Diazepam abuse: incidence, rapid screening, and confirming methods.

We studied 2500 patients suspected to be drug-overdose victims. Blood samples were quantitatively screened for the most commonly abused drugs, including diazepam. Of these, 61% had positive findings, including diazepam in about one of every four. A new rapid, simple, and quantitative gas-chromatographic method for simultaneous analysis of diazepam and sedatives (in two instruments) is described. A single extraction at low pH is used, preserving the balance of the sample to be used for confirming methods via ultraviolet spectrophotometry and thin-layer chromatography. Prevalance of other positive findings is also listed, and findings for diazepam are categorized by age.