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Dition to be treated, the severity of symptoms, the body weight of the patient, and any comorbid conditions the patient may have. 13 Elderly patients and those with liver disorders experience decreased metabolism of diazepam; therefore the dosage for these patients should be reduced. General guidelines for this group of patients: initial doses of 2mg to 2.5mg, 1 or 2 times daily; increase gradually as required tolerated. 7 edit Adult dosage recommendations Insomnia - Up to 30mg orally, as a single dose, at bedtime. 13 Anxiety panic attacks - Dosage differs depending upon severity of symptoms. For panic attacks, diazepam is taken "as needed". Oral - 2mg to 10mg oral, 2 to 4 times daily. 7 IV IM - 2mg to 10mg. Repeat in 3 to 4 hours, if necessary. 11 Pre- postoperative sedation - If other premedications are used, they must be administered separately. 11 Oral - Up to 20mg as a single dose. 13 IV IM - 2mg to 10mg, repeated at intervals of at least 5 to 10 minutes, until adequate sedation and or anxiolysis is achieved. 13 Status epilepticus Oral - 2mg to 10mg, 2 to 4 times daily. 7 IV IM - 5mg to 10mg. May be repeated every 5 to 10 minutes until termination of seizures. Maximum dose of 40mg to 60mg can be used; if this dose is ineffective, other anticonvulsant drug therapy should be instituted. 13 Rectal solution - 10mg as a single dose. May be repeated after 5 minutes, if necessary. The oral solution can also be administered rectally. 13 Painful muscle conditions or muscle spasms Oral - Up to 15mg daily, in divided doses. In severe spasticity associated with cerebral palsy, dos
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