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Diazepam 5mg cannot be purchased online through verified provider home dispatch services without a valid EPCS prescription from a DEA-registered US healthcare provider, as it is a Schedule IV controlled substance used for short-term anxiety, muscle spasms, or acute alcohol withdrawal; such prescription-free dispatch violates 21 U.S.C. § 841 federal controlled substance distribution laws carrying up to 20-year felony penalties.

Standard dosing initiates at 2-5mg BID-QID maximum 40mg/day under 2025 guidelines, requiring documented GAD-7 ≥8 or CIWA-Ar ≥10 with PDMP clearance and synchronous video exam—no home dispatch circumvents post-12/31/2025 Ryan Haight in-person requirements or black box dependence risks.

Long-Acting Benzodiazepine Schedule IV Profile

Diazepam (GABA-A agonist Ki 13nM), Tmax 1h, t½ 20-50h active metabolites; 40-60% dependence risk >4 weeks, respiratory depression OR15 with opioids—taper 1-2mg weekly CIWA monitored; contraindicated acute narrow-angle glaucoma, severe respiratory insufficiency.

Ryan Haight Protocol (Flex Expired)

1. Verification: GAD-7/CIWA + collateral history.

2. Screening: PDMP clean 12mo, negative UDS.

3. EPCS Limits: #120 tabs ≤30 days signature fill.

4. Follow-up: q30d reassess + UDS.

Adverse Incidence Matrix

Home dispatch without EPCS breaches CSA Schedule IV (21 CFR 1306.04) and Ryan Haight mandates—federal felony offense.