Diazepam 10 mg tablets
Read all of this leaflet carefully before you start using this medicine.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor or pharmacist.
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- This medicine has been prescribed for you and should not be given to others, even if they have the same symptoms, as it may harm them.
- If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
Contents of the leaflet:
1. What is Diazepam 10mg tablets and what is it used for?
2. Before you take Diazepam 10 mg tablets
3. How to take Diazepam 10 mg tablets
4. Possible side effects
5. Storage of Diazepam 10 mg tablets
6. Additional Information
1. What is Diazepam 10 mg tablets and what is it used for?
Diazepam is a benzodiazepine (ben-zoe-dye-AZE-eh-peens).
Diazepam tablets contains as active substance diazepam, which belongs to the group of medicines called benzodiazepines.
Diazepam has tranquilizers, sedatives, muscle relaxants and anticonvulsants.
Doctors prescribe Diazepam tablets to people who exhibit symptoms of anxiety, agitation and psychic stress produced by psychoneurotic states and transient situational disorders. Benzodiazepines are only indicated for the treatment of an intense disorder, which limits its activity or puts it in a situation of significant stress.
It may also be useful for the relief of symptoms of acute agitation, tremor, and hallucinations in patients with alcohol withdrawal syndrome.
Diazepam at the right Dose contributes to the relief of muscle pain caused by spasms or inflammation of muscles or joints, trauma, etc. It can also be used to combat spasms caused by diseases such as cerebral palsy and paraplegia, as well as athetosis (continuous, involuntary, slow and extravagant movements of fingers and hands) and generalized stiffness syndrome. Diazepam treats dystonia, labyrinthitis (inflamation of the nerves in the ear that connect with the brain). Diazepam can also help with petit mal seizure, temporomandibular joint dysfunction, tetanus (a serious bacterial infection that causes painful muscle spasms), cerebral palsy, meneire's disease (inner ear disorder that causes vertigo.)
Diazepam tablets may be used as adjunctive treatment for seizure disorders, but have not been shown to be useful as a single treatment. In these cases your doctor will periodically evaluate the usefulness of the drug for you.
Do not take Diazepam 10 mg tablets
- If you are allergic (hypersensitive) to the active ingredient or any of the other ingredients of Diazepam.
- If you are allergic (hypersensitive) to other drugs in the benzodiazepine group in general.
- If you have had breathing difficulties related or not with sleep for some time.
- If you suffer from muscle problems or severe liver disorders.
- If you have glaucoma (eye strain) at an angle.
- If you have severe chronic hypercapnia (respiratory insufficiency).
- If you are dependent on drugs or alcohol, you should not take Diazepam, unless your doctor tells you to do so.
This medication is not recommended for the primary treatment of psychotic disorders, nor should it be used as a sole treatment in patients with depression, alone or associated with anxiety. Your doctor will probably have prescribed another drug for these cases. Some people seek the high that diazepam gives so it can be addictive if used for too long durations.
Do not use this medication in children younger than 6 months of age.
Take special care with Diazepam 10 mg tablets and try starting on a lower dosage such as 2mg or 5mg and do not take in these circumstances.
· If you have liver or kidney disease
· If you have breathing difficulties
· If you suffer from severe muscle weakness
· If you have other diseases
· If you have allergies
· If you have drug or alcohol dependency problems
· If you are taking other medicines
Your doctor will decide on the suitability of taking a lower dose of Diazepam tablets or not taking it at all.
If you are epileptic and are on long-term treatment with Diazepam tablets, the use of the Anexate benzodiazepine antagonist (flumazenil) is not recommended to reverse the effect of Diazepam, as seizures may occur.
Taking other medicines
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is extremely important because the simultaneous use of more than one drug may increase or decrease its effect.
Therefore, you should not take Diazepam with other medicines unless your doctor is informed and approved in advance. For example, tranquilizers, sleep inducers and similar medicines act on the brain and nerves and can reinforce the effect of Diazepam tablets.
Cisapride, cimetidine, ketoconazole, fluvoxamine, fluoxetine and omeprazole temporarily increase the sedative effect of Diazepam tablets, which increases the risk of drowsiness.
Also, the metabolism of phenytoin may be affected if you are taking Diazepam tablets, so if you are taking this medicine, your doctor will adjust the dosages of these.
If you need more information about this, check with your doctor or pharmacist.
Taking Diazepam tablets with food and drink
Alcoholic beverages increase the sedative effects of Diazepam, so avoid using alcohol during treatment. If you need more information consult your doctor.
Risk of dependency
The use of benzodiazepines can lead to dependence. This occurs mainly after taking the medication uninterruptedly for a long time. To minimize the risk of dependence, these precautions must be taken into account:
- Taking benzodiazepines will only be done under medical prescription (never because they have worked in other patients), and never advise others.
- Do not increase the dose prescribed by your doctor at all, or prolong the treatment longer than recommended.
- Consult your doctor regularly to decide whether to continue treatment.
Pregnancy and lactation
Consult your doctor or pharmacist before using any medication.
Before starting treatment, your doctor should know if you are pregnant, if you think you are pregnant, or if you want to be pregnant. The doctor will then decide on the suitability of taking Diazepam tablets.
Benzodiazepines are excreted in breast milk, so consult your doctor about the suitability of taking Diazepam tablets.
Driving and using machines
Do not drive or operate tools or machines because this medication can cause sedation, amnesia, concentration disorders, and impaired muscle function, which may adversely affect the ability to drive or use machines. This effect is enhanced if, in addition you have ingested alcohol.
Use in the elderly
The elderly may be affected by Diazepam more than younger patients. If you are elderly, your doctor may prescribe a lower dose and check your response to treatment. Please follow your doctor's instructions carefully.
Important information about some of the ingredients of Diazepam 10 mg tablets
This medicine contains lactose. If your doctor has told you that you have an intolerance to certain sugars, check with your doctor before taking this medicine.
3. HOW TO TAKE DIAZEPAM 10 mg tablets
Always take Diazepam tablets exactly as your doctor has told you. Ask your doctor or pharmacist if you have doubts.
You should always take Diazepam tablets exactly as directed by your doctor.
Depending on the nature of your illness, your age and weight your doctor will prescribe the most appropriate dose for you.
Remember to take your medicine.
Your doctor will tell you how long your treatment with Diazepam tablets will last.
Follow these instructions unless your doctor has given you other indications:
Anxiety symptoms: 2 to 10 mg, 2 to 4 times a day, depending on the severity of the symptoms.
Symptomatic relief in acute alcohol withdrawal: 10 mg, 3 or 4 times during the first 24 hours, reducing to 10 mg 3 or 4 times daily as needed.
Coadjuvant for the relief of musculoskeletal spasm: 2 to 10 mg, 3 or 4 times a day.
Coadjuvant in anticonvulsive therapy: 2 to 10 mg, 2 or 4 times daily.
In children: 2 to 2.5 mg, 1 or 2 times a day, gradually increasing according to needs and tolerance; As a general rule 0.1-0.3 mg / kg per day. Because of the variety of response of children to drugs acting on the CNS, treatment with the lowest dose should be initiated and increased as required. Do not use in children younger than 6 months of age.
In the elderly or in the presence of debilitating diseases: 2 to 2.5 mg, 1 or 2 times a day, then gradually increasing, according to need and tolerance.
Treatment should begin with the lowest dose. Do not exceed the maximum dose.
If you think that the action of Diazepam tablets is too strong or weak, tell your doctor or pharmacist.
In elderly patients or patients suffering from liver or kidney disorders, or muscle weakness, in children, in debilitated patients or those with a low serum albumin level, the doctor will prescribe a lower dose.
Rules for proper administration
Do not increase at all the doses prescribed by the doctor.
Each individual dose should not exceed the indicated limits and the total daily dose either, unless your doctor prescribes a higher dose.
Diazepam tablets should be taken without chewing, with a little water or a non-alcoholic beverage.
The tablets will be taken at the times that are most necessary, usually in the evening or at night.
Never change your prescribed dose yourself.
The duration of treatment should be as short as possible and never exceed 2-3 months. Consult your doctor regularly to decide whether to continue treatment.
Do not prolong the treatment for longer than recommended.
If you take more Diazepam than you should
If you or someone else has ingested an overdose of Diazepam tablets call your doctor, pharmacist, or the nearest hospital immediately.
In case of overdose or accidental ingestion, consult the Toxicological Information Service.
If you forgot to take Diazepam
Do not take a double dose to make up for a forgotten dose. On the contrary, you should continue with the normal dose.
If you stop taking Diazepam
Restlessness, anxiety, insomnia, lack of concentration, headache, and hot flashes may occur upon cessation of administration. In general, it is not recommended to abruptly stop the medication but to gradually reduce the dose, according to the doctor's instructions.
If you have any further questions on the use of this product, ask your doctor or pharmacist.
4. POSSIBLE ADVERSE EFFECTS
Like all medicines, Diazepam can have side effects, although not everybody gets them.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
The majority of patients tolerate Diazepam tablets well but the most frequent side effects, especially at the beginning of treatment, are tiredness and drowsiness.
Occasionally, other adverse effects such as confusion, deterioration of alertness, loss of sensation, constipation, depression, diplopia (double vision), ataxia (inability to coordinate voluntary muscle movements), difficulty in articulating words, Digestive disorders, heart rhythm disturbance, headache, hypotension, circulatory disturbances, increased or decreased libido, nausea, dry mouth or hypersalivation (exaggerated salivary secretion), incontinence or urinary retention, rashes, stammering, tremor, vertigo and blurry vision. The most common skin reactions are rash (inflammation of the skin), hives (rash) and pruritus (tingling or uncomfortable irritation of the skin that causes the desire to scratch the affected area).
How long does the effects of diazepam 10mg last for?
The half-life of diazepam is 20 hours, but it can, in some people be longer. Diazepam 10mg builds to peak levels in the blood just 1- 2 hours after being taken. The effects of diazepam 10mg begin to wear off after about 4 hours and in some not for 6 hours. Therefore doctors normally prescribe regular doses of diazepam 10mg throughout the day.