Doctor insights on:
Valium Problem Glaucoma
Valium (diazepam) is an older benzodiazepine tranquilizer. It was the #1 prescribed drug (of any kind) in the us in the late 1960s but is used less now due to drug interactions and active metabolites. It is still used for anxiety and as "pre-medication" for uncomfortable medical and minor surgical procedures. It is habit-forming, should not be used with alcohol, ...Read more
Pressure can rise: Valium is in a class of drugs that the fda has listed as a contraindication because of a potential further reduction in the angle of the eye responsible for passage of the eye fluid. If that angle is already narrow, any further narrowing may result in blockage of fluid flow causing the eye pressure to build up and cause redness, pain, and glaucoma damage to the eye nerve, which can be permanent. ...Read moreSee 1 more doctor answer
Could cause pressure: Valium is a muscle relaxant which selectively affects skeletal muscle fibers more than smooth muscle fibers found in the iris and pupil. The thinking would be that if valium or diazepam relaxes the iris muscles it could trigger angle closure glaucoma -a medical emergency. I've never seen that happen to a patient on valium and if you have a laser iridotomy it will prevent this. ...Read more
It depends: Valium belongs in a class of medications that, in theory, could precipitate an angle closure attack (as a weak anticholinergic). In practice, this is not an absolute contraindication. What is more important is to ensure that your narrow angles are managed by your ophthalmologist (either with laser+/-medication). ...Read more
I have glacoma with pretty bad nerve damage. Can I use 5mg - 10 mg of valium as a sleep aid (just had total knee replacement) ?
Thank you so much. Bob
Anxiety: Valium is not a Medication for insomnia. 10 mg at bed time is high dose and can have side effects; taking Alcohol wit it can increase side effects. It is habit forming. You have gone through stresses of Glaucoma and Total Knee Replacement. Seeing Psychiatrist for Therapy and discussing Medication for Anxiety and sleep will be beneficial. Do Breathing and Music Relaxation, Meditation, Yoga ...Read more
New gp has cut my dose of 30mg Valium to 25- but is prescribing a friend 3mg of Xanax (alprazolam) with no problem- is this fair to pick & choose?
Your doctor is: Basing their decisions on the issues, symptoms and concerns that you have brought to him. Your friend is not you and has other issues that he is taking into account. Speak with your doctor if you are not sure the medication is the right one for you. It is not a matter of fairness, but clinical judgement, which is why he spent years in medical school and training. ...Read more
Does seroquel (quetiapine) XR work the same as Valium and if im having sedation problems in the morning will they go away soon it's only my second day. Thanks?
Sedation: Seroquel (quetiapine) is known to cause sedation that sometimes can be pretty bothersome. It, however, doesn't work as valium in that it is not addictive, although, sedation may be just as bothersome. Xr formulations may be more sedative than short acting ones and you may discuss with your physician possible switch. Sedation side effect may get better with time. ...Read more
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