WARNINGMIXING OR WITHDRAWAL CAN BE DANGEROUS
Ordinary doses in combination with other depressants can fatally stop breathing. After prolonged dependency, stopping suddenly can also cause seizures or delirium; seek medical help.
Citation noticeOur citation system is being overhauled
References and citation markers may currently be incomplete, mismatched, or incorrect. This system is being rebuilt and reviewed before the full site launch.
Dosage & Duration
Dosage
Doses are population estimates that vary widely between individuals.
For equivalence purposes, 25 mg of chlordiazepoxide is roughly comparable to 10 mg of diazepam.
Duration
Subjective Effects
Pharmacology
Interactions
An unlisted combination is an unknown one, not a safe one. Check a dedicated combination chart before mixing.
Tolerance
Harm Potential
Addiction & Dependence
Psychological
HighChlordiazepoxide has significant abuse potential and is classified as habit-forming. Its presence is often found in urine testing from drug users without a prescription, suggesting misuse liability. The FDA requires boxed warnings for all benzodiazepines describing risks of abuse, misuse, and addiction.
Physical
HighChlordiazepoxide can produce physical dependence and benzodiazepine withdrawal syndrome. Its withdrawal profile resembles withdrawal from alcohol or barbiturates. Risk of unpleasant withdrawal increases with higher doses and longer use, but symptoms can still occur at standard doses and after short-term treatment.
Toxicity
Liver problems including yellow eyes and skin (jaundice) are listed among side effects; individuals with severe liver deficiencies such as hepatitis or cirrhosis show decreased elimination by a factor of two.
Laboratory tests found chlordiazepoxide produced toxicity in mouse spermatozoa, including abnormalities in both shape and size of sperm heads.
Chronic use leads to development of tolerance with a decrease in benzodiazepine binding sites in the forebrain; studies in mice showed impairment of latent learning, and chlordiazepoxide caused the most profound reduction in serotonin turnover among benzodiazepines tested.
Possible carcinogenesis and mutagenesis have been listed among adverse effects from benzodiazepine use during pregnancy.
History & Culture
Legality
International
Chlordiazepoxide has approved, illicit, and investigational regulatory groupings.
By Country
References
Citations
Article Status
Step 1 · Automated synthesisAn autonomous workflow built by Josie Kins compiled this article's foundation from information published across the web.
- Step 2 · First-pass reviewPending
Not yet reviewed: this article is pending editorial review by Lyrea.
- Step 3 · Citation reviewPending
No one has reviewed this article's citations yet. That second pass checks each claim against the source it cites.
Suggest an edit
Spotted a mistake, an outdated claim, or something missing from the Librium article? Send the editors a private note. Feedback lands in a moderation queue and is never shown on the site.
Wish to give generalised feedback? You can do so here.