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Diazepam

From Wikipedia
diazepam
type of chemical entity
Subclass ofbenzodiazepine drug, alkaloid Edit
Part ofdiazepam binding Edit
Get useMedication Edit
Stylized namediazePAM Edit
Chemical formulaC₁₆H₁₃ClN₂O Edit
Canonical SMILESCN1C(=O)CN=C(C2=C1C=CC(=C2)Cl)C3=CC=CC=C3 Edit
Active ingredient inDiastat, Valium Edit
World Health Organisation international non-proprietary namediazepam, diazepamum Edit
Route of administrationoral administration, intramuscular injection, intravenous infusion and defusion, enteral administration Edit
Legal status (medicine)boxed warning Edit
Pregnancy categoryAustralian pregnancy category C, US pregnancy category D Edit
ManufacturerPfizer Edit
Get characteristicbitterness Edit

Diazepam, dem sell under de brand name Valium among odas, be a medication of de benzodiazepine family wey dey act as an anxiolytic.[1] Dem dey use am to treat a range of conditions, wey dey include anxiety, seizures, alcohol withdrawal syndrome, muscle spasms, insomnia, den restless legs syndrome.[1] E sanso fi be used to cause memory loss during certain medical procedures.[2][3] Dem fi take am orally (by mouth), as a suppository dem insert into de rectum, intramuscularly (dem inject into muscle), intravenously (injection into a vein) anaa dem use as a nasal spray.[3][4] Wen na dem inject am intravenously, effects dey begin insyd one to five minutes den dey last up to an hour.[3] When dem take am by mouth, effects dey begin after 15 to 60 minutes.[5]

Common side effects dey include sleepiness den trouble plus coordination.[3][6] Serious side effects be rare.[1] Dem dey include increased risk of suicide, decreased breathing, den a paradoxical increased risk of seizures if dem use too frequently insyd those plus epilepsy.[1][3][7] Occasionally, excitement anaa agitation fi occur.[8][9] Long-term use fi result in tolerance, dependence, den withdrawal symptoms on dose reduction.[1] Abrupt stopping after long-term use fi be potentially dangerous.[1] After stopping, cognitive problems fi persist for six months anaa longer.[8] Dem no dey recommend during pregnancy anaa breastfeeding.[3] Ein mechanism of action dey work by increasing de effect of de neurotransmitter gamma-aminobutyric acid (GABA).[8]

Na dem patent diazepam insyd 1959 by Hoffmann-La Roche.[1][10][11] Na e be one of de most frequently medications dem prescribe insyd de world since ein launch insyd 1963.[1] Insyd de United States na e be de best-selling medication between 1968 den 1982, dey sell more dan 2 billion tablets insyd 1978 alone.[1] Insyd 2023, na e be de 183rd most commonly medication dem prescribe insyd de United States, plus more dan 2 million prescriptions.[12][13] Insyd 1985, na de patent end, wey der be more dan 500 brands available on de market.[1] E dey on de World Health Organization's List of Essential Medicines.[14]

References

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  1. 1 2 3 4 5 6 7 8 9 10 Calcaterra NE, Barrow JC (April 2014). "Classics in chemical neuroscience: diazepam (valium)". ACS Chemical Neuroscience. 5 (4): 253–60. doi:10.1021/cn5000056. PMC 3990949. PMID 24552479.
  2. "Diazepam". PubChem. U.S. National Library of Medicine. Retrieved 2 February 2024.
  3. 1 2 3 4 5 6 "Diazepam". The American Society of Health-System Pharmacists. Archived from the original on 30 June 2015. Retrieved 5 June 2015.
  4. "Diazepam Monograph for Professionals". Drugs.com (in English). Retrieved 2025-11-27.
  5. Dhaliwal JS, Saadabadi A (September 2022). "Diazepam". StatPearls [Internet]. StatPearls Publishing. PMID 30725707. Archived from the original on 8 March 2021. Retrieved 13 October 2019.
  6. "Valium – diazepam tablet". DailyMed. 8 November 2019. Archived from the original on 28 June 2019. Retrieved 30 December 2019.
  7. Dodds TJ (March 2017). "Prescribed Benzodiazepines and Suicide Risk: A Review of the Literature". The Primary Care Companion for CNS Disorders. 19 (2). doi:10.4088/PCC.16r02037. PMID 28257172.
  8. 1 2 3 Riss J, Cloyd J, Gates J, Collins S (August 2008). "Benzodiazepines in epilepsy: pharmacology and pharmacokinetics". Acta Neurologica Scandinavica. 118 (2): 69–86. doi:10.1111/j.1600-0404.2008.01004.x. PMID 18384456. S2CID 24453988.
  9. Perkin RM (2008). Pediatric hospital medicine: textbook of inpatient management (2nd ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. p. 862. ISBN 978-0-7817-7032-3.
  10. Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 535. ISBN 978-3-527-60749-5. Archived from the original on 14 January 2023. Retrieved 5 June 2020.
  11. US patent 3371085, Sternbach LH, Reeder E, "5-ARYL-3H-1,4-BENZODIAZEPIN-2(1H)-ONES", published 1968-02-27, issued 1968-02-27, assigned to Hoffmann La Roche AG
  12. "Top 300 of 2023". ClinCalc. Archived from the original on 12 August 2025. Retrieved 12 August 2025.
  13. "Diazepam Drug Usage Statistics, United States, 2013 - 2023". ClinCalc. Retrieved 19 August 2025.
  14. World Health Organization (2023). The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023). Geneva: World Health Organization. hdl:10665/371090. WHO/MHP/HPS/EML/2023.02.

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