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Librium (Chlordiazepoxide): Everything You Need to Know

Librium for anxiety

Librium (Chlordiazepoxide): Everything You Need to Know

Written by:

Rabia Khaliq

MSc in Applied Psychology

Umar Javed



The medications listed on this website are provided for informational purposes only. Their inclusion does not guarantee that they will be prescribed to any individual, as treatment decisions are ultimately at the discretion of healthcare providers. This list is not exhaustive, and healthcare providers may prescribe other medications, including non-stimulant options, based on the patient’s unique health circumstances and needs.

Librium is a hypnotic and sedative medication with the generic name Chlordiazepoxide. It is a benzodiazepine drug that is part of central nervous system depressants (CNS depressants), a class of medicines that work by slowing down the nervous system and producing calming effects.

Librium was invented in 1958 as the first benzodiazepine and got medical approval in 1960. A prescription from your doctor is required to purchase this medication.

According to the Controlled Substances Act’s Schedule classification, Librium is a controlled substance placed in the IV schedule. Compared to Schedule III drugs, these medications are thought to have a lower potential for misuse and a recognized effect.

There is much more to know about this medication, and the article will provide an overview of its uses, side effects, contraindications, and interactions.

Looking for prescription anxiety medication online? Connect to our team of licensed professionals to get an accurate prescription.

What Is Librium Used for?

Librium is a multi-purpose drug used to treat a variety of mental health conditions. Because it is a central nervous system depressant that works by boosting levels of the neurotransmitter GABA (gamma-Aminobutyric acid) in the brain, Librium is an effective treatment for anxiety and insomnia. The patients experience a relaxing effect that reduces anxiety and promotes sleep as a result.

Librium is also used to alleviate alcohol withdrawal symptoms since alcohol can impair the proper operation of GABA neurotransmitters in the brain. Because the brain is so accustomed to needing to make up for the effects of alcohol on GABA neurotransmitters, Librium helps to regulate the communication between transmitters, which will be pushed out of balance during periods of abstinence. Librium helps control neuronal activity to compensate for the brain’s unexpected imbalance.

Librium Dosage

The ideal dosage for Librium varies depending on the diagnosis, severity of symptoms, and reaction of each individual due to the vast range of clinical indications for the drug. Therefore, the dosage should be customized by the doctor for the greatest amount of therapeutic effects.

Note: The information mentioned below is the average recommended dosage. Only your doctor can recommend you the right dosage.

Librium capsules come in strengths of 5 mg, 10 mg, and 25 mg.

Librium for anxiety5–25 mg two to four times a day
Librium for alcohol withdrawal25–100 mg every four to six hours

Librium Price

Chlordiazepoxide oral capsules’ cost varies in different pharmacies. Prices are usually not covered by insurance policies, and the meds can be purchased by cash. The average cost for 5mg (100 capsules) is $23-$24, 10mg (100 capsules) is $21-$22, and 25mg (100 capsules) is $20-$21.

Librium Side Effects

Expected side effectsSevere side effects
  • Drowsiness
  • Muscular control issues (ataxia)
  • Confusion
  • Dizziness
  • Skin conditions
  • Edema
  • Minor anomalies in menstruation
  • Nausea/Constipation
  • Motion sickness
  • Reduced desire for sexual activities (decreased libido)
  • Jaundice
  • Liver dysfunction
  • Kidney dysfunction
  • Respiratory depression
  • Blood disorders

Connect with our medical professionals at MEDvidi. Our treatment plans are made to assist patients in recovering consistently.

Withdrawal Effects of Librium

After just a few weeks of regular use, Librium can cause dependence and addiction. After becoming dependent or tolerant to Librium, if the person abruptly stops taking it, their brain will still continue to create soothing neurotransmitters. However, the effects are not greatly felt as before. Aside from a number of additional Librium withdrawal symptoms, the patient may feel anxious, and their pulse rate and blood pressure will rise. Other withdrawal symptoms include:

  • Increased heart rate
  • Nausea
  • Sensory hypersensitivity
  • Sweating
  • Hallucinations
  • Loss of appetite
  • Agitation
  • Memory loss
  • Irritability
  • Insomnia
  • Depression
  • Psychosis
  • Seizures

Talk to a health professional if you experience any side effects of your medication.

Librium side effects

Librium Taper

There is a chance of developing physical dependence even when taking Librium exactly as directed. You’ll likely suffer withdrawal symptoms if you stop using Librium abruptly. Doctors may suggest a Librium taper regimen to lessen the symptoms. In this case, the dosage is gradually reduced as part of a tapering plan, allowing your body to adjust gradually. Tapering can take several weeks. There will still be withdrawal symptoms, but they won’t be severe.

To help alleviate rebound symptoms, the doctor may replace Librium throughout the tapering process with another benzodiazepine that has a more extended half-life, like diazepam (Valium). Valium can also be utilized to treat severe withdrawal symptoms, including psychosis. The symptoms of rebound and sleeplessness may also be treated with additional non-benzodiazepine medications, such as:

  • Clonidine
  • Eszopiclone
  • Propranolol
  • Vistaril
  • Melatonin

Drug Interactions

Certain medications and Librium may interact negatively. Keep a list of everything you take, including prescription, over-the-counter, and herbal products, for your own safety, and provide it to your doctor. Never begin taking a drug, stop taking a medication, or alter the dosage without your doctor’s clearance. The following medications and Librium may interact:

  • Fluoxetine
  • Sodium oxybate
  • Fluvoxamine
  • Kava
  • Nefazodone
  • Disulfiram
  • Cimetidine
  • Digoxin
  • Clozapine


Before using Librium, the following precautions should be taken into account to reduce the possibility of withdrawal symptoms and other negative consequences:

  • Inform your doctor if you are allergic to any specific ingredient, medicine, or food.
  • Tell your doctor your medical history, such as information about liver disease, lung problems, kidney disease, blood disorder (porphyria), or alcohol abuse.
  • Because there is a chance that using this drug during pregnancy could harm the unborn child, it is not advised for expectant women.

Bottom Line

Librium is a drug commonly prescribed to treat anxiety and alcohol withdrawal. Because there may be adverse effects, only a licensed mental health professional can decide the best dosage and method of usage. We offer individualized solutions for your health issues at MEDvidi. Sign up today.

Written by:

Rabia Khaliq

MSc in Applied Psychology

Umar Javed


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