Excerpt
Over the past 50 years, the problem of sedative addiction
(physical and psychological dependence) shifted from being almost
completely an abuse of short- or intermediate-acting barbiturates
(e.g., amobarbital, pentobarbital, secobarbital) to being an abuse
of newer hypnotics (glutethimide, methaqualone) and, most recently,
benzodiazepines (e.g., diazepam, alprazolam). All these agents (and
alcohol) produce cross-tolerance—that is, physical withdrawal symptoms
in a patient who is dependent on any one of these drugs can be relieved
by an adequate dose of another. The time course of withdrawal symptoms
differs with the half-lives of the drugs involved, beginning within
12–16 hours after the last dose of a short-acting agent
(e.g., amobarbital, alprazolam) and perhaps 2–5 days after
the last dose of diazepam.