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Diazepam is a medicine commonly prescribed for such serious health conditions as convulsions, anxiety prior to medical procedures, muscle spasms, acute alcohol withdrawal, and short-term treatment of severe insomnia, anxiety or agitation.
Diazepam (Valium) is supposed to be taken regularly – from 2 to 10 mg two to four times a day if you have muscle spasms and seizures, and from 10 mg three to four times a day if you are trying to get rid of acute alcohol withdrawal symptoms. However, your health care provider may decide otherwise, based on the assessment of your health condition, so make sure you follow the indications he provides, even if they are slightly different.
You need to discuss your current health condition, any diseases you have been diagnosed with and any drugs you are taking at the moment, as all these factors can affect the success of your treatment. You can start by telling your doctor if you have ever been allergic to any drugs or products. Being allergic to diazepam and some other drugs that belong to the class of benzodiazepines can make your treatment less efficient.
You also need to notify your doctor if you have any of the following: bipolar disorder, Parkinson’s disease, other mental health condition, seizures or a history of seizures, suicidal thoughts, glaucoma, lung or breathing disease, kidney disease, liver disease, myasthenia gravis, psychosis, and an alcohol or drug abuse history. All these conditions can cause problems if you start taking diazepam without the dose being properly adjusted. For instance, a history of drug or alcohol addiction can make you more vulnerable to the effects of diazepam and an addiction to this medicine can develop as well, making your withdrawal symptoms almost unbearable.
There are certain medications that diazepam should not be combined if you do not want to worsen the sleepiness caused by the use of this medicine. Sleeping pills, narcotic pain medicine, anxiety, depression, cold or allergy medicine, muscle relaxers, sedatives, and medicine for seizures should be taken separately to avoid interacting with diazepam and making you sleepy when you do not need this kind of effect to occur.
There are some other drugs that can worsen other side effects and make diazepam less efficient, which is why their use should be checked with your doctor first. The following ones belong to the group of drugs that cause interactions: selegiline, omeprazole, hydrocodone, citalopram, phenytoin, oxycodone, amobarbital, methadone, haloperidol, cimetidine, secobarbital, promethazine, isocarboxazid, doxepin, chlorpromazine, butabarbital, hydromorphone, tranylcypromine, phenobarbital, ketoconazole, amitriptyline, morphine, fentanyl, aripiprazole, phenelzine, fluoxetine, nortriptyline, imipramine, paroxetine, mephobarbital, sertraline, mesoridazine, rasagiline, and prochlorperazine. This list of not complete. Your pharmacist will be able to provide more information.
If you are pregnant or breastfeeding you should check with your health care provider before taking diazepam, as this medicine has been classified as FDA pregnancy category D. This category is used for drugs that can cause serious health effects in newborn and nursing babies, although they have nor been studies properly yet. The use of diazepam is rarely justified if the patient is a pregnant woman, so your doctor will recommend an alternative to make sure your baby is safe.
Diarrhea, dizziness, difficulty urinating, restlessness or excitement, weakness, constipation, tiredness, blurred vision, changes in sex drive or ability, upset stomach, frequent urination, dry mouth, changes in appetite, and drowsiness are mild side effects of diazepam that you need to inform your health care provider of only if they become very bothersome and do not go away after a couple of days. More serious side effects that you are unlikely to experience but should nevertheless be aware of include agitation, body aches, risk-taking behavior, depressed mood, jaundice, double vision, tremor, hostility, fever, unusual thoughts and behavior, urinating less than usual, flu symptoms, hallucinations, weak or shallow breathing, muscle twitching, anxiety, hyperactivity, confusion, chills, and suicidal thoughts.
You may develop tolerance to diazepam (Valium) if you are taking it for a long time. In case you do not feel the beneficial effects of the treatment anymore, or some of the symptoms you had come back, this can mean you have developed tolerance to diazepam and need a dose adjustment that can be done only by your health care provider. Another reason why you may need to have your dose adjusted is because you were originally started on the lowest dose and now it needs to be increased to suit the needs of your body.