1. What is Valium, and what is it used for?
Valium contains as active substance diazepam, which belongs to the group of medicines called benzodiazepines.
Diazepam has calming, sedative, muscle relaxant, and anticonvulsant effects.
Doctors prescribe Valium to people with symptoms of anxiety, agitation, and psychic tension caused by psychoneurotic states and transient situational disorders. Benzodiazepines are only indicated for the treatment of an emotional disease that limits their activity or subjects them to a situation of significant stress.
It may also be useful for the relief of symptoms of acute agitation, tremor, and hallucinations in patients with alcohol withdrawal syndrome.
Valium contributes to the relief of muscle pain caused by spasms or inflammation of muscles or joints, traumas, etc. It can also be used to combat spasms caused by diseases such as cerebral palsy (a group of disorders that affect a person’s ability to move, maintain balance and posture) and paraplegia (paralysis of the lower half of the body, which affects both legs ), as well as athetosis (continuous, involuntary, slow and extravagant movements of fingers and hands) and in the generalized stiffness syndrome.
Valium can be used as an adjunctive treatment (treatment that is given after the primary surgery to increase the chances of a cure) of seizure disorders (such as epilepsy, seizures). Still, it has not been proven useful as a single treatment. In these cases, your doctor will periodically evaluate the usefulness of the medication for your case.
2. What you need to know before taking Valium
Do not take Valium
- If you’re allergic to the active substance or any of the different ingredients of this medication (listed in section 6).
- If you are allergic (hypersensitive) to other medications in the benzodiazepine group
- If you suffer from breathing difficulties related or not to sleep for a long time
- If you suffer from a disease called myasthenia gravis, which is characterized by weakness and muscle fatigue
- If you suffer from severe respiratory problems (Severe respiratory failure).
- If you have severe liver problems (acute liver failure).
- If you suffer from drug or alcohol dependence, you should not take Valium, unless your doctor tells you to.
This medication is not recommended for the primary treatment of psychotic disorders (severe mental disorders that cause abnormal ideas and perceptions), nor should it be used as the sole treatment in patients with depression, alone or associated with anxiety. Your doctor will probably have prescribed another medication for these cases.
Do not use this medicine in children under six months of age.
Warnings and precautions
Consult your doctor or pharmacist before taking Valium.
- If you have liver or kidney disease
- If you have breathing difficulties
- If you suffer from severe muscle weakness
- If you suffer from other diseases
- If you have allergies
- If you have drug or alcohol dependence problems
- If you are taking other medications
Your doctor will decide whether to take a lower dose of Valium or not at all.
If you have epilepsy and you are following long-term treatment with Valium, the use of the benzodiazepine antagonist Anexate (flumazenil) is not recommended to reverse the effect of Valium, since seizures may occur.
Taking Valium with other medications
Tell your doctor or apothecary if you’re mistreatment, have recently used or might need to use the other medicines. This is extremely important because the simultaneous use of more than one medication can increase or decrease its effect.
Therefore, you should not take Valium with other medications unless your doctor is informed and approves it in advance. For example, tranquilizers, sleep inducers, and similar drugs act on the brain and nerves and can reinforce the effect of Valium.
Cisapride, cimetidine, ketoconazole, fluvoxamine, fluoxetine, and omeprazole temporarily increase the sedative effect of Valium, which increases the risk of drowsiness.
Also, the metabolism of phenytoin can be affected if you are taking Valium; therefore, if you are taking this medicine, your doctor will adjust the doses of them.
If you need more information about this, check with your doctor or pharmacist.
Taking Valium with food and drinks
Alcoholic beverages increase the sedative effects of Valium, so avoid using alcoholic beverages during treatment. If you need additional information, consult your doctor.
The use of benzodiazepines can lead to dependence. This occurs mainly after taking the medication continuously for a long time. To minimize the risk of dependency, these precautions should be taken into account:
The taking of benzodiazepines will be done only under medical prescription (never because they have resulted in other patients), and never advise them to other people.
Do not increase the doses prescribed by your doctor at all, or prolong the treatment longer than recommended.
Consult your doctor frequently to decide if you ought to continue treatment.
Pregnancy and breastfeeding
Consult your doctor or pharmacist before taking any medicine.
Before starting treatment, your doctor should know if you are or suspect you are pregnant or if you want to be pregnant. The doctor will then decide whether or not to take Valium.
Benzodiazepines pass into breast milk, so you should consult your doctor about taking or not taking Valium while you are breastfeeding.
Driving and using machines
Do not drive or operate tools or machines because this medication can cause sedation, amnesia, difficulty concentrating, and muscle weakness, which can adversely affect the ability to drive vehicles or operate machinery. This effect is increased if you have also consumed alcohol.
Use in the elderly
The elderly may need lower doses of Valium than young patients. If you’re senior, your doctor could inflict a lower dose and check your response to treatment. Please follow your doctor’s directions rigorously.
Valium contains lactose
This medication includes disaccharide. If your doctor has told you that you have AN intolerance to bound sugars, confer with him before taking this medication.
3. How to take Valium
Follow precisely the directions of the administration of these drugs indicated by your doctor. If doubtful, consult back to your doctor or druggist.
Depending on the nature of your illness, your age, and weight, your doctor will prescribe the most appropriate dose and will indicate the duration of your treatment with Valium.
Remember to take your medicine.
Follow these instructions unless your doctor has given you different instructions:
- Anxiety symptoms: 2 to 10 mg, 2 to 4 times a day, depending on the severity of the symptoms.
- Symptomatic relief in acute alcohol deprivation: 10 mg, 3 or 4 times during the first 24 hours, reducing to 5 mg 3 or 4 times a day, as needed.
- Adjuvant for relieving spasm muscle-skeletal: 2 to 10 mg 3 or 4 times a day.
- Coadjuvant in anticonvulsant therapy: 2 to 10 mg, 2 or 4 times a day.
Use in children: 2 to 2.5 mg, 1 or 2 times a day, gradually increasing according to needs and tolerance; as a rule 0.1-0.3 mg/kg day. Due to the variety of children’s responses to medications that act on the CNS, treatment with the lowest dose should be initiated and increased as required. Do not use in children under six months of age.
In the elderly or the presence of debilitating diseases: 2 to 2.5 mg, 1 or 2 times a day, then gradually increasing, according to need and tolerance.
Treatment should begin with the lowest dose. Do not exceed the maximum dose.
If you think that Valium’s action is too strong or weak, tell your doctor or pharmacist.
In elderly patients or patients with liver or kidney disorders or muscle weakness, in children, in weakened patients or those with a low serum albumin level, the doctor will prescribe a lower dose.
Rules for the proper administration
Do not increase, at all, the doses prescribed by the doctor.
Each dose should not exceed the indicated limits and the total daily dose, either unless your doctor prescribes a higher treatment.
Valium tablets should be taken without chewing, with a little water or a non-alcoholic beverage.
The tablets will be taken at the most necessary hours, usually in the afternoon or evening.
Never change the prescribed dose yourself.
The duration of treatment should be as short as possible and never exceed 2-3 months. Consult your doctor regularly to decide if treatment should be continued.
Do not prolong the treatment longer than recommended.
To avoid withdrawal symptoms, you should not stop taking Valium abruptly, especially if you have been taking it for a long time.
If you take more Valium which deb e
If you or someone else has taken an overdose of Valium, call your doctor, pharmacist, or the nearest hospital immediately.
In case of overdose or accidental ingestion, consult the Toxicological Information Service, Telephone (91) 562.04.20.
If you forget to take Valium
Do not take a double dose or overdose to make up for forgotten doses. On the contrary, you should continue with normal treatment.
If you stop taking Valium
When the administration ceases, restlessness, anxiety, insomnia, lack of concentration, headache, and hot flashes may occur. It is not recommended, in general, abruptly discontinue the medication but gradually reduce the dose, according to the doctor’s instructions.
If you’ve got to any extent further questions on the employment of these drugs, raise your doctor or pill pusher.
4. Possible side effects
Like all medicines, this medication will cause facet effects, though no person gets them.
If you believe that any of the adverse effects you suffer are severe or if you notice any adverse effects not mentioned in this leaflet, tell your doctor or pharmacist.
The majority of patients tolerate Valium well, but the most common adverse effects, which occur especially at the beginning of treatment, are tiredness and drowsiness.
Occasionally other adverse effects such as confusion, deterioration of alertness, loss of sensation, constipation, depression, diplopia (double vision), ataxia (inability to coordinate voluntary muscle movements), difficulty articulating words, disturbances have been described digestive, heart rhythm disturbance, headache, hypotension, circulatory disturbances, increase or decrease in libido (sexual appetite), nausea, dry mouth or hypersalivation (exaggerated salivary secretion), incontinence or urinary retention, rashes, babble, tremor, vertigo, and blurred vision. The most frequent skin reactions are rash (inflammation of the skin), hives (reddish hives), and pruritus (tingling or uncomfortable irritation of the skin that causes the desire to scratch the affected area).
Very rarely, an increase in transaminases and alkaline phosphatase, jaundice (yellowing of the skin and eyes), as well as cardiac arrest, has been reported.
An increased risk of falls and fractures has been observed in elderly patients and in patients who are taking other sedative medications at the same time (including alcoholic beverages).
It is known that when benzodiazepines are used, adverse behavioral effects such as restlessness, agitation, irritability, delirium (incoherence of ideas), attacks of anger, aggressiveness, nightmares, hallucinations, psychosis (loss of contact with reality) or misconduct. These reactions are more frequent in the elderly and children. If these effects occur, you should stop the treatment and contact your doctor immediately.
On the other hand, the use of benzodiazepines can lead to dependence, especially when the medication is taken continuously for a long time. It is not recommended, in general, abruptly discontinue the drug, always according to the doctor’s instructions.
Anterograde amnesia (difficulty remembering recent events) may appear at normal doses, the risk increases when the dose is increased. Amnesic effects may be associated with behavioral disorders
If any other reaction not described in this leaflet is observed, consult your doctor or pharmacist.
Adverse Effects Communication
If you experience any adverse effect, consult your doctor or pharmacist, even if these are possible side effects that do not appear in this leaflet. You can also communicate them directly through the Spanish Pharmacovigilance System for Medicinal Products for Human Use. By communicating adverse effects, you can contribute to providing more information about the safety of this medicine.
5. Conservation of Valium
Keep these drugs out of sight and reach of kids.
Do not use these drugs when the expiration date seems on the package after CAD. The expiration date is that the Judgment Day of the month indicated.
Medications should not be disposed of through drains or trash. Deposit the containers and drugs you don’t need at the SIGRE Point of the pharmacy. Ask your pharmacist how to dispose of containers and medications that you no longer need. Through this process, you will help to protect the environment.
6. Contents of the package and additional information
- The active substance is diazepam. Each tablet contains 10 mg of diazepam
- The other ingredients are lactose monohydrate, corn starch, magnesium stearate, and indigotin blue (E-132).
The appearance of the product and contents of the package
The tablets are cylindrical, with the inscription “Roche 10” on one side and grooved on the other, pale blue.