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Librax vs. Librium

Are Librium and Librax the Same Thing?

Librax (chlordiazepoxide and clidinium bromide) and Librium (chlordiazepoxide) both contain the benzodiazepine chlordiazepoxide.

Librium is used to treat anxiety disorders or alcohol withdrawal.

Librax also contains an anticholinergic/spasmolytic and is used to treat stomach ulcers, irritable bowel syndrome, and intestinal infections.

The brand name Librax is no longer available in the U.S. Generic versions may be available.

What Are Possible Side Effects of Librax?

Tell your doctor if you have unlikely but serious side effects of Librax (chlordiazepoxide and clidinium bromide) including:

  • decreased sweating,
  • dry/hot/flushed skin,
  • fast or irregular heartbeat,
  • loss of coordination,
  • slurred speech,
  • fainting,
  • uncontrollable or unusual muscle movements,
  • mental/mood changes (such as confusion, agitation, unusual excitement, depression, or strange thoughts),
  • difficulty urinating,
  • decreased sexual ability, or
  • slow or shallow breathing.

What Are Possible Side Effects of Librium?

Common side effects of Librium include:

  • drowsiness,
  • tiredness,
  • dizziness,
  • nausea,
  • vomiting,
  • constipation,
  • blurred vision,
  • swelling,
  • skin rash,
  • irregular menstrual periods, or
  • headache.

Tell your doctor if you have side effects of Librium including:

  • confusion,
  • depression,
  • hyperactivity,
  • hallucinations,
  • slurred speech,
  • trouble walking,
  • facial or muscle twitching,
  • sleep disturbances,
  • trouble urinating,
  • changes in sex drive, or
  • jaundice (yellowing of the skin or eyes).

What is Librax?

Librax (chlordiazepoxide and clidinium bromide) is a combination of a benzodiazepine and an anticholinergic/spasmolytic used to treat stomach ulcers, irritable bowel syndrome, and intestinal infections.

What is Librium?

Librium (chlordiazepoxide) is a benzodiazepine used to treat anxiety disorders or alcohol withdrawal.

What Drugs Interact With Librax?

Librax may interact with other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety), or MAO inhibitors.

Librax may also interact with alcohol, barbiturates, or medicines to treat psychiatric disorders.

What Drugs Interact With Librium?

Librium may interact with barbiturates, blood thinners, MAO inhibitors, medicine to treat psychiatric disorders, narcotics, or antidepressants. Tell your doctor all medications you use.

How Should Librax Be Taken?

Librax (lorazepam) is administered orally. For optimal results, dose, frequency of administration, and duration of therapy should be individualized according to patient response. To facilitate this, 0.5 mg, 1 mg, and 2 mg tablets are available.

The usual range is 2 to 6 mg/day given in divided doses, the largest dose being taken before bedtime, but the daily dosage may vary from 1 to 10 mg/day.

For anxiety, most patients require an initial dose of 2 to 3 mg/day given two or three times a day.

For insomnia due to anxiety or transient situational stress, a single daily dose of 2 to 4 mg may be given, usually at bedtime.

For elderly or debilitated patients, an initial dosage of 1 to 2 mg/day in divided doses is recommended, to be adjusted as needed and tolerated.

The dosage of Librax (lorazepam) should be increased gradually when needed to help avoid adverse effects. When higher dosage is indicated, the evening dose should be increased before the daytime doses.

How Should Librium Be Taken?

The dosage of chlordiazepoxide and clidinium varies with the diagnosis and response of the individual patient. The usual maintenance dose is 1 or 2 capsules (5 mg chlordiazepoxide hydrochloride and 2.5 mg clidinium bromide), 3 or 4 times a day administered before meals and at bedtime.

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