Reasons for Benzodiazepine Use Among Persons Seeking Opioid Detoxification

•Prior to entering detox, opioid users frequently used BZDs, most often alprazolam.•“To help manage anxiety” was the most frequently cited primary reason for BZD use.•Persons who bought BZDs on “the street” were most likely to report using BZD “to get or enhance a high.”•75.0% met screening criteria for anxiety despite BZD use.