Diazepam

Diazepam Brand Names

Diastat | Dizac | Valium | VALTOCO

What is Diazepam

Diazepam is an oral, nasal, parenteral, or rectal long-acting benzodiazepine indicated for anxiety, acute alcohol withdrawal, skeletal muscle spasm, and seizure disorders, including status epilepticus.

Diazepam may be used adjunctively for skeletal muscle spasms and seizure disorders; it has not been proven useful as sole therapy in epilepsy.

As an adjunct or premedication before procedures like surgery or endoscopy, diazepam may relieve apprehension or acute stress and diminish patient recall of the procedure.

Like with other benzodiazepines, concomitant use of diazepam with opioids may result in profound sedation, respiratory depression, coma, and death.

Indications

  1. acute repetitive seizures
  2. alcohol withdrawal
  3. amnesia induction
  4. anxiety
  5. benzodiazepine withdrawal
  6. chloroquine overdose
  7. insomnia
  8. muscle spasm
  9. partial seizures
  10. procedural sedation
  11. status epilepticus
  12. tetanus
  13. tonic-clonic seizures

For the treatment of anxiety disorders or for the short-term relief of the symptoms of anxiety

Side Effects

  1. abdominal pain
  2. agitation
  3. amnesia
  4. anemia
  5. anorexia
  6. anxiety
  7. apnea
  8. appetite stimulation
  9. ataxia
  10. blurred vision
  11. bone fractures
  12. bradycardia
  13. cardiac arrest
  14. chest pain (unspecified)
  15. confusion
  16. constipation
  17. cough
  18. depression
  19. diaphoresis
  20. diarrhea
  21. diplopia
  22. dizziness
  23. drowsiness
  24. dysarthria
  25. dysgeusia
  26. dyspnea
  27. elevated hepatic enzymes
  28. emotional lability
  29. epistaxis
  30. euphoria
  31. fatigue
  32. hallucinations
  33. headache
  34. hiccups
  35. hyperkinesis
  36. hypersalivation
  37. hyperventilation
  38. hypotension
  39. infection
  40. injection site reaction
  41. insomnia
  42. irritability
  43. jaundice
  44. laryngospasm
  45. libido decrease
  46. libido increase
  47. lymphadenopathy
  48. mania
  49. memory impairment
  50. menstrual irregularity
  51. myasthenia
  52. mydriasis
  53. nasal congestion
  54. nasal irritation
  55. nausea
  56. neutropenia
  57. nightmares
  58. nystagmus
  59. peripheral vasodilation
  60. phlebitis
  61. physiological dependence
  62. pruritus
  63. psychological dependence
  64. rash
  65. respiratory depression
  66. restlessness
  67. rhinitis
  68. seizures
  69. syncope
  70. thrombosis
  71. tolerance
  72. tremor
  73. urinary incontinence
  74. urinary retention
  75. urticaria
  76. vertigo
  77. vomiting
  78. weight gain
  79. weight loss
  80. withdrawal
  81. xerostomia

Monitoring Parameters

  • CBC
  • LFTs

Contraindications

  • abrupt discontinuation
  • asthma
  • breast-feeding
  • children
  • closed-angle glaucoma
  • CNS depression
  • coadministration with other CNS depressants
  • coma
  • dementia
  • depression
  • driving or operating machinery
  • ethanol ingestion
  • ethanol intoxication
  • extravasation
  • geriatric
  • hepatic disease
  • infants
  • intraarterial administration
  • labor
  • myasthenia gravis
  • neonates
  • neutropenia
  • obstetric delivery
  • pregnancy
  • psychosis
  • pulmonary disease
  • renal disease
  • renal failure
  • renal impairment
  • respiratory depression
  • respiratory insufficiency
  • seizure disorder
  • shock
  • sleep apnea
  • status epilepticus
  • suicidal ideation

Interactions

  • Acetaminophen; Aspirin, ASA; Caffeine
  • Acetaminophen; Butalbital
  • Acetaminophen; Butalbital; Caffeine
  • Acetaminophen; Butalbital; Caffeine; Codeine
  • Acetaminophen; Caffeine
  • Acetaminophen; Caffeine; Dihydrocodeine
  • Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
  • Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
  • Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine
  • Acetaminophen; Chlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine
  • Acetaminophen; Codeine
  • Acetaminophen; Dextromethorphan; Doxylamine
  • Acetaminophen; Dextromethorphan; Guaifenesin; Phenylephrine
  • Acetaminophen; Dextromethorphan; Phenylephrine
  • Acetaminophen; Dichloralphenazone; Isometheptene
  • Acetaminophen; Diphenhydramine
  • Acetaminophen; Guaifenesin; Phenylephrine
  • Acetaminophen; Hydrocodone
  • Acetaminophen; Oxycodone
  • Acetaminophen; Pentazocine
  • Acetaminophen; Propoxyphene
  • Acetaminophen; Tramadol
  • Acrivastine; Pseudoephedrine
  • Aldesleukin, IL-2
  • Alfentanil
  • Alprazolam
  • Aluminum Hydroxide
  • Aluminum Hydroxide; Magnesium Carbonate
  • Aluminum Hydroxide; Magnesium Hydroxide
  • Aluminum Hydroxide; Magnesium Hydroxide; Simethicone
  • Aluminum Hydroxide; Magnesium Trisilicate
  • Amiodarone
  • Amobarbital
  • Amoxapine
  • Amoxicillin; Clarithromycin; Lansoprazole
  • Amoxicillin; Clarithromycin; Omeprazole
  • Amphetamine; Dextroamphetamine Salts
  • Antacids
  • Apalutamide
  • Apomorphine
  • Apraclonidine
  • Aprepitant, Fosaprepitant
  • Aripiprazole
  • Armodafinil
  • Asenapine
  • Aspirin, ASA; Butalbital; Caffeine
  • Aspirin, ASA; Butalbital; Caffeine; Codeine
  • Aspirin, ASA; Caffeine; Dihydrocodeine
  • Aspirin, ASA; Caffeine; Orphenadrine
  • Aspirin, ASA; Carisoprodol; Codeine
  • Aspirin, ASA; Citric Acid; Sodium Bicarbonate
  • Aspirin, ASA; Omeprazole
  • Aspirin, ASA; Oxycodone
  • Atazanavir; Cobicistat
  • Atracurium
  • Atropine; Difenoxin
  • Atropine; Diphenoxylate
  • Atropine; Hyoscyamine; Phenobarbital; Scopolamine
  • Azelastine
  • Azelastine; Fluticasone
  • Bacitracin
  • Barbiturates
  • Belladonna Alkaloids; Ergotamine; Phenobarbital
  • Belladonna; Opium
  • Benzhydrocodone; Acetaminophen
  • Benztropine
  • Boceprevir
  • Bosentan
  • Brimonidine
  • Brimonidine; Brinzolamide
  • Brimonidine; Timolol
  • Brompheniramine
  • Brompheniramine; Carbetapentane; Phenylephrine
  • Brompheniramine; Dextromethorphan; Guaifenesin
  • Brompheniramine; Guaifenesin; Hydrocodone
  • Brompheniramine; Hydrocodone; Pseudoephedrine
  • Brompheniramine; Pseudoephedrine
  • Buprenorphine
  • Buprenorphine; Naloxone
  • Buspirone
  • Butabarbital
  • Butorphanol
  • Caffeine
  • Caffeine; Ergotamine
  • Calcium Carbonate
  • Calcium Carbonate; Magnesium Hydroxide
  • Calcium Carbonate; Risedronate
  • Calcium Carbonate; Simethicone
  • Cannabidiol
  • Carbamazepine
  • Carbetapentane; Chlorpheniramine
  • Carbetapentane; Chlorpheniramine; Phenylephrine
  • Carbetapentane; Diphenhydramine; Phenylephrine
  • Carbetapentane; Guaifenesin
  • Carbetapentane; Guaifenesin; Phenylephrine
  • Carbetapentane; Phenylephrine
  • Carbetapentane; Phenylephrine; Pyrilamine
  • Carbetapentane; Pseudoephedrine
  • Carbetapentane; Pyrilamine
  • Carbinoxamine
  • Carbinoxamine; Dextromethorphan; Pseudoephedrine
  • Carbinoxamine; Hydrocodone; Phenylephrine
  • Carbinoxamine; Hydrocodone; Pseudoephedrine
  • Carbinoxamine; Phenylephrine
  • Carbinoxamine; Pseudoephedrine
  • Cariprazine
  • Cenobamate
  • Ceritinib
  • Cetirizine
  • Cetirizine; Pseudoephedrine
  • Chlophedianol; Dexbrompheniramine
  • Chlophedianol; Dexchlorpheniramine; Pseudoephedrine
  • Chlophedianol; Guaifenesin; Phenylephrine
  • Chlorcyclizine
  • Chlorpheniramine
  • Chlorpheniramine; Codeine
  • Chlorpheniramine; Dextromethorphan
  • Chlorpheniramine; Dextromethorphan; Phenylephrine
  • Chlorpheniramine; Dihydrocodeine; Phenylephrine
  • Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
  • Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Hydrocodone
  • Chlorpheniramine; Hydrocodone; Phenylephrine
  • Chlorpheniramine; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Phenylephrine
  • Chlorpheniramine; Pseudoephedrine
  • Chlorthalidone; Clonidine
  • Cimetidine
  • Ciprofloxacin
  • Cisapride
  • Cisatracurium
  • Citalopram
  • Clarithromycin
  • Clemastine
  • Clobazam
  • Clonidine
  • Clozapine
  • Cobicistat
  • Codeine
  • Codeine; Guaifenesin
  • Codeine; Phenylephrine; Promethazine
  • Codeine; Promethazine
  • Colchicine; Probenecid
  • Colesevelam
  • COMT inhibitors
  • Conivaptan
  • Crizotinib
  • Cyclizine
  • Cyproheptadine
  • Dalfopristin; Quinupristin
  • Danazol
  • Darunavir; Cobicistat
  • Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
  • Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir
  • Delavirdine
  • Desflurane
  • Deutetrabenazine
  • Dexchlorpheniramine
  • Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Dexmedetomidine
  • Dextromethorphan; Diphenhydramine; Phenylephrine
  • Dextromethorphan; Guaifenesin; Phenylephrine
  • Dicyclomine
  • Digoxin
  • Dihydrocodeine; Guaifenesin; Pseudoephedrine
  • Diltiazem
  • Dimenhydrinate
  • Diphenhydramine
  • Diphenhydramine; Hydrocodone; Phenylephrine
  • Diphenhydramine; Ibuprofen
  • Diphenhydramine; Naproxen
  • Diphenhydramine; Phenylephrine
  • Disulfiram
  • Doxacurium
  • Doxylamine
  • Doxylamine; Pyridoxine
  • Dronabinol
  • Dronedarone
  • Droperidol
  • Drospirenone; Ethinyl Estradiol
  • Drospirenone; Ethinyl Estradiol; Levomefolate
  • Efavirenz
  • Efavirenz; Emtricitabine; Tenofovir
  • Efavirenz; Lamivudine; Tenofovir Disoproxil Fumarate
  • Elagolix
  • Elbasvir; Grazoprevir
  • Elexacaftor; tezacaftor; ivacaftor
  • Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
  • Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Disoproxil Fumarate
  • Enflurane
  • Enzalutamide
  • Erythromycin
  • Erythromycin; Sulfisoxazole
  • Escitalopram
  • Esketamine
  • Esomeprazole
  • Esomeprazole; Naproxen
  • Eszopiclone
  • Ethanol
  • Ethinyl Estradiol
  • Ethinyl Estradiol; Desogestrel
  • Ethinyl Estradiol; Ethynodiol Diacetate
  • Ethinyl Estradiol; Etonogestrel
  • Ethinyl Estradiol; Levonorgestrel
  • Ethinyl Estradiol; Levonorgestrel; Ferrous bisglycinate
  • Ethinyl Estradiol; Levonorgestrel; Folic Acid; Levomefolate
  • Ethinyl Estradiol; Norelgestromin
  • Ethinyl Estradiol; Norethindrone
  • Ethinyl Estradiol; Norethindrone Acetate
  • Ethinyl Estradiol; Norethindrone Acetate; Ferrous fumarate
  • Ethinyl Estradiol; Norethindrone; Ferrous fumarate
  • Ethinyl Estradiol; Norgestimate
  • Ethinyl Estradiol; Norgestrel
  • Ethotoin
  • Etomidate
  • Etravirine
  • Fedratinib
  • Fenofibric Acid
  • Fentanyl
  • Fluconazole
  • Flumazenil
  • Fluoxetine
  • Fluoxetine; Olanzapine
  • Fluvoxamine
  • food
  • Fosphenytoin
  • Fospropofol
  • Gabapentin
  • General anesthetics
  • grapefruit juice
  • Green Tea
  • Guaifenesin; Hydrocodone
  • Guaifenesin; Hydrocodone; Pseudoephedrine
  • Guaifenesin; Phenylephrine
  • Guanabenz
  • Guanfacine
  • Haloperidol
  • Halothane
  • Homatropine; Hydrocodone
  • Hydrochlorothiazide, HCTZ; Methyldopa
  • Hydrocodone
  • Hydrocodone; Ibuprofen
  • Hydrocodone; Phenylephrine
  • Hydrocodone; Potassium Guaiacolsulfonate
  • Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
  • Hydrocodone; Pseudoephedrine
  • Hydromorphone
  • Hydroxychloroquine
  • Hydroxyzine
  • Ibuprofen; Oxycodone
  • Idelalisib
  • Iloperidone
  • Imatinib
  • Isavuconazonium
  • Isoflurane
  • Isoniazid, INH
  • Isoniazid, INH; Pyrazinamide, PZA; Rifampin
  • Isoniazid, INH; Rifampin
  • Itraconazole
  • Ivacaftor
  • Ketamine
  • Ketoconazole
  • Lasmiditan
  • Letermovir
  • Levocetirizine
  • Levomethadyl
  • Levomilnacipran
  • Levorphanol
  • Lisdexamfetamine
  • Lithium
  • Lofexidine
  • Luliconazole
  • Lumacaftor; Ivacaftor
  • Lumacaftor; Ivacaftor
  • Lumateperone
  • Lurasidone
  • Magnesium Hydroxide
  • Magnesium Salts
  • Maprotiline
  • Meclizine
  • Mefloquine
  • Mepenzolate
  • Meperidine
  • Meperidine; Promethazine
  • Mephobarbital
  • Meprobamate
  • Mestranol; Norethindrone
  • Methadone
  • Methocarbamol
  • Methohexital
  • Methscopolamine
  • Methyldopa
  • Metoclopramide
  • Metyrapone
  • Metyrosine
  • Milnacipran
  • Minocycline
  • Mirtazapine
  • Mitotane
  • Mivacurium
  • Modafinil
  • Molindone
  • Monoamine oxidase inhibitors
  • Morphine
  • Morphine; Naltrexone
  • Nabilone
  • Nalbuphine
  • Nefazodone
  • Neuromuscular blockers
  • Nevirapine
  • Nicardipine
  • Nitroglycerin
  • Olanzapine
  • Ombitasvir; Paritaprevir; Ritonavir
  • Ombitasvir; Paritaprevir; Ritonavir
  • Omeprazole
  • Omeprazole; Amoxicillin; Rifabutin
  • Omeprazole; Sodium Bicarbonate
  • Oritavancin
  • Oxybutynin
  • Oxycodone
  • Oxymorphone
  • Paliperidone
  • Pancuronium
  • Papaverine
  • Pazopanib
  • Pemoline
  • Pentazocine
  • Pentazocine; Naloxone
  • Pentobarbital
  • Perampanel
  • Phenobarbital
  • Phenothiazines
  • Phentermine; Topiramate
  • Phenylephrine
  • Phenylephrine; Promethazine
  • Phenytoin
  • Pimozide
  • Posaconazole
  • Pramipexole
  • Prasterone, Dehydroepiandrosterone, DHEA (Dietary Supplements)
  • Prasterone, Dehydroepiandrosterone, DHEA (FDA-approved)
  • Pregabalin
  • Primidone
  • Probenecid
  • Procarbazine
  • Propofol
  • Propoxyphene
  • Protease inhibitors
  • Quetiapine
  • Ramelteon
  • Ranolazine
  • Rapacuronium
  • Rasagiline
  • Remifentanil
  • Ribociclib
  • Ribociclib; Letrozole
  • Rifabutin
  • Rifampin
  • Rifapentine
  • Risperidone
  • Rocuronium
  • Ropinirole
  • Rotigotine
  • Rucaparib
  • Safinamide
  • Scopolamine
  • Secobarbital
  • Sedating H1-blockers
  • Segesterone Acetate; Ethinyl Estradiol
  • Sevoflurane
  • Simeprevir
  • Sincalide
  • Skeletal Muscle Relaxants
  • Sodium Bicarbonate
  • Sodium Oxybate
  • St. John’s Wort, Hypericum perforatum
  • Streptogramins
  • Succinylcholine
  • Sufentanil
  • Suvorexant
  • Tacrine
  • Tapentadol
  • Teduglutide
  • Telaprevir
  • Telithromycin
  • Telotristat Ethyl
  • Tetrabenazine
  • Tezacaftor; Ivacaftor
  • Thalidomide
  • Theophylline, Aminophylline
  • Thiopental
  • Thiothixene
  • Tiagabine
  • Tizanidine
  • Topiramate
  • Tramadol
  • Trandolapril; Verapamil
  • Trazodone
  • Tricyclic antidepressants
  • Trihexyphenidyl
  • Trimethobenzamide
  • Triprolidine
  • Tubocurarine
  • Valdecoxib
  • Valerian, Valeriana officinalis
  • Valproic Acid, Divalproex Sodium
  • Vecuronium
  • Vemurafenib
  • Verapamil
  • Vigabatrin
  • Vilazodone
  • Voriconazole
  • Zafirlukast
  • Zaleplon
  • Zileuton
  • Ziprasidone
  • Zolpidem
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