MEDICATION GUIDE
Diazepam Oral Solution, CIV, (5 mg/mL)
(dye az’ e pam)

What is the most important information I should know about Diazepam Oral Solution?
• Diazepam Oral Solution is a benzodiazepine medicine. Taking benzodiazepines with opioid medicines, alcohol, or other central nervous system depressants (including street drugs) can cause severe drowsiness, breathing problems (respiratory depression), coma and death.
• Diazepam Oral Solution can make you sleepy or dizzy, and can slow your thinking and motor skills.
o Do not drive, operate heavy machinery, or do other dangerous activities until you know how Diazepam Oral Solution affects you.
o Do not drink alcohol or take other drugs that may make you sleepy or dizzy while taking Diazepam Oral Solution without first talking to your healthcare provider. When taken with alcohol or drugs that cause sleepiness or dizziness, Diazepam Oral Solution may make your sleepiness or dizziness much worse.
• Do not take more Diazepam Oral Solution than prescribed.

What is Diazepam Oral Solution?
• Diazepam Oral Solution is a prescription medicine used:
o to treat anxiety disorders
o for the short-term relief of the symptoms of anxiety
o to relieve the symptoms of alcohol withdrawal including agitation, shakiness (tremor), sudden and severe mental or nervous system changes (delirium tremens) and seeing or hearing things that others do not see or hear (hallucinations)
o along with other medicines for the relief of muscle spasms
o along with other medicines to treat seizure disorders

• Diazepam Oral Solution is a federal controlled substance (C-IV) because it can be abused or lead to dependence. Keep Diazepam Oral Solution in a safe place to prevent misuse and abuse. Selling or giving away Diazepam Oral Solution may harm others, and is against the law. Tell your healthcare provider if you have abused or been dependent on alcohol, prescription medicines or street drugs.
• It is not known if Diazepam Oral Solution is safe and effective in children under 6 months of age.
• It is not known if Diazepam Oral Solution is safe and effective for use longer than 4 months.

Do not take Diazepam Oral Solution if you:
• are allergic to diazepam or any of the ingredients in Diazepam Oral Solution. See the end of this Medication Guide for a complete list of ingredients in Diazepam Oral Solution.
• have a disease that can cause muscle weakness called myasthenia gravis
• have severe breathing problems (severe respiratory insufficiency)
• have severe liver problems
• have a sleep problem called sleep apnea syndrome

Before you take Diazepam Oral Solution, tell your healthcare provider about all of your medical conditions, including if you:
• have or have had depression, mood problems, or suicidal thoughts or behavior
• have lung disease or breathing problems
• have liver or kidney problems
• are pregnant or plan to become pregnant. Diazepam Oral Solution may harm your unborn baby. You and your healthcare provider should decide if you should take Diazepam Oral Solution while you are pregnant.
• are breastfeeding or plan to breastfeed. Diazepam passes into your breast milk and may harm your baby. Talk to your healthcare provider about the best way to feed your baby if you take Diazepam Oral Solution. Do not breastfeed while taking Diazepam Oral Solution.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Taking Diazepam Oral Solution with certain other medicines can cause side effects or affect how well Diazepam Oral Solution or the other medicines work. Do not start or stop other medicines without talking to your healthcare provider.

How should I take Diazepam Oral Solution?
• Take Diazepam Oral Solution exactly as your healthcare provider tells you to take it. Your healthcare provider will tell you how much Diazepam Oral Solution to take and when to take it.
• Talk to your healthcare provider about slowly stopping Diazepam Oral Solution to avoid withdrawal symptoms.
• If you take too much Diazepam Oral Solution, call your healthcare provider or go to the nearest hospital emergency room right away.

What should I avoid while taking Diazepam Oral Solution?
• Diazepam Oral Solution can cause you to be drowsy. Do not drive a car or operate heavy machinery until you know how Diazepam Oral Solution affects you.
• You should not drink alcohol while taking Diazepam Oral Solution. Drinking alcohol can increase your chances of having serious side effects.

What are the possible side effects of Diazepam Oral Solution? Diazepam Oral Solution may cause serious side effects, including:
• See “What is the most important information I should know about Diazepam Oral Solution?”
• Seizures. Taking Diazepam Oral Solution with other medicines used to treat epilepsy can cause an increase in the number or severity of grand mal seizures.
• Withdrawal symptoms. You may have withdrawal symptoms if you stop taking Diazepam Oral Solution suddenly. Withdrawal symptoms can be serious and include seizures. Mild withdrawal symptoms include a depressed mood and trouble sleeping. Talk to your healthcare provider about slowly stopping Diazepam Oral Solution to avoid withdrawal symptoms.
• Like other antiepileptic drugs, Diazepam Oral Solution may cause suicidal thoughts or actions in a very small number of people, about 1 in 500.  Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you:

o thoughts about suicide or dying
o new or worse anxiety o an extreme increase in activity and talking (mania)
o trouble sleeping (insomnia) o new or worse depression
o acting on dangerous impulses o panic attacks
o attempts to commit suicide o acting aggressive, being angry, or violent
o feeling agitated or restless
o new or worse irritability o other unusual changes in behavior or mood

How can I watch for early symptoms of suicidal thoughts and actions?
• Pay attention to any changes, especially sudden changes, in mood, behaviors, thoughts, or feelings.
• Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you are worried about symptoms. Suicidal thoughts or actions can be caused by things other than medicines. If you have suicidal thoughts or actions, your healthcare provider may check for other causes.
• Abuse and dependence. Taking Diazepam Oral Solution can cause physical and psychological dependence. Physical and psychological dependence is not the same as drug addiction. Your healthcare provider can tell you more about the differences between physical and psychological dependence and drug addiction.

The most common side effects of Diazepam Oral Solution include:
• drowsiness
• fatigue
• muscle weakness
• loss of control of body movements (ataxia)

These are not all the possible side effects of Diazepam Oral Solution. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Pharmaceutical Associates, Inc. at 1-800-845-8210.

How should I store Diazepam Oral Solution?
• Store Diazepam Oral Solution in a tightly closed, light-resistant container between 68°F to 77°F (20°C to 25°C).
• Keep Diazepam Oral Solution and all medicines out of the reach of children.

General information about the safe and effective use of Diazepam Oral Solution. Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. Do not use Diazepam Oral Solution for a condition for which it was not prescribed. Do not give Diazepam Oral Solution to other people, even if they have the same symptoms that you have. It may harm them. You can ask your pharmacist or healthcare provider for information about Diazepam Oral Solution that is written for health professionals.

What are the ingredients in Diazepam Oral Solution?
Active ingredient: diazepam

Inactive ingredients: The flavored 5 mg/5 mL oral solution contains bitterness modifier, citric acid, D&C Yellow No. 10, FD&C Red No. 40, polyethylene glycol, propylene glycol, sodium citrate, sorbitol, water and wintergreen coriander spice blend.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

PACKAGED BY

Pharmaceutical Associates, Inc.

Greenville, SC 29605

www.paipharma.com

Revised: August 2020