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Librium vs. Valium

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Chlordiazepoxide (Librium) and diazepam (Valium) are both benzodiazepines used to treat anxiety and alcohol withdrawal symptoms, but they have some differences. Chlordiazepoxide is available only as a capsule, while diazepam comes in both tablet and liquid forms. Diazepam can also treat muscle spasms and seizures, which chlordiazepoxide does not. Chlordiazepoxide takes longer to start working, up to 4 hours, compared to diazepam, which can start working in 15 to 30 minutes. Both medications carry a risk of addiction and dependence, but diazepam is noted for its quicker onset and shorter duration of action. Additionally, diazepam is available for use in children as young as 6 months, whereas chlordiazepoxide is only for children 6 years and older. Both medications should be used short-term and under close supervision due to their potential for serious side effects and withdrawal symptoms.

Chlordiazepoxide

 

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Diazepam

(Valium)

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Summary for Librium

Prescription only

Chlordiazepoxide is used for the short-term relief of anxiety symptoms. It can also prevent alcohol withdrawal symptoms, like seizures. This medication has a risk of addiction, so it's classified as a schedule IV controlled substance. Your dose will depend on the reason why you're using it, your age, and your other health conditions. Some possible side effects of chlordiazepoxide include drowsiness, trouble with balance and movement, and confusion. Chlordiazepoxide comes as a capsule, and is available as a brand name and a lower-cost generic.

Indications for Librium

  • Alcohol withdrawal
  • Preoperative anxiety and anxiety disorders

Pros and Cons for Librium

Pros

  • Available as a lower-cost generic
  • A first-choice treatment option for alcohol withdrawal
  • Can be used in children age 6 and older
  • Dose can be adjusted by your provider based on your response

Cons

  • Controlled medication due to the risk of addiction, misuse, and dependence
  • Risk of more side effects in older adults
  • Can cause withdrawal if suddenly stopped
  • Should only be used short-term

Common Side Effects for Librium

  • Drowsiness
  • Confusion
  • Loss of coordination (clumsiness)

Warnings for Librium

  • Risks while also taking opioids
  • Potential for addiction, misuse, dependence, and withdrawal
  • Effect on driving and concentration
  • Harm to babies

Summary for Valium

Prescription only

Diazepam (Valium) is a benzodiazepine. It's used to treat symptoms of anxiety and alcohol withdrawal. It can also treat certain types of muscle spasms and seizures. Diazepam (Valium) comes as a tablet and liquid solution. It's taken by mouth, typically 2 to 4 times daily. Some common side effects of diazepam (Valium) include sleepiness, dizziness, and weakness. Additionally, this medication carries a risk for misuse and dependence, so it's classified as a controlled substance.

Indications for Valium

Pros and Cons for Valium

Pros

  • Taken by mouth
  • Available as tablets and liquid
  • Works within 30 minutes

Cons

  • Might need to take multiple times a day
  • Short-term use only because risk for dependence
  • Generally not recommended during pregnancy or breastfeeding

Common Side Effects for Valium

  • Sleepiness
  • Dizziness
  • Muscle weakness
  • Problems with balance or coordination
  • Memory problems

Warnings for Valium

  • Extreme sleepiness and difficulty breathing
  • Misuse and dependence
  • Withdrawal
  • Harm to babies during pregnancy and after delivery
  • Interactions with other medications
  • Use with caution in people with depression

Prices with our coupons for Librium vs. Valium

Price Card Drug Icon
Chlordiazepoxide30 capsules / 25mg
$11.30$13.81
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Price Card Drug Icon
Diazepam30 tablets / 5mg
$10.43$22.04
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