Skip to main content

Flualprazolam Facts

Depressant; Anxiolytic; Sedative; Benzodiazepine; GABA-A receptor positive allosteric modulator

Description

Flualprazolam is a synthetic depressant of the benzodiazepine class. It works by amplifying the brain's main calming signal — GABA — producing sedation, anxiety relief, and memory suppression.

Subjective effects include anxiety suppression, heavy sedation, muscle relaxation, emotional suppression, and blackouts — partial or total — that erase memory of what happened during intoxication. The experience arrives fast and envelops completely: anxiety dissolves, the body settles, and the mind narrows until memory formation stops.

Flualprazolam produces physical dependence with repeated use, and stopping abruptly can trigger seizures — a potentially life-threatening withdrawal. Most documented deaths involve opioids: when the two are combined, they suppress breathing far more powerfully than either alone, and opioids were present in 83% of postmortem cases.[1]

Dose and durationby route · individual sensitivity varies

Oral(mg)
Threshold< 0.05 mgLight0.1 – 0.3 mgCommon0.3 – 0.5 mgStrong0.5 – 1 mgHeavy1+ mg

Starts in 20 – 40 minLasts 5 – 8 hoursAfter-effects 6 – 24 hours

Body and dependence

Acute toxicity
Moderate
Chronic toxicity
Moderate
Physical dependence
High
Psychological dependence
High
Withdrawal
Life-threatening · fatal · medical supervision
Compulsive redosing
High

Tolerance

Builds
Moderate
Fully resets after
21 days
Carries over to
alprazolam; all benzodiazepines; alcohol; barbiturates; zolpidem; zopiclone; GHB

Effectslikely at a common dose

Perception
none likely · 5 possible, including Visual acuity suppression, Spatial disorientation, Vestibular distortion
Body
Sedation; Muscle relaxation; Motor control impairment; +11 possible, including Dizziness, Nystagmus (eye wobbles), Insomnia
Thinking
Memory suppression; Cognitive impairment; +16 possible, including Analysis suppression, Decision impairment, Information processing suppression
Feeling
Anxiety suppression; +3 possible
Self
none likely · 7 possible, including Communication suppression, Craving
Time
none likely · 2 possible, including Temporal disorientation

Who shouldn't take it

Absolute
Severe respiratory insufficiency; Myasthenia gravis; Concurrent opioid use; Concurrent alcohol use; Acute narrow-angle glaucoma
Relative
Sleep apnoea; History of substance use disorder; Hepatic impairment; Concurrent CYP3A4 inhibitor use; Pregnancy; Elderly patients

Combinations60 recorded

Lethal (1)
Opioids
Dangerous (21)
Alpha-2 adrenergic receptor antagonist; Antipsychotics; Atypical antipsychotics; Benzodiazepines; Buprenorphine, Kratom; Cannabis, THC; Clonidine, Guanfacine; Gabapentin, Pregabalin; GHB, Baclofen; GHB, GBL; Local anesthetics; Naltrexone; SNRIs; Stimulants; Synthetic cannabinoids; Ibogaine; Ketamine, DXM, PCP; MAOIs; NSAIDs; Poppers (Alkyl nitrites); Poppers, Nitrates
Caution (26)
See full page: psychedex.org/substances/flualprazolam
Not graded (12)
Not listed never means safe.

Seek help immediately if

  • Extreme drowsiness — can't stay awake or be roused
  • Confusion, slurred speech, severe loss of coordination
  • Slow, shallow, or irregular breathing
  • Unconsciousness / unresponsive; limp, floppy body
  • Blue lips or fingertips
  • Vomiting while sedated (choking / aspiration risk)
  • Cold, clammy skin; weak pulse

What to do

  1. Try to wake them — shout, firm sternal rub
  2. If unresponsive or breathing is impaired, call emergency services
  3. Place them in the recovery position — critical, they can choke on vomit
  4. Monitor breathing continuously; be ready to give rescue breaths / CPR
  5. Never leave them alone to "sleep it off"
  6. Do not give other drugs, stimulants, or more depressants

Most depressant overdoses resolve with airway protection, breathing support, and monitoring. The danger is respiratory depression and choking on vomit — sharply worse when combined with opioids or alcohol. GHB/GBL overdoses often involve sudden deep unconsciousness and may self-resolve, but airway protection is essential.

988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE

Version r1 · Not medical advice

References

  1. [1]
    ^Papsun DM, Krotulski AJ, Homan J, Temporal KDH, Logan BK (2021) Flualprazolam Blood Concentrations in 197 Forensic Investigation Cases — Journal of Analytical Toxicology doi:10.1093/jat/bkaa070
Print version
Report an issue