Valium Dosage

Valium is a colourless to light yellow compound of crystalline form. It is insoluble in water and available to all patients for oral administration in form of 2 mg, 5 mg or 10 mg diazepam tablets. In addition to the main active ingredients diazepam, each Valium tablet has the following inactive ingredients: anhydrous lactose, corn starch, calcium stearate and pregelatinized starch.

The following dosage is available for adults:

  • Management of anxiety disorders and relief form anxiety symptoms (depending upon symptoms severity) —2 mg to 10 mg, 2 to 4 times daily;
  • Symptomatic relief in acute alcohol withdrawal – 10 mg, 3 or 4 times during the first 24 hours, followed by reduction to 5 mg, 3 or 4 times per day as required;
  • Adjunctively for relief of skeletal muscle spasm – 2 mg to 10 mg, 3 or 4 times per day;
  • Adjunctively in convulsive disorders – 2 mg to 10 mg, 2 to 4 times daily;
  • Geriatric patients, or in the presence of debilitating disease – 2 mg to 2.5 mg, 1 or 2 times daily initially; followed by gradual increase as requested and tolerated;
  • Usual Geriatric Dose for Alcohol Withdrawal
    • Oral: initial dose of 2 to 2.5 mg orally 1 – 2 times per day;
    • Parenteral: initial dose of 2 – 5 mg IM or IV, repeated in 3 – 4 hours if necessary.

Because of different responses to CNS-acting drugs, the therapy for kids should be initiated with the lowest dose, followed by increase as required. Valium is not allowed for pediatric patients under 6 months. For pediatric patients Valium is prescribed in following doses:

  • Oral dosage:
    • 6 months and older – Initially 1 mg to 2.5 mg, 3 or 4 times per day, followed by gradual increase as needed and tolerated.
  • Rectal dosage:
    • 2 – 5 years: initial dose of 0.5 mg/kg, rounded upward to the next dose available. A 2.5 mg rectal dose can be used as a partial replacement in cases, if patients expel a certain portion of the initial dose; if necessary, a second dose of 0.5 mg/kg can be given rectally only 4 – 12 hours after the first dose. Maximum frequency – 1 episode every 5 days, with no more than 5 episodes per month;
    • 6 – 11 years: initial dose of 0.3 mg/kg, rounded upward to the next dose available. A 2.5 mg rectal dose can be used as a partial replacement in cases, if patients expel a certain portion of the initial dose; if necessary, a second dose of 0.3 mg/kg can be given rectally only 4 – 12 hours after the first dose. Maximum frequency – 1 episode every 5 days, with no more than 5 episodes per month;
    • 12 years and older: initial dose of 0.2 mg/kg, rounded upward to the next dose available. A 2.5 mg rectal dose can be used as a partial replacement in cases, if patients expel a certain portion of the initial dose; if necessary, a second dose of 0.2 mg/kg can be given rectally only 4 – 12 hours after the first dose. Maximum frequency – 1 episode every 5 days, with no more than 5 episodes per month;