Objectives: To determine the extent and patterns of benzodiazepine use
among heroin users; and whether preferences for different benzodiazep
ines exist among this group. Subjects and methods: 210 heroin users wh
o were current users of benzodiazepines volunteered for the study and
completed a structured questionnaire. Results. Heroin users had used a
median of five different benzodiazepines, most commonly diazepam. Alm
ost half the subjects (48%;: 95% CI, 41-55) had injected benzodiazepin
es, 17% (95%; CI, 12-22) within the preceding six months. Diazepam and
temazepam were the most widely injected benzodiazepines. Conclusions:
Flunitrazepam, diazepam and temazepam should be prescribed to heroin
users with caution. A less popular and rarely injected benzodiazepine,
nitrazepam, may be a better option for this group.