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The tablet form of Valium is for the symptomatic relief of anxiety, agitation and tension due to psychoneurotic states and transient situational disturbances as adjunct in major mental and organic disorders. Anxiety as the main target symptom may be expressed by manifest anxious or motor equivalents such as palpitation, sweating, insomnia, tremor, restlessness.
Valium injection is for basal sedation before stressful therapeutic measures of interventions such as cardioversion, cardiac catheterization, endoscopy, radiological procedures, minor surgical interventions, reduction of dislocations and fractures, biopsies, dressing of burns in order to relieve apprehensions of such procedures. These forms are also suitable for preoperative medication of anxious or tense patients.
In psychiatry, it is for the treatment of excitation states associated with acute anxiety and panic, as well as in motor unrest and delirium tremens. It is also indicated for acute treatment of status epilepticus and other convulsive states like tetanus, eclampsia).
Both table and injection is a useful adjunct for the relief of reflex muscle spasm due to local trauma (injury, inflammation). It can also be used to combat spasticity arising from damage to spinal and supraspinal interneurons like cerebral palsy and paraplegia, as well as in athetosis and stiff-man syndrome.
Dosage must be individualized for optimal effect. The usual daily doses given must meet the needs of the patient although it may differ for cases requiring higher dosage.
The usual adult dosage, depending on the severity of the symptoms. is 5-20 mg once a day. The single oral dose should not normally exceed 10 mg. Valium tablet should be taken at a time that meets the needs of the patient in question which is usually in the evening.
A reduced dose must be given to elderly patients. They should be checked regularly at the start of treatment in order to prevent drug overdose.