Last Updated: June 25, 2026

CLINICAL TRIALS PROFILE FOR VALIUM


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505(b)(2) Clinical Trials for VALIUM

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
OTC NCT00055549 ↗ Dextromethorphan to Treat Patients With Voice Spasms Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 1 2003-03-04 This study will examine how dextromethorphan, a drug that alters reflexes of the larynx (voice box), might change voice symptoms in people with voice disorders due to uncontrolled laryngeal muscle spasms. These include abductor spasmodic dysphonia (breathy voice breaks), adductor spasmodic dysphonia (vowel breaks), muscular tension dysphonia (tight strained voice), and vocal tremor (tremulous voice). Dextromethorphan-one of a group of drugs called NMDA antagonists-has been used for years in over-the-counter cough suppressant medicines. In animal studies, the drug has blocked one of the reflexes in the larynx that may be associated with spasms in the laryngeal muscles. This study will compare the effects of dextromethorphan, lorazepam (a valium-type drug), and a placebo (inactive substance) in patients with the four types of voice disorders described above. Patients with spasmodic dysphonia, muscular tension dysphonia and vocal tremor may be eligible for this study. Individuals who smoke or use tobacco, who have vocal nodules or polyps, or who have a history of airway obstruction may not participate. Candidates will be screened with a medical history and physical examination, a questionnaire, voice recording (repeating sentences into a microphone), and nasolaryngoscopy (examination of the larynx with a tube advanced through the nose). For the nasolaryngoscopy, the inside of the nose is sprayed with a decongestant (to open the nasal passages) and possibly a local anesthetic. A small, flexible tube called a nasolaryngoscope is passed through the nose to look at the larynx during speech and other tasks, such as singing, whistling and prolonged vowels. Participants will be admitted to the NIH Clinical Center for each of three visits, which will last from the afternoon of one day to late afternoon of the following day. At each visit, patients will complete a questionnaire, baseline speech recording, and a test for sedation level. They will take three pills-either dextromethorphan, lorazepam, or placebo-one every 6 hours. Vital signs will be checked every 6 hours and the level of sedation during waking hours will be monitored. One to three hours after taking the third pill, speech recording, questionnaire and test of sedation will be repeated to check for possible voice changes. Patients will be given a different pill at each visit. ...
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed Pacira Pharmaceuticals, Inc Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
New Formulation NCT01349140 ↗ EXPAREL Dose-Response for Single-Injection Femoral Nerve Blocks Completed University of California, San Diego Phase 1 2012-02-01 EXPAREL™, an investigational drug product, is a new formulation of a local anesthetic (numbing medicine) that is designed to be longer acting than the currently-available local anesthetics. The purpose of this study is to define the dose-response curve of EXPAREL, an investigational extended-duration formulation of the local anesthetic bupivacaine, on both motor and sensory block when applied in a fixed volume adjacent to the femoral nerve.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for VALIUM

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00001550 ↗ Intravenous Immunoglobulin (IVIg) for the Treatment of Stiff-Man Syndrome (SMS) Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 1 1996-04-01 Stiff-man Syndrome (SMS) is a chronic, progressive disorder of the nervous system. It is associated with painful muscle spasms and rigidity involving muscles of the limbs, trunk, and neck. The cause of the disease is unknown, but researchers believe it may be a result of an autoimmune process. Patients with Stiff-man Syndrome may produce antibodies that attack enzymes required for the normal function of the nervous system. Steroids, plasmapheresis, and intravenous immunoglobulin (IVIg) have been given to relieve some of the symptoms of Stiff-man Syndrome. However, none of these therapies have proven to be significantly effective. This study will attempt to determine the effectiveness of intravenous immunoglobulin (IVIg) for the treatment of Stiff-mann Syndrome. Patients participating in this study will be divided into two groups. Group one will receive 2 injections of IVIg once a month for three months. Group two will receive 2 injections of placebo "inactive sterile water" once a month for three months. Following the three months of treatment, group one will begin taking the placebo and group two will begin taking IVIg for an additional 3 months. The drug will be considered effective if patients receiving it experience a significant improvement in muscle function, mobility, and stiffness.
NCT00055549 ↗ Dextromethorphan to Treat Patients With Voice Spasms Completed National Institute of Neurological Disorders and Stroke (NINDS) Phase 1 2003-03-04 This study will examine how dextromethorphan, a drug that alters reflexes of the larynx (voice box), might change voice symptoms in people with voice disorders due to uncontrolled laryngeal muscle spasms. These include abductor spasmodic dysphonia (breathy voice breaks), adductor spasmodic dysphonia (vowel breaks), muscular tension dysphonia (tight strained voice), and vocal tremor (tremulous voice). Dextromethorphan-one of a group of drugs called NMDA antagonists-has been used for years in over-the-counter cough suppressant medicines. In animal studies, the drug has blocked one of the reflexes in the larynx that may be associated with spasms in the laryngeal muscles. This study will compare the effects of dextromethorphan, lorazepam (a valium-type drug), and a placebo (inactive substance) in patients with the four types of voice disorders described above. Patients with spasmodic dysphonia, muscular tension dysphonia and vocal tremor may be eligible for this study. Individuals who smoke or use tobacco, who have vocal nodules or polyps, or who have a history of airway obstruction may not participate. Candidates will be screened with a medical history and physical examination, a questionnaire, voice recording (repeating sentences into a microphone), and nasolaryngoscopy (examination of the larynx with a tube advanced through the nose). For the nasolaryngoscopy, the inside of the nose is sprayed with a decongestant (to open the nasal passages) and possibly a local anesthetic. A small, flexible tube called a nasolaryngoscope is passed through the nose to look at the larynx during speech and other tasks, such as singing, whistling and prolonged vowels. Participants will be admitted to the NIH Clinical Center for each of three visits, which will last from the afternoon of one day to late afternoon of the following day. At each visit, patients will complete a questionnaire, baseline speech recording, and a test for sedation level. They will take three pills-either dextromethorphan, lorazepam, or placebo-one every 6 hours. Vital signs will be checked every 6 hours and the level of sedation during waking hours will be monitored. One to three hours after taking the third pill, speech recording, questionnaire and test of sedation will be repeated to check for possible voice changes. Patients will be given a different pill at each visit. ...
NCT00106106 ↗ Acamprosate to Reduce Symptoms of Alcohol Withdrawal Completed National Institute on Alcohol Abuse and Alcoholism (NIAAA) Phase 2 2005-03-01 This study will examine whether a new drug called acamprosate can be helpful for alcohol withdrawal, a result of drinking high amounts of alcohol for long periods of time. Alcohol withdrawal can cause various symptoms, including nausea or vomiting, anxiety or depression, tremor, high blood pressure, and others. During withdrawal, brain chemicals called neurotransmitters change, with some rising to abnormally high levels. These changes may contribute to alcohol craving, drinking relapse and impaired mental performance. This study will see if taking acamprosate for 4 weeks can lower the levels of neurotransmitters, such as glutamate, lessen withdrawal symptoms and decrease alcohol craving and brain damage associated with withdrawal. Healthy normal volunteers and alcohol-dependent patients between 21 and 65 years of age may be eligible for this study. Participants are admitted to the hospital for 28 days. They receive standard inpatient care for alcohol detoxification, including a medical history and physical examination, neurological evaluation, laboratory tests, nursing, nutrition, discharge planning and referrals for treatment of concomitant conditions, if needed. In addition, they are randomly assigned to take either two acamprosate or two placebo pills three times a day for 28 days and undergo the following tests and procedures: - Days 1-28: Drug treatment. Patients take acamprosate or placebo daily. Patients with severe withdrawal symptoms may also receive diazepam (Valium). Throughout their hospitalization, patients fill out questionnaires about their emotional state and personality and are interviewed by staff about their mental health, use of alcohol, cigarettes, and illicit drugs, employment, support systems and family and social relationships, and their legal status. - Days 2 and 3: Blood tests. Blood is tested for levels of the stress hormones cortisol and ACTH, which are released to excess during alcohol withdrawal. For this test, a heparin lock (thin, flexible plastic tube with a rubber stopper on the end) is placed in an arm vein for blood collections each day at 6 AM, 12 noon, 6 PM and 12 midnight. Patients rest in bed for 30 minutes before each collection. - Day 4: Magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). These procedures are done at the same time. They use a strong magnetic field and radio waves to show structural and chemical changes in the brain. The patient lies on a table in a space enclosed by a metal cylinder (the scanner) for about 20 to 30 minutes during the test. - Day 5: Lumbar puncture (spinal tap). A local anesthetic is given to numb the area for the procedure. Then, a needle is inserted in the space between the bones in the lower back where the cerebrospinal fluid circulates below the spinal cord. A small amount of fluid is collected through the needle. - Days 5 and 6: Dexamethasone-corticotropin releasing factor (CRF) test. This test measures the effect of alcohol withdrawal on ACTH and cortisol. The patient takes a standard dose of the steroid dexamethasone at 11 PM on day 5. At noon the next day, they are given lunch and then stay in bed and rest. A plastic tube is put in an arm vein. A salt water solution is slowly infused through the catheter and a blood sample is withdrawn through it. At 3 p.m., the patient is given 100 micrograms of the hormone CRF. Repeated blood samples are obtained to measure ACTH and cortisol. - Days 23-27: All of the tests done on days 2-6 are repeated, except the MRI. MRS is repeated to measure neurotransmitters.
NCT00106106 ↗ Acamprosate to Reduce Symptoms of Alcohol Withdrawal Completed National Institutes of Health Clinical Center (CC) Phase 2 2005-03-01 This study will examine whether a new drug called acamprosate can be helpful for alcohol withdrawal, a result of drinking high amounts of alcohol for long periods of time. Alcohol withdrawal can cause various symptoms, including nausea or vomiting, anxiety or depression, tremor, high blood pressure, and others. During withdrawal, brain chemicals called neurotransmitters change, with some rising to abnormally high levels. These changes may contribute to alcohol craving, drinking relapse and impaired mental performance. This study will see if taking acamprosate for 4 weeks can lower the levels of neurotransmitters, such as glutamate, lessen withdrawal symptoms and decrease alcohol craving and brain damage associated with withdrawal. Healthy normal volunteers and alcohol-dependent patients between 21 and 65 years of age may be eligible for this study. Participants are admitted to the hospital for 28 days. They receive standard inpatient care for alcohol detoxification, including a medical history and physical examination, neurological evaluation, laboratory tests, nursing, nutrition, discharge planning and referrals for treatment of concomitant conditions, if needed. In addition, they are randomly assigned to take either two acamprosate or two placebo pills three times a day for 28 days and undergo the following tests and procedures: - Days 1-28: Drug treatment. Patients take acamprosate or placebo daily. Patients with severe withdrawal symptoms may also receive diazepam (Valium). Throughout their hospitalization, patients fill out questionnaires about their emotional state and personality and are interviewed by staff about their mental health, use of alcohol, cigarettes, and illicit drugs, employment, support systems and family and social relationships, and their legal status. - Days 2 and 3: Blood tests. Blood is tested for levels of the stress hormones cortisol and ACTH, which are released to excess during alcohol withdrawal. For this test, a heparin lock (thin, flexible plastic tube with a rubber stopper on the end) is placed in an arm vein for blood collections each day at 6 AM, 12 noon, 6 PM and 12 midnight. Patients rest in bed for 30 minutes before each collection. - Day 4: Magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). These procedures are done at the same time. They use a strong magnetic field and radio waves to show structural and chemical changes in the brain. The patient lies on a table in a space enclosed by a metal cylinder (the scanner) for about 20 to 30 minutes during the test. - Day 5: Lumbar puncture (spinal tap). A local anesthetic is given to numb the area for the procedure. Then, a needle is inserted in the space between the bones in the lower back where the cerebrospinal fluid circulates below the spinal cord. A small amount of fluid is collected through the needle. - Days 5 and 6: Dexamethasone-corticotropin releasing factor (CRF) test. This test measures the effect of alcohol withdrawal on ACTH and cortisol. The patient takes a standard dose of the steroid dexamethasone at 11 PM on day 5. At noon the next day, they are given lunch and then stay in bed and rest. A plastic tube is put in an arm vein. A salt water solution is slowly infused through the catheter and a blood sample is withdrawn through it. At 3 p.m., the patient is given 100 micrograms of the hormone CRF. Repeated blood samples are obtained to measure ACTH and cortisol. - Days 23-27: All of the tests done on days 2-6 are repeated, except the MRI. MRS is repeated to measure neurotransmitters.
NCT00174850 ↗ Switching From an SSRI to Tiagabine(GABITRIL) in Order to Alleviate SSRI Induced Sexual Dysfunction Completed State University of New York - Upstate Medical University Phase 4 2004-07-01 Anxious patients are now treated with Selective Serotonin Reuptake Inhibitor medications (common antidepressants) which elevate serotonin and thus alleviate anxiety. These medications have clearly proven efficacy upwards of 70% for many anxiety disorders. In regards to tolerability, they have a major problem in that they often produce sexual dysfunction in men and women (ie. decreased libido, anorgasmia, impotence) upwards of 30% of the time. Benzodiazepine anxiolytics are also FDA approved to treat anxiety with equal efficacy and greater tolerability (very little, if any sexual dysfunction). They do, however, carry a substantial risk for addiction. Tiagabine is a Selective GABA Reuptake Inhibitor (SGRI) that is FDA approved to treat certain types of epilepsy. Like benzodiazepines, Tiagabine also increases the neurotransmitter, GABA, in the brain and is thought to alleviate anxiety (see references below) this way too, but without any addiction risk common to Valium-type drugs. The safety profile of Tiagabine is thought to be much safer. Two double blind studies are ongoing which are looking at Tiagabine's effectiveness in PTSD and GAD. There are many open label studies showing anxiety reduction and many psychiatrists in clinical practice are utilizing this agent as an anxiety treatment in an off-label manner. This study is designed to evaluate anxious patients who are taking SSRI medication, have had a reasonable response, but are experiencing significant sexual side effects which are pushing them towards noncompliance and possible relapse into anxiety. 30 subjects (15 men and 15 women) will be asked to join the study and be placed on Tiagabine as well as their current SSRI. Once an acceptable dose of Tiagabine is reached in the first four weeks, the subjects' SSRIs will be slowly stopped. Two weeks after enrollment, all subjects will be called in order to check for any side effects to the study drug and to insure that each subject is titrating to the proper dose of study drug according to the study protocol. An open-label, non-placebo prospective 10 week follow up will occur, where the now Tiagabine monotherapy subjects will be followed to see primarily if their sexual dysfunction improves and if there anxiety remains controlled.
NCT00252174 ↗ MDMA-assisted Therapy in People With Anxiety Related to Advanced Stage Cancer Terminated Mclean Hospital Phase 2 2007-02-01 This is a pilot study intended to find out if 3,4-methylenedioxymethamphetamine (MDMA) is safe and can help people with advanced stage cancer and anxiety arising from the cancer diagnosis.
NCT00252174 ↗ MDMA-assisted Therapy in People With Anxiety Related to Advanced Stage Cancer Terminated Brigham and Women's Hospital Phase 2 2007-02-01 This is a pilot study intended to find out if 3,4-methylenedioxymethamphetamine (MDMA) is safe and can help people with advanced stage cancer and anxiety arising from the cancer diagnosis.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for VALIUM

Condition Name

Condition Name for VALIUM
Intervention Trials
Alcohol Withdrawal 3
Alcoholism 2
Analgesia 2
Hypersomnia 2
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Condition MeSH

Condition MeSH for VALIUM
Intervention Trials
Anxiety Disorders 5
Pain, Postoperative 4
Syndrome 3
Status Epilepticus 3
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Clinical Trial Locations for VALIUM

Trials by Country

Trials by Country for VALIUM
Location Trials
United States 47
Canada 3
United Kingdom 2
Israel 1
Korea, Republic of 1
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Trials by US State

Trials by US State for VALIUM
Location Trials
Michigan 6
California 6
New York 5
Maryland 5
Minnesota 3
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Clinical Trial Progress for VALIUM

Clinical Trial Phase

Clinical Trial Phase for VALIUM
Clinical Trial Phase Trials
PHASE3 1
PHASE2 2
Phase 4 8
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Clinical Trial Status

Clinical Trial Status for VALIUM
Clinical Trial Phase Trials
Completed 28
Terminated 8
NOT_YET_RECRUITING 3
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Clinical Trial Sponsors for VALIUM

Sponsor Name

Sponsor Name for VALIUM
Sponsor Trials
Henry Ford Health System 4
State University of New York - Upstate Medical University 3
University of California, San Diego 3
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Sponsor Type

Sponsor Type for VALIUM
Sponsor Trials
Other 56
Industry 7
NIH 6
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Last updated: May 8, 2026

VALIUM (diazepam) Clinical Trials Update, Market Analysis, and Price-Linked Projection

What is VALIUM and what is the current clinical-trials footprint?

Valium is diazepam, a benzodiazepine. The marketed product is long established, with clinical activity shifting from “new-drug” approvals to label maintenance, pharmacovigilance, and comparative studies rather than pivotal, late-stage trials.

Clinical-trials update (publicly searchable record behavior) Public registries show:

  • Ongoing interventional studies are limited for diazepam relative to newer benzodiazepines and investigational CNS agents.
  • Most recent “new signal” activity is dominated by: (1) safety/usage characterization, (2) specific clinical indication studies that are often single-country, and (3) studies designed around formulations, routes, or clinical protocols rather than novel mechanisms.

What the clinical-trials mix implies For an investment or R&D lens, the diazepam development pattern typically looks like:

  • Low probability of near-term, label-expanding Phase 3 execution
  • Higher probability of incremental evidence that supports substitution patterns (hospital formulary) and acute-care pathways (procedural sedation, seizure rescue, muscle spasm, anxiety in specific settings)

What is the market: demand drivers, reimbursement posture, and competitive structure?

Diazepam is one of the most widely used benzodiazepines globally and is embedded in:

  • Hospital acute care: seizure management, procedural/anxiolytic use, muscle spasm
  • Outpatient controlled-medication workflows: anxiety indications vary by jurisdictional labeling and prescribing guidance
  • Emergency medicine protocols: status epilepticus and acute agitation pathways depend on guideline choices

Demand drivers

  • Guideline entrenchment for benzodiazepines in acute neuro and emergency use (especially seizure termination)
  • Formulary permanence: multiple generic competitors keep diazepam accessible and price-competitive
  • Clinical familiarity: clinicians have established dosing and safety monitoring patterns

Competitive structure

  • Generics dominate: diazepam is a mature molecule with multiple manufacturers across major markets.
  • Therapeutic class competition is persistent: other benzodiazepines and related acute treatments compete for same-day usage.
  • Switching is usually protocol-driven rather than innovation-driven.

Regulatory and controlled-substance friction Diazepam is a controlled substance in most major markets. That creates:

  • Persistent compliance requirements for pharmacies and hospitals
  • Prescribing constraints that limit “addressable” growth even when clinical demand is stable

How does price behave for a mature benzodiazepine like diazepam?

The market for diazepam typically exhibits:

  • Low unit-price resilience driven by generic competition
  • Volume-led economics rather than premium pricing
  • Channel volatility driven by procurement cycles, tender practices, and hospital contract switching

For projections, this means upside is mostly a function of:

  • Volume stability or slight share gains in acute care settings
  • Tender wins for specific dosage forms
  • Supply continuity rather than differentiation

Clinical development and trial strategy: what is realistic for diazepam now?

Because diazepam is off-patent in most jurisdictions, “development value” usually concentrates in:

  • Formulation and delivery optimization (where tolerated by regulators and payer)
  • Route-of-administration fit for emergency protocols
  • Comparative trials that support protocol adoption rather than regulatory novelty

Typical trial objectives seen in mature benzodiazepine landscapes

  • Pharmacokinetic alignment to dosing protocols
  • Safety characterization in defined settings (e.g., acute care, procedural sedation contexts)
  • Comparative effectiveness in symptom domains that match local labeling

This pattern keeps the pipeline “active” but not “transformational.”


Market Analysis and Projection Framework (VALIUM/diazepam)

Where the revenue pools form

Revenue for diazepam is typically split across:

  • Hospital tenders for acute and emergency use
  • Retail pharmacy demand for outpatient anxiety and muscle spasm depending on national labeling and prescribing guidelines
  • Institutional procurement for long-running formularies

Because diazepam is cheap relative to newer CNS drugs, the market is volume-sensitive and typically declines when:

  • Formularies favor alternative benzodiazepines with better tolerability profiles for specific settings
  • Regulatory tightening reduces prescribing of benzodiazepines in outpatient anxiety
  • Public procurement shifts toward other generic SKUs with favorable contracting

Projection logic for a mature generic CNS asset

A reasonable business projection for diazepam should be:

  • Low growth baseline
  • Modeled upside from protocol shifts (for example, if guideline committees reinforce diazepam usage in specific emergency pathways)
  • Modeled downside from utilization constraints (controlled-substance policies and substitution within class)

For this asset class, the projection is usually constrained by:

  • Substitution risk within benzodiazepines
  • Persistent controlled-substance compliance friction
  • Lack of patent-backed pricing power

What timelines matter most for diazepam right now?

For a mature benzodiazepine:

  • Near-term business outcomes depend on contracting and formulation availability, not late-stage innovation timelines.
  • Any “trial update” that drives commercialization is typically tied to local label language, hospital pathway adoption, or tender-driven utilization.

Key Takeaways

  1. VALIUM (diazepam) is a mature, class-embedded benzodiazepine with limited late-stage “new drug” trial activity and development focused on incremental evidence and protocol fit.
  2. Market economics are generic-driven, so pricing is usually volume- and tender-led rather than innovation-led.
  3. Revenue growth is most sensitive to acute-care and hospital formulary dynamics and less sensitive to clinical trial “breakthrough” outcomes.
  4. Near-term upside is procurement- and pathway-dependent, not patent-dependent.
  5. Near-term downside is controlled-substance prescribing pressure and substitution within the benzodiazepine class.

FAQs

Is diazepam’s clinical development pipeline still active?

Clinical activity exists but is typically dominated by incremental studies rather than pivotal, mechanism-changing trials.

What drives diazepam demand most: outpatient or hospital?

Demand is consistently anchored by hospital and emergency use where benzodiazepines are entrenched in acute protocols.

How does generic competition affect VALIUM pricing and revenue projections?

Generic competition drives pricing down and shifts the growth model toward volume and contracting wins.

What outcomes from trials would matter commercially for diazepam?

Evidence that supports protocol adoption, dosing reassurance in defined settings, or formulation suitability for acute administration.

What is the biggest market risk for diazepam?

Substitution within the class and tighter prescribing constraints for benzodiazepines.


References

  1. FDA. (n.d.). Drug Trials Snapshots: Diazepam. U.S. Food and Drug Administration. https://www.fda.gov/drugs/drug-trials-snapshots
  2. ClinicalTrials.gov. (n.d.). Search results for diazepam. U.S. National Library of Medicine. https://clinicaltrials.gov/
  3. EMA. (n.d.). European public assessment reports (EPAR) for diazepam-related products. European Medicines Agency. https://www.ema.europa.eu/

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