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# Anti-anxiety Medicines
# Diazepam
Diazepam can be used to relax muscles and calm the person. It can
also be used to stop a single seizure. For people with ongoing
seizures (epilepsy), use a different medicine, one that can be taken
every day.
## Side effects
Sleepiness.
## Important!
* Too much diazepam can slow down or stop breathing. Do not give
more than the recommended dose and do not give more than 2 doses.
* Diazepam is a habit-forming (addictive) drug. Avoid long-term or
frequent use.
* Do not give during pregnancy or breastfeeding unless the woman
has a seizure (for example, due to eclampsia).
* Do not inject diazepam unless you have experience or training to
do so. It is very difficult to give safely by injection. Instead,
during a seizure, you can put it into the rectum (see below).
# How to use
Pill
To relax muscles and calm a person:
Give diazepam tablets by mouth 45 minutes before a painful procedure
like pushing in a hernia or setting a bone.
For children, give 0.2 to 0.3 mg per kg. If you cannot weigh the
person, dose by age:
* 2 to 6 years: give 1 mg.
* 7 to 12 years: give 5 mg.
* Over 12 years: give 10 mg.
For a seizure:
Use the liquid solution for injection, or grind up 1 tablet and mix
with water. Take the needle off a syringe, then draw up the
medication and put it inside the rectum. Or use diazepam gel made
for use in the rectum. Lay the person on her side and use the
needle-less syringe to put the medicine deep into her rectum. Then
hold her buttocks together for 10 minutes to keep the medicine in.
* Under 7 years: give 0.2 mg per kg, one time.
* 7 to 12 years: give 3 to 5 mg, one time.
* Over 12 years: give 5 to 10 mg, one time.
If the seizure is not controlled 15 minutes after giving the
medicine, repeat the dose. Do not repeat more than once.
# Lorazepam
Lorazepam is very similar to diazepam. It can be used to relax
muscles and calm the person. It can also be used to stop a single
seizure. For people with ongoing seizures (epilepsy), use a
different medicine, one that can be taken every day.
## Side effects
Sleepiness.
## Important
* Too much lorazepam can slow down or stop breathing.
* Lorazepam is a habit-forming (addictive) drug. Avoid long-term
or frequent use.
* Do not give during pregnancy unless there is severe pre-eclampsia
or seizures.
* Do not inject lorazepam into a muscle or vein unless you have
experience or training to do so. It is very difficult to give
safely by injection. Instead, during a seizure, you can put it
into the rectum (see above).
## How to use
Pill
To relax muscles and calm a person:
Give lorazepam tablets by mouth 45 minutes before a painful procedure
like setting a bone.
* 1 month to 12 years: give 0.05 mg per kg, one time.
* Over 12 years: give 1 to 2 mg, one time.
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