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Diazepam is a prescription medication in the benzodiazepine class, commonly used to treat anxiety disorders, muscle spasms, seizures, and symptoms of alcohol withdrawal. It works by enhancing the effects of GABA, a neurotransmitter in the brain that produces a calming effect on nerve activity, helping to reduce anxiety, muscle tension, and seizure activity. Diazepam is also used as a sedative before certain medical procedures.

Dosage of diazepam depends on the condition being treated, the patient’s age, and response to therapy. For anxiety, the typical starting dose is 2–10 mg, two to four times daily, while doses for muscle spasms or seizures may vary. The maximum daily dose generally should not exceed 40 mg, but this depends on individual circumstances. Diazepam should be taken exactly as prescribed, and sudden changes or discontinuation should be avoided due to the risk of withdrawal symptoms.

There are important warnings associated with diazepam. Long-term use can lead to physical dependence, tolerance, and addiction. Abrupt discontinuation can result in withdrawal symptoms such as seizures, anxiety, insomnia, and tremors. Diazepam can also cause dangerous sedation and respiratory depression, especially if combined with alcohol, opioids, or other central nervous system depressants. Individuals with lung disease, liver impairment, or a history of substance abuse should use diazepam with caution.

Common side effects of diazepam include drowsiness, fatigue, dizziness, impaired coordination, and memory problems. Some people may experience mood changes, confusion, or depression. Serious side effects can include difficulty breathing, severe allergic reactions, or unusual behavior changes. Patients should avoid driving or operating machinery until they understand how diazepam affects them, and seek immediate medical attention if severe or unexpected symptoms occur.