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Diazepam

CDSCO approved
Benzodiazepine (anxiolytic, muscle relaxant, anticonvulsant)
Last reviewed 19 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
3 available
Interactions
5 documented
Formulations
4

Mechanism of action

Enhances GABA-A receptor activity by binding to benzodiazepine receptor site, increasing chloride ion conductance and producing CNS depression

At a glance

Class
Benzodiazepine (anxiolytic, muscle relaxant, anticonvulsant)
Schedule
Controlled Substance
Storage
Store below 25°C, protect from light. Do not mix injectable with other drugs. Adsorbs to PVC — use glass syringes or polypropylene.
CDSCO (India)
Vet-approved — 1970-01

Dosing

🐕

Dog

Status epilepticus
Dose
0.5–2 mg/kg
Route
IV, IR (per rectum)
Frequency
May repeat up to 3 times at 5-min intervals
Max dose
20 mg/dose; 60 mg/day
Duration: Emergency — follow with phenobarbital or levetiracetam loading
Pre-anaesthetic co-induction (with ketamine)
Dose
0.2–0.5 mg/kg
Route
IV
Frequency
Single dose
Max dose
10 mg
Duration: Given IV immediately before ketamine
🐈

Cat

Status epilepticus
Dose
0.5–2 mg/kg
Route
IV
Frequency
May repeat up to 3 times
Max dose
10 mg/dose; 30 mg/day
Duration: Emergency
Appetite stimulant
Dose
0.05–0.2 mg/kg
Route
IV, PO
Frequency
SID-BID
Max dose
2 mg/dose; 4 mg/day
Duration: Short-term only — risk of hepatic necrosis with oral use in cats
Pre-anaesthetic (with ketamine)
Dose
0.2–0.5 mg/kg
Route
IV
Frequency
Single dose
Max dose
5 mg
Duration: Given IV before ketamine
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💉

Injectable — 1

Strength
5mg/mL
Available in India
💊

Tablet — 2

Strength
2mg
Available in India
Strength
5mg
Available in India
🧴

Rectal gel/solution — 1

Strength
5mg/mL
Available in India

Storage

Store below 25°C, protect from light. Do not mix injectable with other drugs. Adsorbs to PVC — use glass syringes or polypropylene.

Safety

Absolute contraindications — do not use

  • Cats — oral diazepam for appetite stimulation (hepatic necrosis risk)
    CRITICAL: Oral diazepam in cats has been associated with fatal idiosyncratic hepatic necrosis within 5-11 days. Use mirtazapine or cyproheptadine instead as appetite stimulant
  • Severe respiratory depression
    Benzodiazepines worsen respiratory depression

Use with caution

  • Hepatic disease
    Hepatically metabolised — prolonged effect
  • Aggressive animals
    Paradoxical excitation/disinhibition possible

Adverse effects

Common
Sedation
Ataxia
Paradoxical excitation (some animals)
Serious
Fatal hepatic necrosis in cats (oral)
Respiratory depression
Cardiorespiratory collapse (rapid IV)

Monitoring parameters

Seizure activityRespiratory rateLiver enzymes (cats)Sedation level
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

Moderate — 4

Fentanyl
moderate
Opioid + benzodiazepine: additive respiratory depression and CNS depression
Management: Standard combination for neuroleptanalgesia. Monitor respiratory rate and SpO2 closely.
Phenobarbital
moderate
Additive CNS depression; both are CNS depressants acting on GABA receptors
Management: Expected combination for seizure management. Monitor for excessive sedation. Reduce doses if needed.
Morphine Sulfate
moderate
Additive CNS and respiratory depression via different mechanisms (mu-opioid vs GABA-A).
Management: Monitor respiratory rate and SpO2. Reduce opioid dose when adding benzodiazepine.
Methocarbamol
moderate
Additive CNS depression and muscle relaxation.
Management: Reduce individual doses. Monitor sedation. Both may be used for tremors/seizures but overlapping sedation requires caution.

Minor — 1

Ketamine
minor
Intentional combination: diazepam provides muscle relaxation and reduces ketamine-induced rigidity
Management: Standard and recommended combination for anaesthesia induction. Calculate doses separately.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Brands

International

Valium
Roche

India

Calmpose
Ranbaxy
Diazep
Intas

FAQs

Frequently asked questions

What is Diazepam?
Diazepam is a benzodiazepine (anxiolytic, muscle relaxant, anticonvulsant) used in pets. Enhances GABA-A receptor activity by binding to benzodiazepine receptor site, increasing chloride ion conductance and producing CNS depression
What is Diazepam used for in pets?
Diazepam is used in veterinary medicine for: Status epilepticus; Pre-anaesthetic co-induction (with ketamine); Appetite stimulant; Pre-anaesthetic (with ketamine).
What is the Diazepam dose for dogs?
For dogs, Diazepam is typically dosed as follows — Status epilepticus: 0.5–2 mg/kg IV/IR (per rectum) May repeat up to 3 times at 5-min intervals; Pre-anaesthetic co-induction (with ketamine): 0.2–0.5 mg/kg IV Single dose. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Diazepam dose for cats?
For cats, Diazepam is typically dosed as follows — Status epilepticus: 0.5–2 mg/kg IV May repeat up to 3 times; Appetite stimulant: 0.05–0.2 mg/kg IV/PO SID-BID; Pre-anaesthetic (with ketamine): 0.2–0.5 mg/kg IV Single dose. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Diazepam?
Common: Sedation, Ataxia, Paradoxical excitation (some animals). Serious (call your vet immediately): Fatal hepatic necrosis in cats (oral), Respiratory depression, Cardiorespiratory collapse (rapid IV).
Does Diazepam need a prescription?
Diazepam is available over the counter. Even so, you should consult your veterinarian before giving any medication to your pet.
When should Diazepam not be used?
Do not use Diazepam if: Cats — oral diazepam for appetite stimulation (hepatic necrosis risk); Severe respiratory depression.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database

Related medicines

Other medicines in the same class (Benzodiazepine).

Alprazolam
Binds to benzodiazepine receptors on GABA-A receptor complex, enhancing GABA-mediated chloride ion channel opening, increasing neuronal inhibition; produces anxiolytic, sedative, and muscle relaxant effects
dogcat
Midazolam
Enhances GABA-A receptor activity by binding the benzodiazepine site, increasing chloride conductance, producing anxiolysis, sedation, muscle relaxation, and anticonvulsant effects
dogcat
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