Benzodiazepines
Chlordiazepoxide (Librium)
Street names: Librium, CDX, Libritabs
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- Long-acting calm, anxiety relief, alcohol-withdrawal control
- The original benzodiazepine (1960)
⚠Key risks
- Same class dependence and withdrawal-seizure risk
- Long half-life = accumulation in elderly, falls
- The standard alcohol-detox medication — diverted for self-detoxing, which without monitoring can still seize
- Often given out too freely in South Asia
✚Overdose signs
- Sedation
- Confusion
- Slow breathing in combination
Category comparison — Benzodiazepines
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Chlordiazepoxide (Librium) | Schedule IV | Same class dependence and withdrawal-seizure risk; Long half-life = accumulation in elderly, falls | ~$0.50–$2 per capsule grey-market |
| Diazepam | Schedule IV | Dependence in 2–4 weeks of daily use; Dangerous withdrawal (seizures) — never stop cold turkey | ~$1–$10 per 10 mg tablet |
| Alprazolam (Xanax 2 mg) | Schedule IV | Dependence within weeks; brutal withdrawal (seizures risk); Counterfeit 'bars' increasingly contain fentanyl or bromazolam | ~$2–$10 per 2 mg bar |
| Lorazepam (Ativan 2.5 mg) | Schedule IV | Dependence and withdrawal seizures; Rebound anxiety between doses | ~$1–$5 per 2.5 mg tablet |
| Clonazepam (Rivotril/Klonopin 2 mg) | Schedule IV | Long half-life — dependence builds silently; Withdrawal can last months | ~$1–$5 per 2 mg tablet |
| Nitrazepam (Nipam 5 mg) | Schedule IV | Morning 'hangover' impairment; Dependence and falls in older users | ~$1–$4 per 5 mg tablet |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Chlordiazepoxide (Librium) look like?
5–25 mg capsules/tablets, green/white/yellow
What are the signs of a Chlordiazepoxide (Librium) overdose?
Sedation; Confusion; Slow breathing in combination Call emergency services immediately.
How addictive is it?
Same class dependence and withdrawal-seizure risk Withdrawal can be life-threatening — medical tapering is essential.