct. Was that a typo as you were stating the plateau as 4mg earlier?

Not meaning to be pedantic, but you probably know that people on the spectrum are generally good at spotting errors and pointing them out. I'm not sure if that particular trait is a strength or a weakness lol.
 
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I've definitely been much more fucked up on etizolam than is possible from 10mg diazepam. I struggle to believe the ceiling dose theory. Although I guess beyond a certain point with most of these type drugs blackout is a guaranteed.
 
Same here. My first benzo experience was about 50mg of diazepam with some weed. Didn’t much cared for it. My first experience with etizolam was 4 or 5mg and I fell in love.

And etizolam ime isn’t 6 times better for anxiety but more like 600 times lol
 
@AlsoTapered Lots of good information there. Sounds like a huge batch of underdosed fake diaz was intercepted on it's way to the market.

One thing I did notice is that you've said that 1mg of etizolam is ten times as potent as 10mg of diazepam. That's not correct - 1mg of etizolam is generally stated to be roughly equivalent to 10mg of diazepam. 1mg of etizolam would be 10 times more potent than 1mg of diazepam.

A separate issue that may account for the perceptions of etizolam being more potent, is that it is often stated to be 6 times more effective against anxiety symptoms compared to diazepam, when comparing 1mg of etizolam to 10mg of diazepam. I have to agree with this, even though diazepam is seen as the gold standard by many users, probably because it's what they are used to, and also I believe its the most commonly prescribed benzo in the UK, and obviously any script that comes straight from the pharmacy can usually be relied on to be active, accurately dosed, and genuine.

You've also said there that the plateau dose of etizolam is 1mg, which is definitely not correct. Was that a typo as you were stating the plateau as 4mg earlier?

Not meaning to be pedantic, but you probably know that people on the spectrum are generally good at spotting errors and pointing them out. I'm not sure if that particular trait is a strength or a weakness lol.

Sorry, my mistake 1-mg etizolam = 10mg diazepam.

But I remain convinced that it's these more potent benzos that are disproportionally resulting in ODs. Evidently Manchester is a major centre of production and distribution.

I think people are being led to believe that 'street Valium' = etizolam when clearly it is not.

But I have to say that the anecdotes just do not match up with the known properties. My boss originally bought etizolam tablets from India but when we got a guy with a press, buying the etizolam powder and pilling them up was cheaper. But not being a chemist he send me 100mg and asked 'is this etizolam' (as if I've got GC-MS & NMR at home... I don't know WHAT he was thinking). Anyway, I just took the whole 100mg. Then I walked to the bus, went to town, posted a letter, paid a bill, met a friend and went for coffee with her and came home.

Now, according to the anecdotes, I SHOULD have been unconsious BUT according to the documentation it should plateau at around 10mg diazepam equivalent BUT due to the huge dose, last a long time. So usually they last 4 hours, with 100mg I guess I felt it for about 36 hours (which if you calculate based on the T½ being 2.5 hours is about right.

We were the largest UK-based etizolam supplier (by a couple of orders of magnitude) for 2 years.

I have to admit that I couldn't work out who would buy them. OK they were cheaper than pyrazolam or diclazepam but an 0.5mg pyrazolam is just as effective an anxiolytic and lasts for 6 hours... and those 2mg diclazepam were VERY potent. Not many people ever took more than one 2mg tablet at a time and the duration was insane due to the active metabolites. You could take them once a day.

I think I told you i designed diclazepam to be the 'methadone' of benzos so dependent users could be directed to supervised consumption (like methadone).

I still say clobazam is the safest benzodiazepine anxiolytic. The QSAR is quite interesting. A '2 halogen doesn't increase potency BUT the triazolo derivatives ARE much more potent. But you might just end up with a more expensive drug that still has a plateau... but at 2 rather than 20mg [BID]. Some German researchers produced the 7-nitro homologue but the only remarks after human trials were 'as effective as clobazam but more sedating. So MAYBE if you make the triazolo derivative of that homologue, you get something reasonably powerful... but it's still a nitrobenzodiazepine and it doesn't seem to matter how many times I post the references to hepatic toxicity, people just won't believe it...

I suspect they just don't want it to be true. Someone using loads of clonazepam doesn't want to know it's liable to destroy their liver at high doses.

OT I found a modern secobarbital (Seconal) synthesis from an Indian maker. I'm 100% certain they would happily sell the (unwatched and legal) immediate precursor.


*Snip* sorry no synthesis allowed - axe maniac x

Synthesis about half way down. Well, the compound on the left (diethyl 2-allyl-2-(pentan-2-yl)malonate would be a PAIN to make BUT if you can simply BUY it, Seconal synthesis becomes trivial.

I'm hearing that the Mexican mafia are now producing nitazenes as well as flunitrazolam... but one of the few things more dependence-forming than benzos are barbs. Since barbs appeared at the start of the 20th century, researchers found that the asymmetric ones were more potent, those with an alkene were even more potent (e.g. Seconal) and those with an alkene with a -Br on the alpha carbon of the alkene more potent still. I've also seen several with an alkynyl moiety, The latter have fast onset and short duration....


So the question is - just what is the MOST potent barb. Sigmodal looks like a good candidate. Only developed in the 1950s right at the very end of the research into barbiturates and still in use in the 1960s. In effect, it's Seconal with that -Br on the alpha carbon of the alkene. So... why use it if it's more or less identical so Seconal? Safer, stronger and/or patentable are the only 3 things I can think of.
 
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@AlsoTapered Did you take the 100mg of etiz directly in the form of pure powder?

It might be the case that pure powdered etizolam may have some kind of ceiling dose, as opposed to the pills, which don't do so I.M.E. I'm not sure as to why this might be, but a couple of anecdotal reports I know of, including yours, seem to suggest that this may be the case.

I knew another example of someone taking out a baggie of pure etiz on a night out, and just dabbing at it throughout the evening. Each dab could easily have been anything from 30mg - 100mg, impossible to say accurately. I was shocked and worried by his recklessness, as he was usually careful with weighing things out etc. so I called him out on it for the sake of HR. To my amazement he didn't have any major disastrous mishaps or being taken away in an ambulance on that night out IIRC. Can only have been some weird type of ceiling effect, or maybe only so much powder can be absorbed or metabolised at once, which possibly amounts to the same thing. I'm not sure, as I'm now straying into territory that I don't really understand, when it comes to drug metabolism and liver enzymes and all that CYP2654 type of stuff.

However, taking 30-100 of any known good brand of pharmaceutical grade Etizolam pills, such as Etilaam, would have quickly resulted in a state of being very fucked up at best, or otherwise just falling sound asleep for a very long time - IME.
 
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I would agree that pure powdered etizolam may have some kind of ceiling dose, as opposed to the pills, which don't do so I.M.E. I'm not sure as to why this might be, but my personal experience, and a couple of anecdotal reports including yours, seem to suggest that this may be the case.
There’s only one possible explanation for that beside placebo. Oral vs. sublingual ROA.

I first got about 50 pills (blue 1mg) and was usually taking 4 – 6mg and getting high as fuck every few days. Than I got powder and was sometimes weighting it out and sometime stupidly eye-balling it (in either case taking a lot), and I’m willing to bet just about anything that getting A LOT higher than from pills wasn’t placebo.
 
I think I told you i designed diclazepam to be the 'methadone' of benzos so dependent users could be directed to supervised consumption (like methadone).
Sorry, what do you mean, 'you designed it'?

According to Wikipedia, it was It was first synthesized by Leo Sternbach and his team at Hoffman-La Roche in 1960?
 
Sorry, what do you mean, 'you designed it'?

According to Wikipedia, it was It was first synthesized by Leo Sternbach and his team at Hoffman-La Roche in 1960?

I honestly didn't read any existing patents but thank you for the correction - I merely REdiscovered it although their are entire books devoted to the QSAR of benzodiazepines so it was more or less a simple matter to work it out, simply noted that lorazpam & lormetazepam were just nordiazepam & temazepam with a '2 chloro moiety but were controlled. So working backwards didn't take long to realize that the drug WITH the N-methyl and WITHOUT the 3-hydroxy wasn't used and logically it would behave like diazepam except that '2 chloro made it significantly more potent. Why wasn't it in use - well the T½ was clearly going to be exceptionally long given that it's (active) metabolites had longer T½s than their analogues lacking the '2 chloro.

Some people say x5 diazepam but personally I felt it was more like x10. The boss had the red 2mg tablets made and I thought it was a bad idea since 1 pill = 20mg diazepam and 1mg pill would have been more appropriate... and the same amount of active material would have made twice as many pills.

BUT equally important was the fact that the main precursor ((2-amino-5-chlorophenyl)('2-chlorophenyl)methanone) was used to make lorazapam and lormetazepam so it was CHEAP and commercially available from many sources.. Add to that the fact that synthesis mirrors that of diazepam. Since diazepam is the most commonly prescribed benzodiazepine and lo, there were MANY papers and patents on improved syntheses. Even when the patent for the drug runs out, one can still profit from finding a cheaper synthesis and licencing it's usage.

Diazepam made in Pakistan (so no US or EU licence) costs $172/Kg. German made is $193/Kg and Swiss made is $310/Kg. So can you see the profit if you are selling 10mg tablets for £1 each? In theory you could make £100,000 but I knew a Dutch wholesaler who had perfect dies and even placed the pills in strips and the strips into boxes. He was selling 10,000 lots for 16 eurocents a pill.

Lorazepam costs anywhere from $741 to $3072/Kg but then again, lorazepam is generally produced as 1mg tablets... so overall it's MORE profitable (presuming the customer base accepts the product.

It seems that almost everyone likes diazepam so it seemed most unlikely that diclazepam wouldn't be as well liked.

pay £4/pill because while pyeyzolam and pynazolam were both excellent in theirownnn waysm
 
@AlsoTapered the guy said he wasn't sure if it was etizolam and as you said you didn't have anything to test, you just ate it.
I don't want anyone thinking they can just eat 100mg and go about their day.
I do admit that when I was fairly naive to etizolam then I took 20-odd mg, I didn't get a lot out of it. They were the Etilaam-1 brand that were infamously great, but they did fuck all, or so I thought. But I was popping them like smarties at work and got sent home by my manager after about 8-10mg so fuck knows.
Maybe they subjective, anxiolitic effects plateau, but the drooling , slurring and generally acting like a darted rhino FX don't.
@AutoTripper I think you could weigh in here, mate.
 
@AlsoTapered the guy said he wasn't sure if it was etizolam and as you said you didn't have anything to test, you just ate it.
I don't want anyone thinking they can just eat 100mg and go about their day.
I do admit that when I was fairly naive to etizolam then I took 20-odd mg, I didn't get a lot out of it. They were the Etilaam-1 brand that were infamously great, but they did fuck all, or so I thought. But I was popping them like smarties at work and got sent home by my manager after about 8-10mg so fuck knows.
Maybe they subjective, anxiolitic effects plateau, but the drooling , slurring and generally acting like a darted rhino FX don't.
@AutoTripper I think you could weigh in here, mate.

No - it WAS correctly labelled according to HIPS standards and did contain a COA so as I pointed out, I was surprised that he even ASKED since it was so evidently just what it said it was. I PRESUME it was simply because HE didn't understand the COA. Why he sent so much, again, no idea. But then he did send me a lot of stuff just so I would know what he was looking for a legal version of.

I got several grams of MXE just before it was banned (UK law covered all 'aryl cyclohexyl amines' if you remember. I found diphenidine in a patent which I later improved upon with isophenidine (which as far as I know IS truly novel - nobody had made it before... or at least it wasn't in Reaxys or PubChem.

We were a professional company working with other professionals - WHO would undermine a deal for 1 tonne of etizolam by sending 100 grams of bunk? When etizolam was banned, we just got the Indian company to produce metizolam (if you remember that). I chose metizolam rather than deschloroetizolam because metizolam uses the same precursor

This was business, don't forget.

That is why I was so suspicious of etizolam being responsible for the huge number of deaths BUT I have never disputed that etizolam IS active... but it produced the plateau just as the patents and papers stated. Of course, what I hadn't considered was until 'street Valium', most people hadn't had access to ANY benzodiazepines for years.

But it's interesting that Michael noted (I did post his E-mail) that while the most street Valium seized did contain etizolam, the dose in each was tiny and that it was bromazolam that while only in a minority of pills, was at least at doses one would consider active,

And I have asked 3 times if you got strips of etizolam or simply street valium that has been shown to contain a range of benzodiazepines. You still haven't answered. Maybe you just missed it because I do write long posts with the intent of ensuring that context is given.

I wouldn't have swallowed the contents of some ziploc bag with a post it note affixed with the word 'etizolam' hand-written onto it.
 
No - it WAS correctly labelled according to HIPS standards and did contain a COA so as I pointed out, I was surprised that he even ASKED since it was so evidently just what it said it was. I PRESUME it was simply because HE didn't understand the COA. Why he sent so much, again, no idea. But then he did send me a lot of stuff just so I would know what he was looking for a legal version of.

I got several grams of MXE just before it was banned (UK law covered all 'aryl cyclohexyl amines' if you remember. I found diphenidine in a patent which I later improved upon with isophenidine (which as far as I know IS truly novel - nobody had made it before... or at least it wasn't in Reaxys or PubChem.

We were a professional company working with other professionals - WHO would undermine a deal for 1 tonne of etizolam by sending 100 grams of bunk? When etizolam was banned, we just got the Indian company to produce metizolam (if you remember that). I chose metizolam rather than deschloroetizolam because metizolam uses the same precursor

This was business, don't forget.

That is why I was so suspicious of etizolam being responsible for the huge number of deaths BUT I have never disputed that etizolam IS active... but it produced the plateau just as the patents and papers stated. Of course, what I hadn't considered was until 'street Valium', most people hadn't had access to ANY benzodiazepines for years.

But it's interesting that Michael noted (I did post his E-mail) that while the most street Valium seized did contain etizolam, the dose in each was tiny and that it was bromazolam that while only in a minority of pills, was at least at doses one would consider active,

And I have asked 3 times if you got strips of etizolam or simply street valium that has been shown to contain a range of benzodiazepines. You still haven't answered. Maybe you just missed it because I do write long posts with the intent of ensuring that context is given.

I wouldn't have swallowed the contents of some ziploc bag with a post it note affixed with the word 'etizolam' hand-written onto it.
Gooood, then you have my blessings. Next time you get hundreds of mg of etizolam, please do give me a shout. 5-10mg of etizolam gets my fanny moist.
 
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