Does Librium Help with Alcohol Withdrawal?

Robert Gerchalk

Robert is our health care professional reviewer of this website. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore. He has a nursing and business/technology degrees from The Johns Hopkins University.

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Librium and Alcohol Withdrawal

The road to recovery isn’t always smooth, and for those going through alcohol withdrawal, drugs like Librium may be a lifesaver. Many conditions, such as anxiety and alcohol withdrawal, respond well to this benzodiazepine. Let’s take a close look at Librium’s features, its broader applications, its interactions with alcohol, and the rationale for its prescription by healthcare providers for alcohol withdrawal.

What Is Librium?

Librium is a medicine that belongs to the benzodiazepine family; chlordiazepoxide is the trade name. It has a wide variety of uses beyond its original introduction as an anticonvulsant and anxiolytic. Conditions including alcohol withdrawal, certain kinds of seizures, panic disorder, generalized anxiety disorder (GAD), and panic attacks may all lead doctors to prescribe Librium.

What Does It Do?

Librium, being a benzodiazepine, works by increasing the levels of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA). By decreasing neuronal excitability and increasing GABAergic activity, the CNS can relax, which has sedative, muscle-relaxing, and anxiolytic effects.

How to Take It

Most people take Librium orally according to their doctor’s orders. The particular ailment and drug response of the person determines the dose and frequency. Pay close attention to the directions on the prescription label. To avoid withdrawal symptoms, do not stop taking the medication suddenly.

How Does Alcohol Affect Librium?

The effects of alcohol and Librium on GABA receptors are additive, increasing the likelihood of CNS depression. They have cumulative effects when taken together, making you even more sleepy and clumsy and less able to coordinate your movements. One of the major dangers of using Librium with alcohol is the development of respiratory depression, which may be fatal if left untreated. People using Librium to help with alcohol withdrawal should not drink at all while taking the medication.

Why Do Doctors Prescribe Librium for Alcohol Withdrawal?

Healthcare professionals frequently prescribe Librium for alcohol withdrawal due to its pharmacological properties that address particular problems associated with quitting alcohol. Intense emotions of anxiety and restlessness often accompany heightened neuronal excitability during alcohol withdrawal, making Librium’s anxiety-relieving properties all the more helpful. 

Seizures are more likely to occur during alcohol withdrawal, which is a major concern. Librium’s anticonvulsant qualities provide a safeguard at this delicate time by preventing seizures. Librium also helps ease the physical pain of withdrawal by reducing tension and spasms in the muscles.

What Are the Side Effects of Librium?

Librium comes with a wide range of possible side effects. Understanding these side effects can help you determine when it’s time to call a doctor:

  • Fatigue
  • Dizziness
  • Queasy stomach
  • Vomiting
  • Blurry vision
  • Inflammation
  • Skin rash
  • Headache
  • Vomiting
  • Irregular menstrual periods

What Are the Symptoms of Alcohol Withdrawal?

When people who regularly drink alcohol suddenly cut down or stop drinking altogether, they enter a complicated psychological and physiological process known as alcohol withdrawal. The amount of alcohol consumed, one’s health, and the existence of any preexisting diseases are some of the many variables that may significantly affect the intensity and length of withdrawal symptoms. In order to provide prompt assistance, it is essential to recognize the signs of alcohol withdrawal.

Hallucinations

Within 12 to 24 hours after one’s last drink, hallucinations may begin. They usually reach a crescendo on the second day of withdrawal. These hallucinations are among the most serious symptoms. They can cause aberrations in the senses of sight, sound, or touch. Severe instances might even cause people to have unrealistically strong and unsettling sensory impressions that make them engage in dangerous behaviors.

Headaches

An early and prevalent sign of alcohol withdrawal is headaches. Headaches may arise as a result of changes in blood flow and neurotransmitter levels brought on by suddenly stopping alcohol use. Headaches of this kind may be moderate to severe, and some people have heightened sensitivity to light and sound as a side effect.

Anxiety

One of the most uncomfortable and all-encompassing side effects of alcohol withdrawal is anxiety. Increased anxiety, agitation, and nervousness may result from neurotransmitter imbalances that occur as the brain readjusts to life without alcohol. Anxiety management is essential during withdrawal since severe instances may make it very difficult to stay sober.

Seizures

An extremely dangerous side effect of alcohol withdrawal is seizures, which usually manifest themselves in the first two days after stopping drinking. Anyone with a history of chronic excessive drinking is more likely to have seizures. The health hazards associated with seizures, which may vary from mild to severe, are substantial. In order to control seizures and avoid consequences, medical treatment is necessary.

Sleepiness and Fatigue

People going through alcohol withdrawal often feel drowsy and exhausted because drinking too much disturbs regular sleep patterns. Even if you’re exhausted, getting a good night’s sleep at this time might be difficult, adding to your general sense of drowsiness.

Intense Cravings

One of the most noticeable signs of alcohol withdrawal is an overwhelming desire to drink. It may be rather tough for people to stay sober due to the strong need to drink again. There are a lot of psychological and physiological aspects that go into cravings, so it’s important to have supportive treatments and coping mechanisms to help with this difficult part of withdrawal.

Does Librium Treat All Symptoms of Alcohol Withdrawal?

Even though Librium can help with many alcohol withdrawal symptoms, it can’t alleviate all of them. Drinking alcohol over lengthy periods of time harms the human body in ways that it cannot repair on its own. You’re likely to experience a lack of dopamine during alcohol withdrawal as well as insufficient levels of serotonin, magnesium, and vitamin B. This is why alcohol withdrawal requires an all-encompassing treatment approach in order to be effective. 

Using Librium Safely for Alcohol Withdrawal

Your doctor will decide the appropriate dose of Librium based on the severity of your withdrawal response. It is important to avoid using this drug for extended periods of time and to take the correct dosage to alleviate symptoms without increasing the risk of addiction. Most drugs intended to aid detox have two parts to their dosage recommendations. In the first phase, you’ll have to deal with the tidal wave of symptoms that hits between 12 and 48 hours after you stop using. Step two is to take the medicine as prescribed for the first week before gradually reducing the dosage until it is no longer needed.

Stage 1

A doctor will prescribe a first dosage after reviewing your medical history; this will help the body deal with the first confusing and anxious symptoms caused by the brain’s chemical imbalance. In most cases, this entails taking Librium in amounts ranging from 20 mg to 40 mg at regular intervals throughout the day. Because of the serious consequences of administering either too much or too little Librium, a doctor must be present for the first dosages to help monitor the client’ response to the recommended dosage.

Stage 2

The usual practice is to set the dosage to a decreasing quantity after the first 48 hours. On day three, the dosage drops by 20% every 24 hours until the drug is no longer required.

Librium Safety Precautions

Be sure you know these facts before you use Librium. After your intake evaluation, your treatment provider can determine whether this medicine is appropriate for you. Do not use this medicine for longer than required because of how addictive it is. Its sedative and relaxing effects on neurotransmitters can make those with severe anxiety or stress reliant on it. Another factor that increases the likelihood of addiction is the length of time you take it. It will, of course, be easier to wean off if you have a support structure in place, such as therapy.

Knowing When to Call the Doctor

Seek prompt medical attention if you encounter any of the following additional adverse effects when taking Librium:

  • Involuntary muscle movement
  • Disruptions to your sleep cycle
  • Problems with urinating
  • Changes in your libido
  • Jaundice
  • Feeling down
  • Excessive activity
  • Confusion
  • Difficulty speaking
  • Walking difficulties

How Does Librium Affect the Liver?

Enzymes produced by the liver are essential for the breakdown of Librium into inert metabolites for excretion. People with preexisting liver diseases should take Librium with care. The liver’s function in detoxifying the body of alcohol and other pollutants is crucial during alcohol withdrawal. Excessive alcohol use already impairs liver function, and suddenly cutting down could be much more taxing on this important organ. When the liver is in good condition, it can process drugs safely, which makes withdrawal easier and lessens the likelihood of problems caused by liver disease.

Is Librium Addictive?

Librium, like other benzodiazepine medications, may cause addiction. It has a sedative effect by acting as a central nervous system depressant and increasing the activity of GABA. Dependence on Librium may develop in the body and mind with long-term usage or abuse. It is crucial to gradually taper down under medical supervision to avoid withdrawal symptoms that may occur from abrupt termination. The proper use of Librium in controlling illnesses like anxiety and alcohol withdrawal requires strict adherence to recommended doses and frequent medical check-ups to reduce the danger of addiction.

What Does Librium Addiction Look Like?

There are a number of symptoms that indicate an addiction to Librium. Tolerance develops over time, and people may need increasingly large dosages to have the same results. Consistent usage of Librium despite unfavorable effects is a significant signal. People may continue to use the drug despite withdrawal symptoms, such as anxiety and sleeplessness, even after they stop. The person may spend a lot of time getting the substance and consuming it, which may cause them to miss out on social and work events. 

How to Treat Librium and Alcohol Addiction at the Same Time

A holistic strategy is necessary for the treatment of alcoholism and Librium addictions that occur at the same. For the proper management of withdrawal symptoms, medical monitoring is crucial. To promote long-term rehabilitation, behavioral treatments such as cognitive-behavioral therapy (CBT) can help treat the underlying causes of the addictions. When treating two disorders at the same time (such as two addictions), it’s vital to get dual-diagnosis treatment. This type of treatment can evaluate and treat both addictions at the same time, increasing your chances of establishing a long-lasting recovery. 

There are a number of mental health disorders that often coincide with alcohol or substance use disorders. If you need help finding treatment for your specific needs, contact Alcohol Awareness today. We understand the complexities of dual diagnoses and partner with a wide range of treatment providers.