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Diazepam is a prescription medication in the benzodiazepine class, commonly used to treat anxiety disorders, muscle spasms, seizure disorders, and alcohol withdrawal symptoms. It may also be prescribed for short-term relief of severe anxiety or as a sedative before medical procedures. Diazepam works by enhancing the effects of GABA, a neurotransmitter that slows activity in the brain and nervous system, producing a calming and relaxing effect.

The appropriate dosage of diazepam varies depending on the condition being treated, patient age, and overall health status. For anxiety, typical adult doses range from 2 mg to 10 mg taken 2–4 times daily. For muscle spasms, doses may range from 2 mg to 10 mg taken 3–4 times daily. Diazepam should be taken exactly as prescribed, and doses should not be increased or stopped suddenly, as abrupt discontinuation can cause withdrawal symptoms, including seizures.

Common side effects of diazepam include drowsiness, fatigue, dizziness, muscle weakness, impaired coordination, and memory problems. Some individuals may experience confusion, depression, or changes in appetite. Serious side effects can include slow or shallow breathing, severe sedation, hallucinations, or allergic reactions, which require immediate medical attention.

There are important warnings associated with diazepam use. It carries boxed warnings for dependence, abuse, and withdrawal reactions, which can be life-threatening if the medication is misused or stopped abruptly. Combining diazepam with alcohol, opioids, or other central nervous system depressants greatly increases the risk of respiratory depression, coma, or death. Diazepam should be used cautiously in individuals with liver disease, respiratory disorders, or a history of substance abuse. Pregnant or breastfeeding individuals should only use diazepam under close medical supervision, and regular monitoring by a healthcare provider is essential for safe and effective treatment.