Diazepam
From SEHK Wiki
Diazepam (中文:[[ ]])is a long-acting benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant properties. It is used:
- In the short-term treatment of severe anxiety disorders;
- As a hypnotic in the short-term treatment of insomnia;
- As a sedative
- As an anticonvulsant (particularly in the management of status epilepticus and febrile convulsions)
- In the control of muscle spasms
- In the management of alcohol, or benzodiazepine withdrawal syndrome.
Pronunciation
Diazepam 2mg
Diazepam 5mg
Drug Names
| Generic Name 藥名 | HA Code 藥物代碼 | Classification藥物分類 |
|---|---|---|
| Diazepam Tablet 2 mg | DIAZ01 | P1S1S3 & Part 1 Dangerous Drug |
| Diazepam Tablet 5 mg | DIAZ02 | P1S1S3 & Part 1 Dangerous Drug |
| Diazepam Rectal Solution 2mg/ml (2.5ml/tube) | DIAZ10 | P1S1S3 & Part 1 Dangerous Drug |
| Diazepam Rectal Solution 4mg/ml (2.5ml/tube) | DIAZ11 | P1S1S3 & Part 1 Dangerous Drug |
Mechanism of Action
- Diazepam is a benzodiazepine.
- Gama-Aminobutyric acid (GABA) is an inhibitory neurotransmitter, acting on the GABA receptors in the central nervous system (CNS), thus inhibiting the nerve impulses.
- It acts on the benzodiazepine receptors in the brain and the spinal cord. Benzodiazepine receptors in the CNS are linked with GABA receptors as a complex.
- Diazepam by binding to the benzodiazepine receptors results in activation of the GABA-benzodiazepine receptor complex, resulting in inhibition of nerve impulses, overall depression of brain and spinal cord.
- Thus, Diazepam helps to promote muscle relaxation, reduce anxiety, control of convulsions and promote sleep.
Dosage
- Diazepam is administered orally, rectally, and parenterally with the risk of dependence very much influencing the dose and duration of treatment.
- Courses of treatment should be short, not normally exceeding 4 weeks, with diazepam being withdrawal gradually.
- Elderly and debilitated patients should be given not more than one-half the usual adult dose
| Anxiety | By mouth
ADULT:
ELDERLY:
Debilitated patients: use elderly dose |
Insomnia associated with anxiety | By mouth
ADULT: 5 – 15mg daily, to be taken at bedtime |
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