I am planning on taking diazepam on a daily basis as i have had enough of my anxiety (have had it for 10 years) I have read a lot of things online advising against taking benzos long term but it seems like the only effective treatment. Can someone please tell me if it is ok to take diazepam daily indefinitely? Also as i am only 23 i like to drink with my friends some weekends, i know you really shouldnt drink on diazepam and i wont. But, can you drink on it if you havent taken any that day? or would there still be too much in your system to drink any alcohol because i will be taking it everyday at 5mg morning, 5mg evening? Many Thanks
Is Long term diazepam use safe?
Question posted by JD230 on 12 Feb 2013
Last updated on 18 August 2022
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12 Answers
Hi, JD230!
There are many safer and very effective alternatives to manage anxiety disorders. Although benzodiazepines may be safe enough for short term use there is a great deal of evidence that long term use can have serious side effects such as memory loss, increased anxiety and/or depression, and the obvious risk of addiction even when used as directed.
Diazepam has a half life of about 48 hours:
"Because diazepam has a 48-hour half-life, and it takes five half-lives for the body to completely eliminate a drug, diazepam is usually cleared within 10 days. However, since diazepam can accumulate in fat tissue, taking repeated doses can cause the drug to accumulate and increase its half-life."
PS, Benzodiazepines were the only available option many, many years ago before the advent of the new medications.
Nowadays many, if not most, doctors will no longer prescribe them because of the potential side effects that are now known.
OK so let me begin by stating I am not a doctor or anything else of that nature, what I do have however is a 25-year Bipolar Mixed State DX and I have taken lithium, carbamazepine and mirtazapine for it as long as that. On those drugs alone I will not touch alcohol, it will give me a bad stomach and also my drugs become less effective with the addition of any alcohol but more on that in a second...
I was first prescribed a very short dose of diazepam a few years ago by the GP this was a short dosage to help with the anxiety that accompanies Bipolar Disorder. The drug was very effective and really did cut through my issues however the GP was reluctant to prescribe more. I became aware that the only way of getting help via the drug was to be very ill and quite frankly it was all too much hassle. The doctor (and other doctors I saw) did not share my belief that Diazepam could work and the source dried up. The anxiety however did not...
A few weeks ago I had a review with my Psychiatrist and I explained to her (she is a consultant) my problems with coping, the awful anxiety and inner torments that are part of Bipolar Disorder and she immediately told me that she had something to help. The drug she said is diazepam and she put me on a regular but limited prescription. I get 10 5 mil tabs a month to be taken when my symptoms become difficult and only when they become difficult. So here is my point.
For any serious emotional illness, Diazepam is a tool but never a first line of defense. To get diazepam prescribed in any situation a good doctor will remain cautious until it is proven that you will benefit from the drug. In any serious mental illness, the drug will not cure all, it is a combination of drugs that does that, diazepam is simply part of the bigger picture. And most importantly, any competent doctor will only prescribe enough diazepam to last a month but not lead to addiction or withdrawal. In my case, I will only take the drug as required and there can be days between taking a tablet.
Now back to the point about alcohol I began with and I do have more. Diazepam works as a suppressant to the central nervous system, and so does alcohol therefore if you combine them together the effect of each is amplified to the point of overload. At the same time, the enhancing effect of the alcohol will be made greater so addiction to both substances together will be possible.
In conclusion: diazepam is not a bad drug if it is prescribed with full awareness for a condition that is known to be helped by the drug and by a medical specialist who understands what drugs are needed and when. Diazepam is not a bad drug if it is treated with respect and by not drinking you will be doing the smart thing. Diazepam is also not a bad drug if taken in strictly supervised moderation however diazepam is a bad drug if it is taken outside of the context of a serious illness and prescribed by a Doctor without thought of the possibility of addiction.
Diazepam is not a cure but at the right time and at the correct dose it sure as hell is a help!
For the record: benzodiazepines are NOT and should NOT be prescribed for long term use. Also they are to be prescribed only "AS NEEDED" according to the Food & Drug Administration. As needed ONLY on the prescription bottle label PRN. The PRN prescription stands for 'pro re nata,' which means that the administration of medication is not scheduled. Instead, the prescription is taken as needed.Jul 25, 2014.
I'm just over sixty five and have been on 2mg valium for 46 of those years without any harm to myself or others and never had any urges to increase it. I was prescribed valium for seizures and muscle spasms after breaking my neck and compressing a disc at L4/5 . I have had a few more injuries added to that over the years and now take 2.5mg nightly. I used to have a few beers occasionally but I felt it was far better not to as my muscle spasms increased as the alcohol wore off. I never felt the urge or need to increase the amount I think maybe because having the valium helped me to be more active and I mainly kept it for bedtime with occasionally using .5mg during the day for anxiety. I made sure my nutrition and exercise were priorities also.Be aware in your management of it and all the best.
If your doctor prescribes 10mg a day you will get use to it and it will build up in your ststem. So skipping a daily dosage may effect you in a nasty way. Dont drink to cover it up. Just try to cut back on drinking altogether. And have a glass of wine at least 4-6 hours after taking the drug. Remember, the drug is always in your system just a little more after you dose. Might as well take the full 10mg before bedtime. It wont make any difference . youll sleep beautifully and your day will nit be interrupted by taking 5mg in the middle of the day when you may want to go to happy hour. Hope this has helped you.
I’m not a doctor..
just a side note the nhs is not always correct and there are major flaws,
I was in a bad car accident 2 months ago and broke the vertebrae in my back along with sever whiplash, I had treatment for the whiplash- as I said before I know my body—- I went to the doctor and explained I had bad neck pains inside my neck which is not normal whiplash symptoms and it’s not healing and very painful- I asked for a referral for an X-ray of my neck as they didn’t do one after my car accident, he talked me out of if as if I was a hypochondriac and said I will be fine there is nothing wrong and wouldn’t refer me for X-ray, I since sorted an X-ray myself without his referal and guess what- they found and injury in my neck!!! Doctors have targets and get bonuses for sending less people to the hospital for tests!! This is a disgusting practice and I have heard of much worse cases than mine being found out to late including cancers because the doctors decide not to put u forward for testing for better financial rewards for the practise... I’m learning more and more everyday and it’s disgusting and thing in the nhs need to change,
I know this question was asked a long time ago... in a galaxy far away. But I’ve been on Diazepam for 20 years, I initially started taking it for comedowns off drugs in my 20’s.
I spent some time in prison and detoxed off Valium.
I struggled socially for some years with anxiety and was eventually stabilised using antidepressants, mood stabilisers, antipsychotic ( very mild dose ) and 2 x 5mg of diazepam a day.
I’m bipolar 2.
People say that diazepam is an evil drug, but I have found that without it I just can’t cope, If I become manic... it helps calm me down.
When I’m having a down period I find it helps me to sleep ( my way of coping) yes I’d rather not take diazepam or any prescribed medication for that matter... but unfortunately I do need it, live life as best as you can, I don’t drink alcohol at all, I don’t use Recriational drugs at all.
So in answer to your question... can you cope without them? If so don’t use them, if you can’t cope and they help and your lucky enough to have a gp or psychiatrist who will prescribe them then fill your boots. Better to be able to live now than worry about what’s going to happen in x amount of years, you could die tomorrow, so could I.
Take each day as it comes and cope as you feel best.
Good luck and hope your in a better place.
Hello, I have been prescribed diazepam only for severe anxiety when flying on several occasions and it was a real help. I have suffered from depression for most of my adult life which has been brought about due to untreated anxiety issues and PMT. In my experience making these tablets stretch for as long a period as possible has given me the first glimpse of as normal a life as I could hope for at my age. Antidepressants only numb me and don't help at all but diazepam seems to help in that I no longer feel that inner panic and I'm totally aware and awake to my surroundings. I function as a normal person. In short, I believe that this medication, if properly, supervised can actually save lives. Problem is that it was over prescribed initially and is now demonised to the point that people who could actually benifit from it are no longer able to get it on prescription. Like me. It's not right for everyone but sometimes the positive effect in someone's life outweigh the negative of taking a medication.
I have been taking Diaxepam 5 mg for 18 years, the soles of my feet have been burning is this due to taking Diazepam 5 mg for a long time. I take it for tremors in my arm. had a stroke 18 yrs ago I am on no other meds except on rare accosions I take a nexicum
I'm sorry, but taking this stuff every day isn't the answer. I used to take for my 'anxiety' sometimes it worked great, sometimes not at all. Everyone is different. What actually happens is you gain this false sense of confidence and self importance, seeing your self as super slick, when in reality your a slurring mess. Take it, but not every day. In order to really concor anxiety, you need to learn to control it, which these can do. But please stop after a few months because it's good to get a reality check every once and a while, as this can make some people go very out of character.
I have been on 5 mg of valium for over 10 years because of anxiety. It is the only drug I have found helpful over the years. My dosage has not increased, my decision. I do drink on occasion while on it even though it is not advised.
Trust me, you've got to stop. I was drinking on 4mg of valium a day for 1 year and it's ruined my life.
I was on Valium for over 25 years. I believe it saved my life. 2×5mg a day. I couldn't leave the house and used to sweat if I got stuck in traffic! Now I'm in my late 50's and I have moved and now have new doctor's. I will always believe that Diazepam saved my life, went back to work, had two children. I'm so sick and tired of hearing all the terrible things about the drug. Doctors need to lighten up a little. It really is all in our head, because sadly that's where our brain is!!!
I agree most of these comments are coming from people who abuse the medication. I use it as prescribed and my dosage has not changed either. I was in the same boat I couldn't leave the house without vomiting and always literally shaking in constant fear. This medication has saved my life as well, and has led me to be able to cope and function in society. It isn't a cure all and I still have to incorporate relaxation techniques to keep stress down, but it had greatly changed my life for the better. I used to drink and drug to cope, it has kept me from doing so and I owe it all to the doctors who finally got me off 15 medications I didn't need and I'm down to two now one bipolar medication and one anxiety medication valium. I mean they are saying crying all negative effects.
Now a days kids are using cough syrup and benadryl to get high so really if a person truly needs it to survive a normal life I back it up 110%, but if they are just abusing it well that comes with consequences and mixing alcohol is a big no no. I understand where you are coming from I have two of the worse anxiety disorders and could not function couldn't work, couldn't leave the house, and wanted to die because I felt so useless and trapped. It honestly has saved my life.
Worry not. I have been taking 2x5mg diazepam daily for 4 years for anticipatory anxiety. I had worries early on about withdrawal, etc- but straight from the lips of two different psychiatrists, the actual risk of withdrawal is low due to the very long half life of diazepam. I sometimes to forget to take one on a weekend and do not notice at all. Acute use is ok, but it's SO much better not having panic attacks in the first place rather than taking one to stop it. Both psychiatrists agreed that I can take this indefinitely.
However, kiss alcohol goodbye. I was never a drinker anyways, but once a year I have half a glass of wine and I am trashed, not in a good way. Just don't drink at all if you are regularly taking diazepam.
Get off Valium dude. I used it for a year and it's taking months to get off. Life is hell!
Please don't do it!!! I have been dependent on Ativan/lorazepam for more than 32 years now, I was never warned of the dangers of dependency at the time, and when I did become aware it was too late. It's also true your body does build up tolerance to these drugs, having started all those years ago on 1 mg tablet once a day it gradually kept up and I now take 3X5mg tablets every single day, and go into early withdrawal if I miss a day. I am told my dosage would knock out a bull but after 32 years it just maintains me stable. Also with any drug like benzos the effects of both the drug and the alcohol you propose to take increase greatly, so try your very best not to go down that path. Good luck.
I'm on Lexapro but this severely puts my emotions under a blanket I can't feel or speak my thought everything gets locked away tonight I have a disability where I cannot feel my surroundings or sense danger etc and I was out on Lexapro it's taken everything away from me my doctor won't listen and I have epilepsy aswel as this, tonight I took diazepam this tablet helps me to concentrate, helps my vocabulary keeps alert and puts my epilepsy at bay and makes me tired I stay awake allll night, why are you against this, I wish my doctor would give me this long term instead of punishing my brain with anti depressants that block my thoughts emotions and happiness and. I am gonna say it to him I have an appointment with a physiatrist and epilepsy consultant and I'll be speaking to him soon
Did any of what I say happen to you on these tablets your emotions completely numbed? For some reason it gives me my sensation back
I'm on Lexapro but this severely puts my emotions under a blanket I can't feel or speak my thought everything gets locked away tonight I have a disability where I cannot feel my surroundings or sense danger etc and I was out on Lexapro it's taken everything away from me my doctor won't listen and I have epilepsy aswel as this, tonight I took diazepam this tablet helps me to concentrate, helps my vocabulary keeps alert and puts my epilepsy at bay and makes me tired I stay awake allll night, why are you against this, I wish my doctor would give me this long term instead of punishing my brain with anti depressants that block my thoughts emotions and happiness and. I am gonna say it to him I have an appointment with a physiatrist and epilepsy consultant and I'll be speaking to him soon
Did any of what I say happen to you on these tablets your emotions completely numbed? For some reason it gives me my sensation back
I'm curious about your progress or updates. I have some information to share.
Hey guys a update as to taking this medication I believe anti depressants are more dangerous long term wise and I am convinced the reason they won't give people benzodiazepines is because they work are expensive and will cost more arising issues if people want to ween
I believe people should be tested before given any drug which works on the brain
I recently began taking epilepsy medication
Guess what's Happening there
Lexapro SSRI IS BEING completely over powered
I have to smoke a cigarette to get my memory and vocabulary back and I'm
Tired of being like a dummy with no feeling or knowledge these drugs are made to make more patients what if we have cannabis oil which was made for a specific illness
Humans are just ruining lives for population control
And I'm such a lovely human and don't want to live this way anymore it's causing disruptions
People
Should be diagnosed , tested and then a specific strain and percent made into an oil both with cbd and thc or just cbd or thc
But it's forbidden like a fruit ( the pharma world knows the truth )
I dunno
Please share your information with me thank you
I am unsure how to proceed. I understand exactly what you are describing. I have devoted an insurmountable time to researching and reading actual published research papers regarding this exact scenario, because you and I appear to have had similar situations. I am not offering advice. I just want to share or exchange some information, but not publicly. Are we allowed to message privately here?
I changed my settings to allow private messages from my group members. WHen I clicked on your profile, it says you only allow messages from friends. I'm new to this site, so forgive me. I'm learning. I don't even know how to request friends.
Its not a good idea to take benzos long term. Your body becomes dependent on them and sometimes tolerant so you have to keep increasing the dose. Most docs won't write for valium long term. Klonopin is probably better as a long term medication. Have you tried Buspar? This is a medication that is specifically to prevent anxiety, and is not a benzo.
There are occasions that doctors prescribe benzos on a long term basis, but mostly as-needed. I was on Valium for a couple years, was allowed 2 a day and had an RX for 60 a month, which usually lasted me 3 months on average, as I only took it for panic and anxiety attacks, and also as a muscle relaxer when my back felt wrenched more than normal (it was only prescribed for panic and anxiety attacks, but I found that it's the only drug class that properly works as a muscle relaxer for me. Unfortunately I decided to discontinue using it, as I stopped getting severe panic attacks, and have since not found one single doctor that has been willing to RX a small prescription for something like Ativan for the few times a month, literally, that I seriously need a muscle relaxer. I probably would be set with something like 10 pills a month, if that, but can't even get that :/ Totally besides the point though haha!).
I think the only cases that they prescribe benzos on a daily basis, at the same time every day, is for treatment resistant anxiety and panic disorders and treatment resistant PTSD.
Buspar is not effective on all anxiety disorder, maybe social anxiety or mild anxiety. I have found that it did nothing for me whats so ever. What works for one may not work for another, keep that in mind before we start dishing out prescription medication advice WE ARE NOT DOCTORS!!
Related topics
anxiety, generalized anxiety disorder, diazepam
Further information
- Diazepam uses and safety info
- Diazepam prescribing info & package insert (for Health Professionals)
- Side effects of Diazepam (detailed)
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