Valium Dosage | 1 mg to 10 mg

Manish Mishra, MBBS

Medically Reviewed By: Manish Mishra, MBBS


Valium comes in a range of dosages and a variety of formulations. The way it is prescribed will depend on the patient’s condition and general health history.

Valium, the brand name for diazepam, is a benzodiazepine prescription medication used to treat those suffering from certain anxiety disorders, seizures brought on by epilepsy, and those struggling from alcohol withdrawal. 

This prescription drug is a Schedule IV controlled substance, meaning it has high abuse potential that can lead to psychological or physical dependence.

Because this central nervous system (CNS) depressant targets the gamma-aminobutyric acid (GABA) neurotransmitters in the brain and produces sedation, some abuse Valium by snorting, smoking, or plugging the drug. 

Valium can also be abused orally if a person takes a higher dose than prescribed.

Depending on the health issue you suffer from, your doctor may prescribe a specific daily dose of diazepam.

Valium Dosage & Administration

According to the National Library of Medicine, the following is a breakdown of oral administration dosages:

  • relief from acute alcohol withdrawal may require 10 mg three to four times during the first 24 hours, then reducing the strength to 5 mg for three to four times daily
  • the management of anxiety disorders may require 2 mg – 10 mg diazepam tablets two to four times a day
  • relief of skeletal muscle spasms requires 2 mg – 10 mg three to four times daily
  • relief for those suffering from seizures requires 2 mg – 10 mg two to four times a day.
  • for sleep, you may be prescribed a single dose of Valium to take before bed which is typically 5 mg

Older adults may be prescribed lower doses such as 1 mg – 2.5 mg for three to four times a day as tolerated.

Other Routes Of Administration

In addition to oral administration, there are other ways to allow Valium into your bloodstream. Some of the other options to consider include 5 mg or 10 mg rectal tubes, intravenous BP injection, or a 2 mg/5 ml liquid solution.

With the intravenous injection, the anticonvulsant is administered to the patient to help control seizures.

Side Effects Of Valium

Those prescribed Valium may experience various side effects, depending on the seriousness of the drug use.

Common Side Effects

Some of the common side effects of diazepam consist of:

  • impairment
  • sedative effects
  • muscle weakness
  • drowsiness
  • dry mouth
  • fatigue
  • ataxia

More serious side effects associated with Valium include withdrawal symptoms. An increased risk of overdose can take place due to the CNS depression which can occur.

Valium Withdrawal

Those who abruptly stop taking Valium “cold turkey” may suffer Valium withdrawal. Your healthcare provider may recommend tapering off your medication.

Withdrawal symptoms of Valium, according to the United States Food and Drug Administration (FDA), include:

  • mental health issues
  • memory troubles
  • problems with concentration or memory problems
  • muscle spasms
  • ringing in ears
  • cravings for the drug

Health Warnings

Those with certain medical conditions should have their dosage monitored due to breathing problems which can take place. If you suffer from sleep apnea, chronic obstructive pulmonary disease (COPD), or have trouble breathing due to other health issues, speak with your doctor.

Those with the following conditions should avoid Valium, as serious adverse effects can worsen certain health problems.

Do not take Valium if you have any of the following medical conditions:

  • muscle disease (myasthenia gravis)
  • if you are breastfeeding, as breast milk can pass from mother to child during the lactation process
  • liver disease
  • renal/hepatic impairment
  • open-angle glaucoma
  • narrow-angle glaucoma

Drug Interactions

Speak with your prescribing healthcare provider before combining medications. Certain adverse reactions may take place.

Some of the substances to avoid may include:

  • antidepressants such as monoamine oxidase inhibitors (MAOIs) which include fluoxetine, fluvoxamine, and ketoconazole
  • alcohol
  • muscle relaxants
  • barbiturates
  • opioids
  • supplements or vitamins
  • phenytoin
  • temazepam

Valium Overdose

Those who take large quantities of Valium may have an increased risk of overdose. When this occurs, life-threatening symptoms can occur.

Symptoms of a Valium overdose can include:

  • respiratory depression
  • confusion
  • hallucinations
  • hypotension
  • loss of consciousness
  • death

Contact 911 and seek immediate medical attention.

Treating Prescription Drug Abuse

If you or a loved one are struggling with substance abuse involving prescription drugs, reach out to Ohio Recovery Center

Our treatment options include evidence-based practices like behavioral therapy, medical detox, and inpatient treatment. We also offer aftercare options and individualized treatment plans.

To speak with a healthcare professional who can assist you on your road to recovery, please contact us today.

  1. Drug Enforcement Administration (DEA)
  2. Epilepsia
  3. Food and Drug Administration (FDA)
  4. National Library of Medicine: DailyMed
  5. National Library of Medicine: MedlinePlus
  6. National Library of Medicine: StatPearls

Written by Ohio Recovery Center Editorial Team

© 2024 Ohio Recovery Center | All Rights Reserved

* This page does not provide medical advice.

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