Some people use benzodiazepines to reduce the intense stimulation caused by illicit drugs such as amphetamines and ecstasy, or to help “come down” as the stimulant effect wears off. Cocaine, amphetamines and ecstasy increase the activity of the central nervous system. In low doses, these drugs make the user more alert and active than normal. While benzos may assist in coming down from the ‘high’ associated with using these drugs there are risks. Tolerance (increased doses are required to produce the same effect) and dependence (the drug becomes central to the user’s life) to benzos can increase with regular use.
Taking stimulant drugs like nicotine and caffeine may also influence the action of benzodiazepines.
Caffeine has been found to reduce the sedative effect of some types of benzodiazepines. This will make sleeping more difficult. Caffeine may also reduce the effectiveness of benzodiazepines that are prescribed to reduce anxiety. Tell your doctor how much caffeine you consume in an average day.
Benzodiazepines may not work effectively for tobacco smokers. This is because some of the ingredients in tobacco smoke increase the rate at which benzodiazepines are broken down. Tell your doctor if you smoke tobacco. Your doctor will consider this when prescribing your medication. Only take the amount of benzodiazepines that your doctor has prescribed for you.
If you are prescribed benzodiazepines, it is important to tell your doctor about any other drugs you are taking (including prescription and over-the-counter drugs).