Diazepam class
Benzodiazepine
Diazepam MOA
Binds to GABA(A) receptors, increases Cl permeability leading to hyperpolarization & inhibition of neuronal firing
Diazepam dosage
Ind: 0.5 - 1 mg/kg
Seizure: 0.1 mg/kg q 10-15 min (max 30 mg)
Diazepam characteristics
O: 1-5 min
P: 5-15 min
D: 15 min to an hour
Diazepam E/M
Hepatic microsomal enzymes using oxidative pathway of N-demethylation
Diazepam considerations
Reduces requirements for VA;
Elderly have decreased clearance & dosage requirements;
May cause neonatal hypothermia