Valium, known generically as diazepam, is commonly prescribed for anxiety management, muscle spasms, and seizure disorders. Here are the general dosing instructions based on available guidelines:

Recommended Doses

1. Adults:

   • Anxiety: The typical dose is between 2 to 10 mg, taken 2 to 4 times daily depending on the severity of symptoms and the response to treatment.
   • In more acute situations, an initial dose of 10 mg may be given 3 to 4 times during the first 24 hours, after which the dose can be adjusted to 5 mg as needed (source: Mayo Clinic, eMPR).

2. Older Adults:

   • It is usually recommended to start with 2 to 2.5 mg, taken 1 or 2 times a day. Doses may be increased cautiously based on tolerance and necessity (source: Mayo Clinic).

3. Intravenous (IV) Administration:

   • For moderate anxiety or acute situations, a dose of 2 to 5 mg can be given via IM or IV routes, with the possibility of repeat dosing every 3 to 4 hours as required (source: Drugs.com, Medscape).

4. Maximum Dosage:

   • Depending on the specific circumstances and medical advice, the maximum daily dosage can reach up to 20 mg, divided across multiple doses throughout the day (source: NHS).

Important Considerations

• Dosage can vary based on individual health conditions, the presence of other medications, and response to treatment. Therefore, it is essential for patients to follow the prescribing physician's instructions closely.
• Adjustments might be necessary, especially for sensitive groups such as the elderly or those with underlying health conditions.

For more detailed information, including precautions and potential side effects, consult authoritative medical resources or healthcare providers.

Sources

Diazepam (oral route) - Mayo ClinicValium Dosage Guide - Drugs.comHow and when to take diazepam - NHSValium, Valtoco (diazepam) dosing, indications, interactions ...VALIUM Prescription & Dosage Information - MPR - eMPR.comDiazepam Dosage Guide + Max Dose, Adjustments - Drugs.comDiazepam (Valium, Libervant) - Uses, Side Effects, and More - WebMD

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