What is Valium?
Valium (diazepam) is a long-acting benzodiazepine used since 1963. It enhances GABA activity to produce sedative, anxiolytic, anticonvulsant, and muscle relaxant effects.
Uses
- Anxiety disorders
- Muscle spasms
- Seizure disorders
- Alcohol withdrawal
- Pre-procedural sedation
Dosage
Anxiety: 2-10mg, 2-4 times daily. Muscle Spasm: 2-10mg, 3-4 times daily. Elderly: 2-2.5mg, 1-2 times daily.
Side Effects
Common: Drowsiness, fatigue, muscle weakness, ataxia
Serious: Respiratory depression, paradoxical reactions, dependence
Precautions
- Black Box Warning: Risk with concurrent opioid use
- Long half-life (20-100 hours) — effects accumulate
- Taper gradually when discontinuing
- Avoid in severe hepatic insufficiency
How long does Valium stay in your system?
Half-life of 20-100 hours. Can be detected in urine up to 6 weeks after the last dose.