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In the treatment of insomnia with Valium, the duration of the course should not exceed 4 weeks; with anxiety conditions, this number goes up to 8-12 weeks, including a period of gradual dose reduction. At the beginning of treatment, it is necessary to inform the patient that the therapy will have a limited duration, and explain the scheme of gradual dose reduction. To reduce anxiety due to the occurrence of the rebound phenomenon, the patient should be aware of the possibility of its occurrence during the treatment.
Who should be prescribed Valium
The pill can be divided into two equal parts to ensure the appropriate dosage.
Indications for adults:
- Anxiety disorders;
- Insomnia (benzodiazepines are indicated only for severe disorders, especially for patients with critical pathological conditions);
- Elimination of muscle spasms associated with spasms of cerebral etiology;
- As part of the complex treatment of epilepsy.
Premedication for minor surgical interventions. The use of Valium for the optimal therapeutic effect of the dose is selected by the doctor individually for each patient. Treatment should be started with the minimum effective dose corresponding to a specific indication. Pills should be taken orally. The duration of treatment should be as short as possible, depending on the indications.
How to use it, the dosage
It should be borne in mind that when using benzodiazepines with a short duration of action, withdrawal symptoms may appear in the intervals between single doses, especially when using high doses. When using long-acting benzodiazepines, they should not be replaced with short-acting benzodiazepines because of the possibility of developing withdrawal syndrome.
The dose is selected by the doctor individually, depending on the patient’s condition. In case of anxiety states, the usual dose for adults is 5 mg/day. The maximum dose is up to 30 mg/day in several doses. The dosage regimen is set by the doctor individually.
To achieve the maximum effect, the dosage should be selected individually. The usual daily doses listed below meet the needs of most patients, however, some patients may require higher doses. In such cases, the dose should be increased carefully, in order to avoid side effects. A single dose should not exceed 10 mg. The time of taking the drug depends on the individual characteristics of the patient. With repeated administration, a large dose is recommended to be taken in the evening.
In case of anxiety disorders and for reduction of anxiety symptoms, 2.5-10 mg of Valium are taken 2-4 times a day.
For skeletal muscle spasms, take 2.5-10 mg 3-4 times a day.
Treatment in elderly patients or with weakened ones should begin with half of the usual dose for adults (2.5 mg 1-2 times a day) and, if necessary, gradually increase, based on tolerability. These patients should be examined before starting treatment with the drug and undergo regular medical monitoring. It is recommended to repeat the examination a week after the start of taking the drug. To prevent overdose, reduce the dose or increase the interval between taking the drug.
Children 5 to 7 years old should take 2.5 mg 3-4 times a day. Those 7 years old and older have the dosage of 5 mg. The maximum daily dose is 10 mg.
The treatment should be as short as possible. With long-term treatment, the patient’s condition should be monitored. The duration of treatment should not exceed 2-3 months. Longer treatment should be prescribed after a second assessment of the patient’s condition. It is necessary to warn the patient about the limited time of taking the drug, about how to gradually reduce the dose and about the withdrawal syndrome of the drug, especially when taken in high doses.
Influence on the ability to drive vehicles and working with other potentially dangerous mechanisms
During the treatment period, it is necessary to be careful when driving vehicles and engaging in other potentially dangerous activities that require increased concentration of attention and speed of psychomotor reactions due to the development of side effects of the drug. In addition, the patient should be warned about the dangerous combination of alcohol and Valium.
With caution, the drug is used in patients with known cardiorespiratory insufficiency.
Patients with rare hereditary problems of galactose intolerance, Lapp-lactose insufficiency or glucose-galactose malabsorption should abstain from the drug.