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Valium is a controlled substance and should never be taken without a prescription. Using it without medical supervision can be unsafe because the medication affects the central nervous system. Potential effects include reduced anxiety, calmer mood, muscle relaxation, and sedation. While these effects may seem beneficial, unsupervised use increases the likelihood of adverse reactions, dependence, and overdose.

Risks include impaired coordination, slowed breathing, confusion, and memory problems. Valium interacts dangerously with alcohol, opioids, and sedatives, increasing the risk of life-threatening respiratory depression. In individuals with underlying medical conditions—such as lung disease, liver impairment, or sleep disorders—the risks become even higher.