What is a Valium (Diazepam)?

Valium (diazepam) is a drug that treats muscle spasms, anxiety, and withdrawal symptoms. In some instances, it’s recommended by medical professionals to take other medications in order to reduce the risk of seizures. Physicians usually recommend to chew it every 2 to 4 hours every day.

Valium (diazepam) is a drug within the benzodiazepine family. Valium’s long-lasting effects on the human body and stays in the body for a long period.

The dosage of Valium up to 4 times daily even though everyday use of this powerful benzo is likely to accelerate the growth of withdrawal, tolerance, and physical dependence. Withdrawal and tolerance are the indicators of addiction, and dependency can lead to dependence.

What are the Uses of Valium?

Valium (diazepam) is used to treat several medical conditions, including:

  1. Anxiety disorders Valium is commonly prescribed for short-term relief of symptoms associated with anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder.
  2. Insomnia Valium can be used to treat insomnia and promote sleep, particularly in cases where anxiety or muscle spasms are contributing factors.
  3. Alcohol withdrawal Valium is often used to manage symptoms of alcohol withdrawal, such as tremors, agitation, and seizures, as it can help prevent or reduce the severity of these symptoms.
  4. Muscle spasms and spasticity Valium is used to relieve muscle spasms and spasticity caused by conditions like multiple sclerosis, cerebral palsy, and spinal cord injuries.
  5. Seizure disorders Valium can be used as an adjunctive therapy (in addition to other anticonvulsant medications) to control certain types of seizures, particularly those associated with alcohol withdrawal or acute repetitive seizures.

What are the Benefits of the Valium?

Here are some of the key benefits of Valium (diazepam):

  1. Relieves anxiety and promotes relaxation As a benzodiazepine, Valium enhances the effects of GABA, a calming neurotransmitter in the brain. This can help reduce symptoms of anxiety disorders, such as excessive worry, restlessness, and panic attacks.
  2. Aids in sleep Valium’s sedative effects can help induce sleep and improve sleep quality, making it useful for treating insomnia, especially when related to anxiety.
  3. Manages alcohol withdrawal symptoms. Valium can help prevent or reduce the severity of symptoms during alcohol withdrawal, such as tremors, agitation, seizures, and delirium tremens.
  4. Provides muscle relaxation Valium has muscle-relaxing properties that can help alleviate muscle spasms, spasticity, and involuntary muscle contractions associated with conditions like multiple sclerosis, cerebral palsy, and spinal cord injuries.
  5. Controls seizures As an adjunctive therapy, Valium can help control certain types of seizures, particularly those related to alcohol withdrawal or acute repetitive seizures.
  6. Offers preoperative sedation Valium’s sedative effects make it useful for calming patients before surgical procedures and reducing preoperative anxiety.

What are the Side Effects of Valium?

Valium (diazepam) can cause several side effects, including:

Drowsiness and sedation: One of the most commonly reported adverse effects of the drug is excessive drowsiness or fatigue, and also the effects of sedation. These can affect coordination and raise the chance of accidents or falls.

Dizziness and impaired coordination: Valium may cause dizziness, vertigo, and lack of coordination. This makes it hard to complete tasks that require attention and motor skills.

Confusion and memory problems: The drug may cause confusion, disorientation, and issues with memory and concentration, Particularly in older people.

Respiratory depression: When taken in high doses or combination with other central nervous system stimulants, Valium can cause breathing to slow, which can cause respiratory depression.

Dependence and withdrawal symptoms: Long-term usage of Valium may result in psychological and physical dependence. A sudden stoppage can trigger withdrawal-related symptoms like seizures and insomnia, as well as anxiety, tremors, and insomnia.

Muscle weakness: Valium may cause weakness in muscles as well as a decrease in muscles, which could make it more likely for falls as well as accidents.

Constipation and dry mouth: The drug can trigger digestive side effects such as constipation as well as dry mouth and an increase in appetite.

Blurred vision: Certain patients might suffer from blurred vision or double vision if they take Valium.

How to Use the Valium?

Here are some guidelines for using Valium (diazepam) properly:

  1. Follow your doctor’s instructions carefully regarding dosage and duration of use. Do not take more or less than prescribed.
  2. Valium typically comes in tablet or liquid form for oral administration. Swallow the tablets whole with a glass of water.
  3. It can be taken with or without food, but taking it with food may help reduce stomach upset.
  4. Try to take Valium at the same time(s) each day to maintain consistent levels in your body.
  5. Valium should be taken only for short periods, usually 2-4 weeks or less. Long-term use increases the risk of dependence.
  6. Never stop taking Valium abruptly after extended use. Your doctor will provide a tapering schedule to reduce the dose and minimize withdrawal effects slowly.
  7. Avoid drinking alcohol while taking Valium, as it can increase sedation and respiratory depression.
  8. Be cautious when driving or operating machinery, as Valium can impair coordination and reaction time.
  9. Store Valium at room temperature, away from moisture, heat, and light.

How Does the Valium Work?

Valium (diazepam) is a drug that enhances the effect of gamma-aminobutyric acid (GABA), which acts as an inhibitory neurotransmitter found in the brain. For a better explanation of the way Valium functions:

GABA receptors: Valium is a binder to certain GABA receptors (GABA-A receptors) found on the surface of brain neurons and the spinal cord. The receptors play a role in controlling the excitability of neurons.

Increasing GABA activity: Through binding to the GABA-A receptors, Valium increases the capacity of GABA to attach to the receptors and enhance the inhibitory effect of GABA on neurons.

Neuron inhibition: If GABA activity rises, this causes an increased influx of chloride-ion particles into the neurons, which causes the neurons to be hyperpolarized or less excitable. This reduces the activity of the neurons.

Widespread effects: GABA-A receptors are distributed across the brain’s central nervous system which includes brain regions that control anxiety and sleep, as well as muscle tone, seizures as well as other tasks.

Anxiety reduction: Inhibiting the neuronal activity located in certain brain regions like the amygdala as well as the limbic system, Valium reduces the symptoms of anxiety. It also promotes relaxation.

Sedation and sleep: The effects of inhibition Valium on specific brain regions such as the reticular structure, may cause sedation and aid in sleep.

Anticonvulsant effects: Through raising the threshold for seizures, Valium can help prevent or manage certain kinds of seizures by decreasing excessive neuronal excitability.

Muscle relaxation: Valium also blocks the transmission of signals through the spinal cord into muscles, which can cause a decrease in spasms and muscle spasms.

Safety Advice to Consider When Using Valium Medication

When taking Valium (diazepam) is crucial to adhere to the following safety guidelines:

Use as prescribed: Use Valium strictly as prescribed by your physician. Do not alter the dose or duration of the medication without consulting your doctor prior to doing so. The misuse of Valium can cause dependence, as well as other severe consequences.

Avoid Abrupt Discontinuation: Take care not to discontinue using Valium abruptly after prolonged use because this could cause serious withdrawal-related signs. Your physician will recommend the tapering program for gradually reducing the dosage.

Beware of Interactions: Valium is a drug that interacts with many other medicines, including prescription medicines, supplements, and alcohol. Be sure to inform your physician about any medications you’re taking in order to prevent potential dangers from interactions.

Avoid Alcohol: Mixing Valium and alcohol could increase the danger of breathing depression, sedation as well as other negative effects.

Monitor for Side Effects: Be mindful of possible negative side effects, like the appearance of dizziness, sleepiness, and depression in the respiratory system. Be sure to report any symptoms that are troubling you to your doctor right away.

Pregnancy and Breast-Feeding: It is recommended to use Valium in moderation during pregnancy and nursing since it could cause harm to the growing baby. Talk about the benefits and risks with your physician.

Proper Storage: Maintain Valium in the original container. Store it at room temperature and far from the reach of animals and children.

Disposal: Be sure to dispose of all unused or expired Valium according to local guidelines or by contacting a pharmacist.

What is the Dosage of Valium

The dosage of Valium (diazepam) can vary depending on the condition being treated, the age of the patient, and other individual factors. Here are some typical dosage guidelines:

Anxiety Disorders:

  • Adults: 2-10 mg, 2-4 times per day
  • Elderly/Debilitated: 2-2.5 mg, 1-2 times per day


  • Adults: 5-10 mg once daily at bedtime
  • Elderly/Debilitated: 2.5-5 mg once daily at bedtime

Alcohol Withdrawal:

  • 10 mg 3-4 times during the first 24 hours, then the dosage may be decreased
  • Muscle Spasms:
  • 2-10 mg, 3-4 times per day


  • Adults: 2-10 mg, 2-4 times per day
  • Children (for acute repetitive seizures): 0.2-0.5 mg/kg every 2-4 hours

Preoperative Sedation:

  • 10 mg the night before surgery, then 5-10 mg 1-2 hours before surgery

It’s important to note that these are general guidelines, and the actual dosage should be determined by a healthcare provider based on the individual’s age, weight, medical condition, and response to the medication.

Valium should be started at the lowest effective dose and gradually increased if needed. The maximum recommended daily dose for adults is typically 40 mg.

Drug Interaction of Valium

Valium (diazepam) may be in a relationship with a variety of drugs and other substances. This could alter the effects of its drug or raise the possibility of having adverse reactions. Below are some key interactions with drugs to be aware of:

CNS Depressants (opioids, alcohol, Barbiturates, etc.): Combining Valium with other central nervous system depressants could cause an excessive amount of sleepiness, respiratory depression, and impaired coordination. This could be fatal.

Antidepressants: Valium may interact with certain antidepressants, such as monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants, and selective serotonin. 

Antipsychotics: In combination with antipsychotic medicines, Valium may enhance the effects of sedation and also can increase the likelihood of respiratory depression.

Anticonvulsants: Certain anticonvulsants, such as phenobarbital and phenytoin, may enhance levels of Valium and reduce its effectiveness.

Antihistamines: The combination of Valium together with antihistamines, which cause an increase in sedation, may raise the chance of excessive drowsiness as well as impaired coordination.

Antibiotics: Certain antibiotics, including clarithromycin or erythromycin, may boost Valium levels within the body. It could also lead to toxic effects.

Antifungals: The use of medications such as ketoconazole or itraconazole may inhibit the metabolism of Valium which can increase the concentration and the risk of adverse negative side effects.

Cimetidine: This medicine used to treat ulcers and heartburn can block the process of Valium which can lead to higher levels, and possibly toxic effects.


Valium is a benzodiazepine drug extensively prescribed to treat insomnia, anxiety disorders, withdrawal effects from alcohol, muscle spasms, as well as certain kinds of seizures. Since it is a central nerve system depressant, it functions by increasing the effectiveness of the neurotransmitter inhibitor GABA, resulting in the relaxation of muscles, sedation, and a reduction in neuronal excitation.

Although Valium has powerful health benefits, it has the potential for side consequences such as drowsiness, dizziness, confusion, and even respiratory depression, particularly when it is used in high dosages or for long-term usage. The long-term use of Valium can result in mental and physical dependence, which is why it’s important to follow the dosage guidelines carefully and avoid abrupt stoppage.


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