Do not take Valium, Diastat, or Diastat AcuDial if you are allergic to diazepam or any ingredients contained in this drug. Prescribers should advise caregivers that they expect to be informed immediately if a patient develops any new findings which are not typical of the patient's characteristic seizure episode.Prescribers are strongly advised to take all reasonable steps to ensure that caregivers fully understand their role and obligations vis a vis the administration of diazepam rectal gel to individuals in their care.Inform patients and caregivers that potentially fatal additive effects may occur if diazepam is used with opioids and that such drugs should not be used concomitantly unless supervised by a health care provider.Follow patients for signs and symptoms of respiratory depression and sedation.Limit dosages and durations to the minimum required.Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate.Concomitant use of benzodiazepines and opioids may result in profound sedation, respiratory depression, coma, and death.What Are Warnings and Precautions for Diazepam? Warnings Check with your physician if you have health questions or concerns. Keep a list of all your medications with you, and share the list with your doctor and pharmacist. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. This document does not contain all possible interactions. Serious Interactions of diazepam include:ĭiazepam has moderate interactions with at least 238 different drugs.ĭiazepam has moderate interactions with at least 46 different drugs. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider, or pharmacist first. If your doctor has directed you to use this medication for diabetes, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. QUESTION Panic attacks are repeated attacks of fear that can last for several minutes. 2-2.5 mg orally once/day or every 12 hours initially increase gradually as needed.Due to long-acting metabolite, not considered a drug of choice in the elderly associated with falls.Hepatic impairment: 50% of the maintenance dose.Renal impairment: No dose adjustment recommended unless administered for a prolonged period decrease dose in prolonged periods.Children older than 5 years: 1 mg IV given slowly every 2-5 min not to exceed 10 mg total dose may repeat in 2-4 hours if necessary.Children 6 months-5 years: 0.2-0.5 mg IV initially, repeat every 2-5 minutes do not exceed 5 mg may repeat 2-4 hours later as needed.Over 12 years: 0.2 mg/kg may repeat in 4-12 hours as needed.6-12 years: 0.3 mg/kg may repeat in 4-12 hours as needed.2-6 years: 0.5 mg/kg may repeat in 4-12 hours as needed.Pediatric: Potentially toxic dose in patients under 6 years: greater than 0.5 mg/kg.0.5 mg/kg rectally (using parenteral solution), THEN 0.25 mg/kg in 10 minutes as needed.Adult: 5-10 mg IV/IM every 5-10 minutes not to exceed 30 mg, OR.0.2 mg/kg rectally, repeat after 4-12 hours as needed.
2-10 mg orally every 6-12 hours as an adjunct, OR.2-10 mg orally every 6-8 hours as needed, OR 5-10 mg IV/IM initially THEN every 3-4 hours if necessary.0.04-0.2 mg/kg IV/IM every 2-4 hours no more than 0.6 mg/kg within 8 hours.0.12-0.8 mg/kg/day orally divided every 6-8 hours, OR.The potentially toxic dose in patients under 6 years: greater than 0.5 mg/kg.5-10 mg intravenously (IV) 1-2 hours before surgery 0.03-0.1 mg/kg every 30 minutes to 6 hours.10 mg intramuscularly (IM) before surgery.Intramuscularly (IM): 5-10 mg 30 minutes before the procedure.Intravenously (IV): Titrate dose to 10 mg or less immediately before procedure, not to exceed the cumulative dose of 20 mg reduce the dose of narcotic by one third or omit, OR.Initial: 10 mg intravenously/intramuscularly (IV/IM), may give additional doses of 5-10 mg IV every 6-8 hours as needed.10 mg orally every 6-8 hours during first 24 hours reduce to 5 mg orally every 6-8 hours as needed.2-10 mg orally every 6-12 hours, OR 2-10 mg intravenously/intramuscularly (IV/IM) every 6-12 hours no more than 30 mg/8 hours.What Are Dosages of Diazepam? Dosages of DiazepamĪdult and Pediatric Dosage Forms and Strengthsĭosage Considerations – Should be Given as Follows: Anxiety
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