Diazepam was the second benzodiazepine to be invented by Sternbach of Hoffmann-La Roche, and was approved for use in 1963. It is two and a half times more potent than its predecessor, chlordiazepoxide, which it quickly surpassed in terms of sales.The benzodiazepines gained popularity among medical professionals as an improvement upon barbiturates, which have a comparatively narrow therapeutic index, and are far more sedating at therapeutic doses. The benzodiazepines are also far less dangerous; death rarely results from diazepam overdose, except in cases where it is consumed with large amounts of other depressants (such as alcohol or other sedatives). Diazepam was the top-selling pharmaceutical in the United States from 1969 to 1982, with peak sales in 1978 of 2.3 billion tablets.
Diazepam is commonly used on the treatment of:
- reatment of anxiety, panic attacks, and states of agitation.
- Treatment of status epilepticus, adjunctive treatment of other forms of epilepsy
- Treatment of vertigo associated with Meniere's Disease.
- Treatment of the symptoms of alcohol and opiate withdrawal
- Short-term treatment of insomnia.
- Treatment of tetanus, together with other measures of intensive-treatment
- Initial management of mania, together with firstline drugs like lithium, valproate, lamotrigine or other antipsychotics[citation needed]
- Adjunctive treatment of painful muscle conditions
- Adjunctive treatment of spastic muscular paresis (para-/tetraplegia) caused by cerebral or spinal cord conditions such as stroke, multiple sclerosis, spinal cord injury (long-term treatment is coupled with other rehabilitative measures)
- Palliative treatment of stiff person syndrome.
- Used to alleviate the symptoms of Lesch-Nyhan Syndrome
- Pre-/postoperative sedation, anxiolysis and/or amnesia (e.g. before endoscopic or surgical procedures)
- Treatment of overdosage with hallucinogens or CNS stimulants.
- Adjunctive treatment of drug-induced seizures, resulting from exposure to sarin, VX, soman (or other organophosphate poisons; See CANA), lindane, chloroquine, physostigmine, or pyrethroids
- Emergency treatment of eclampsia, along with IV magnesium sulfate
- Prophylactic treatment of oxygen toxicity during hyperbaric oxygen therapy.
- Used in the treatment for irritable bowel syndrome.
- Used to treat pain resulting from muscle spasms caused by various spastic dystonias, including blepharospasm, spasmodic dysphonia and Meige's Syndrome.