When to take Valium
When to take Valium and when not to, if unsure always consult your doctor 
When to take Valium
The short-term symptomatic management of mild to moderate degrees of anxiety in conditions dominated by tension, excitation, agitation, fear or aggressiveness, such as may occur in psychoneurosis, anxiety reactions due to stress conditions and anxiety states with somatic expression.
In acute alcoholic withdrawal, diazepam may be useful in the symptomatic relief of acute agitation, tremor and impending acute delirium tremens.
As an adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology, such as inflammation of the muscle and joints or secondary to trauma; spasticity caused by upper motor neuron disorders, such as cerebral palsy and paraplegia; athetosis and the rare stiff man syndrome.
When not to take Valium
Myasthenia gravis, known hypersensitivity to benzodiazepines. Not recommended for children under 6 months of age.
When to take precautions with Valium
Geriatrics:
Elderly and debilitated patients or those with organic brain disorders have been found to be prone to CNS depression following even low doses. For these patients it is recommended that the dosage be limited to the smallest effective amount to preclude development of ataxia, over sedation or other possible adverse effects.
Use in emotional disorders:
Valium is not recommended in the treatment of psychotic or severely depressed patients. Precautions are indicated for severely depressed patients or those who show evidence of impending depression, particularly the recognition that suicidal tendencies may be present and protective measures may be necessary. Since excitement and other paradoxical reactions may result from the use of the drug in psychotic patients, it should not be used in ambulatory patients suspected of having psychotic tendencies.
Use in epileptic patients:
Since Valium may exacerbate grand mal seizures in some patients, caution is required when it is used in epileptic patients. An adjustment may be necessary in their anticonvulsive medication. Abrupt withdrawal of diazepam in these patients should also be avoided.
Potentiation of drug effects:
Patients should be advised to abstain from alcohol and other CNS depressant drugs during treatment with Valium. Phenothiazines, barbiturates, MAO inhibitors and other psychoactive drugs may potentate the action of the drug and should not usually be given concurrently.
Drug dependence:
Abrupt cessation of large doses of Valium after prolonged periods may precipitate acute withdrawal symptoms and, in these cases, the drug should be discontinued gradually. Caution should be exercised when it is considered necessary to administer Valium to addiction prone individuals.
Occupational Hazards:
Patients receiving Valium should be advised to proceed cautiously whenever mental alertness and physical coordination are required.
The usual precautions in treating patients with impaired renal and hepatic functions should be observed. If Valium is administered for protracted periods, periodic blood counts and liver function tests would be highly advisable.
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