4mg diazepam
Table of Contents
4mg diazepam
4mg diazepam is a concentration of active ingredient called diazepam, 4mg.
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Diazepam one of benzodiazepine group of medications.
Benzodiazepine: act on the central nervous system (CNS) by suppressing the activity of nerves in the brain. This group contains many drugs like:
What are indications of 4mg diazepam?
Diazepam has many indications to use due to its pharmacological activity, for example:
- Sleep disorder: most common indication of diazepam also, known as sleeping pill diazepam.
- Anxiety: diazepam is used in the treatment of anxiety in acute and severe cases.
- Seizures: in the treatment of seizures, you may use diazepam alone or in combination.
- Muscle spasm, spasticity, and rigidity.
- Alcohol withdrawal symptoms.
- Sedation before surgery.
- Neuroleptic malignant syndrome: for management muscle rigidity and anxiety.
Your doctor will advise you to not do the following during the treatment with 4mg diazepam:
- You should not operate machinery.
- You should not drive.
- You should not drink alcohol or grapefruits.
- You should not take in concomitant with other sedative and CNS depressant medications.
- You should not take 4mg diazepam if you age over 56years.
- You should not use 4mg diazepam if you are pregnant or planning.
- You should not use 4mg diazepam if you are breastfeeding.
- You should not stop 4mg diazepam suddenly.
- You should not increase your dose by yourself.
- You should not use 4mg diazepam for a longer duration.
- You should not advise the use of 4mg diazepam to anyone his\her symptoms seem to yours.
During the treatment with 4mg diazepam your doctor will ask you to monitor the following parameters:
Follow your doctor instruction and keep monitoring the following:
- Blood pressure.
- Heart rate.
- Respiratory rate.
- Mental status.
- Complete blood count.
- Liver enzyme level.
What are the major side effects of diazepam?
Many side effects of diazepam may occur:
- Memory impairment.
- Abdominal pain.
- Muscle weakness.
- Dry mouth.
- Respiratory depression.
- Nasal congestion.
- Difficulty in urination.
- Blurred vision.
- Allergic reaction.
- Increase appetite.
- Trouble in speaking.
- Skin rash and urticaria.
- Elevated liver function enzyme.
- Impaired motor ability.
When do you need to call your doctor?
You need to call your doctor in certain cases, for example when you feel one of the following symptoms:
- Trouble in sleeping.
- Thoughts about suicide.
- Panic attacks.
- Changes in behavior or mood.
- Anxiety or worsening anxiety.
- Excessive increase in activity and talking.
What happens if you take an overdose of 4mg diazepam?
Ingestion of higher dose of diazepam, and in other cases, concomitant use of medications that interact with diazepam and increase its level.
Symptoms of overdose:
- Low blood pressure.
- Blurred vision.
- Upset Stomach.
- Respiratory depression.
- Muscle weakness.
Stop the treatment immediately, call your doctor, and visit the emergency department of the nearest hospital.
Management of diazepam overdose:
Under the supervision of your doctors, the management of overdosing include:
- Your doctor will give you activated charcoal.
- Your doctor will maintain a clear airway for you.
- Your doctor will manage low blood pressure.
- Your doctor will give you an antidote called flumazenil.
- Your doctor will monitor your level of consciousness.
Contraindications of using 4mg diazepam:
Your doctor will ask and discuss with you before starting diazepam, as many medical conditions are contraindicated to use diazepam.
So, diazepam is contraindicated:
- If you have myasthenia gravis disease which is autoimmune disease-causing muscle weakness.
- If you have a respiratory disorder like obstructive sleep apnea.
- If you have narrow-angle glaucoma.
- If you have severe renal impairment.
- If you have severe hepatic impairment.
- If you have an allergy to diazepam or any molecule of the benzodiazepine group.
- If you have any psychotic disorder.
- If you are pregnant or planning.
- If you are breastfeeding.
- If you age above 65 years or below 6months.
What are the symptoms of diazepam withdrawal?
Some patients used extended or higher dose diazepam, which should taper the dose gradually when you need to stop the treatment for preventing withdrawal symptoms.
So, your doctor advises you before starting diazepam to never stop the medication suddenly.
Symptoms of withdrawal:
- Muscle pain and cramps.
In severe cases symptoms may be:
- Numbness and tingling of extremities.
4mg diazepam and other medication interaction:
You need to check all your medication with the doctor before starting the course of treatment, as there may be interactions that may require changing the treatment or modifying the dose.
Medication should avoid use in concomitant with diazepam:
- Fusidic acid.
Medications decrease the effect of diazepam:
- Theophylline derivatives.
Medications increase the effect of diazepam: