Ralium 5mg Injection

Reviewed By Dr. Sachin Gupta, MD Pharmacology, MBBS

Last updated on 14 Apr 2026 | 04:20 PM (IST)

Ralium 5mg Injection is a prescription medicine used in the treatment of short-term anxiety. It can also be used to treat acute alcohol withdrawal, to relieve muscle spasm and as adjunctive therapy for seizures. This medicine relaxes the nerve cells and calms the brain.

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General Information

Contains

Diazepam (5mg)

Marketer

Paksons Pharmaceuticals Pvt Ltd

Storage

Store below 30°C

The content is shown in English

Product introduction

Ralium 5mg Injection is generally given by a doctor or a nurse. Do not self-administer this medicine at home. The dose and duration will depend on the severity of your condition and your doctor will decide it. Get the injection regularly to get the maximum benefits from it.

The most common side effects of this medicine are confusion, drowsiness, fatigue, and withdrawal symptoms. If any of these side effects do not resolve on their own or get worse, let your doctor know. Do not drive or do anything that requires mental focus until you know how this medicine affects you.

This medicine may cause weight gain. A well-balanced diet and regular exercise can help to reduce extra weight. If you have been taking this medicine for a long time then regular monitoring of blood and liver functions may be required.

Uses of Ralium Injection

Benefits of Ralium Injection

Treatment of Epilepsy
Ralium 5mg Injection slows down electrical signals in the brain which cause seizures (fits). It can also help reduce symptoms such as confusion, uncontrollable jerking movements, loss of awareness, and fear or anxiety. The medicine can allow you to do some activities that you would otherwise be forbidden or scared to do (such as swimming and driving). It can take a few weeks for this medicine to work (because the dose has to be increased slowly) and during this time you may still have seizures.

Treatment of Short term anxiety
Ralium 5mg Injection reduces the symptoms of excessive anxiety and worry that are triggered only at the time of stressful conditions that last for a shorter duration. These could be job interviews, exams, stage performances, etc. It can effectively manage feelings of restlessness, tiredness, difficulty concentrating and feeling irritable. Ralium 5mg Injection will therefore help you go about your daily activities more easily and be more productive.

Treatment of Alcohol withdrawal
Ralium 5mg Injection is a medicine used, along with social support and counseling, to help people recover from alcohol addiction and to avoid having the urge to drink alcohol again. Ralium 5mg Injection starts working from the very first dose and is a very safe and effective way of treating alcohol addiction.

Treatment of Muscle spasm
Ralium 5mg Injection effectively relieves muscle stiffness or spasm, thereby improving muscle movement. Take it as prescribed by the doctor to get the most benefit. Do not take more or for longer than needed as that can be dangerous and it also has habit-forming potential. In general, you should take the lowest dose that works, for the shortest possible time. This will help you to go about your daily activities more easily and have a better, more active, quality of life.

Side effects of Ralium Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Ralium

Confusion
Drowsiness
Fatigue
Withdrawal symptoms

How to use Ralium Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Ralium Injection works

Ralium 5mg Injection is a benzodiazepine. It works by increasing the action of a chemical messenger (GABA) which suppresses the abnormal and excessive activity of the nerve cells in the brain.

Quick tips

Ralium 5mg Injection helps treat short term anxiety.
The addiction / habit-forming potential of this medicine is very high. Take it only as per the dose and duration advised by your doctor
It may cause dizziness. Do not drive or do anything that requires mental focus until you know how this medicine affects you.
Avoid consuming alcohol as it may increase dizziness and drowsiness.
Inform your doctor if you are pregnant, planning to conceive or breastfeeding.
Do not stop taking medication suddenly without talking to your doctor as that may lead to nausea, anxiety, agitation, flu-like symptoms, sweating, tremor, and confusion.
Safety of this medicine is not established for long-term use. Do not use it for more than 4 weeks.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Ralium 5mg Injection

Pregnancy

CONSULT YOUR DOCTOR

Ralium 5mg Injection is not recommended during pregnancy as there is positive evidence of fetal risk based on animal studies. However, it may still be prescribed by a doctor in situations where the benefits outweigh the risks.

Breast feeding

CONSULT YOUR DOCTOR

Ralium 5mg Injection may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor.

Driving

UNSAFE

Ralium 5mg Injection may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Ralium 5mg Injection can make you sleepy, forgetful, and have poor co-ordination. This may affect your ability to drive.

Kidney

CAUTION

Ralium 5mg Injection should be used with caution in patients with kidney disease. Dose adjustment may be needed.
Dose adjustment may be required if it is to be given for a long period

Liver

CAUTION

Ralium 5mg Injection should be used with caution in patients with severe liver disease. Dose adjustment may be needed.

Interaction with drugs

Taking Ralium with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Severe

Tramadol (Injection Route)

If concurrent use is essential, watch out for symptoms of Diazepam side effects such as drowsiness, excessive sedation, tiredness, dizziness or slurred speech and consult your doctor if you experience them. They may adjust the dose of Diazepam as per the observations. It is advised to avoid driving or undertaking other tasks requiring skill and alertness.

Severe

Clozapine (Oral Route)

If concurrent use is essential, watch out for symptoms such as dizziness, headaches, tremors, sleep disturbances or mood changes and consult your doctor if you experience them. They may adjust the doses as per the observations.

Severe

Modafinil (Oral Route)

Watch out for symptoms of Modafinil side effects such as tremors, fever, sleepiness, dizziness, dry mouth or nausea and consult your doctor if you experience them. They may adjust or discontinue the doses if required. Modafinil may raise blood levels of Diazepam.

Severe

Tramadol (Oral Route)

Severe

Morphine (Oral Route)

Frequently asked questions

Is Ralium 5mg Injection an antidepressant? What is it used for?

Ralium 5mg Injection is not an antidepressant and belongs to a group of medicines called benzodiazepine. It is used to treat severe anxiety (an emotional state where you may sweat, tremble, feel anxious and have a fast heartbeat) or agitation. It is also used to treat trembling, muscle spasm due to tetanus or poisoning, seizures or fits, confusional states or anxiety associated with alcohol withdrawal. It also helps in relaxing patients before minor operations or procedures.

How long does it take for Ralium 5mg Injection to start working?

It depends on what you are taking Ralium 5mg Injection for. If you are taking it to treat anxiety, you should start feeling better within a few hours, but it may take a week or two before the full benefits become evident. Similarly, if you are taking it to relieve muscle spasm you may notice a difference after 15 minutes. Your muscles will start relaxing when you keep taking Ralium 5mg Injection regularly for a few days.

Does Ralium 5mg Injection cause sleepiness? If yes, then should I stop driving while taking Ralium 5mg Injection?

Yes, Ralium 5mg Injection causes drowsiness very commonly. It also causes forgetfulness and affects muscular function which may adversely affect your ability to drive. Sometimes, drowsiness persists even on the following day. So, in case Ralium 5mg Injection makes you sleepy and affects your alertness, you should avoid driving.

Is it safe to take Ralium 5mg Injection and alcohol together?

No, it is not at all recommended to take alcohol with Ralium 5mg Injection since it can cause breathing problems, sleepiness and heart problems. Taking Ralium 5mg Injection with alcohol may make you sleepy and your breathing may become so shallow that you may not wake up. This may even lead to death.

Is Ralium 5mg Injection addictive?

People taking Ralium 5mg Injection in high doses or for a long term may become addicted to it. Also, people with a history of alcoholism and drug abuse are more likely to become addicted to Ralium 5mg Injection. Therefore, Ralium 5mg Injection should be taken for the shortest possible time and in the lowest effective dose.

Can I stop taking Ralium 5mg Injection if I start feeling better?

No, do not stop taking Ralium 5mg Injection suddenly as you may experience withdrawal effects like depression, nervousness, difficulty in sleeping, irritability, sweating, upset stomach or diarrhea. Stopping it suddenly may even bring back the symptoms and make them harder to treat. You may also experience mood changes, anxiety, restlessness and changes in sleep patterns. These effects may occur even after taking low doses for a short period of time.

For how long should I take Ralium 5mg Injection?

The duration of treatment with Ralium 5mg Injection is mainly as short as possible. Your doctor will evaluate you after 4 weeks of treatment in order to assess the need of continuation of treatment, especially if you do not have any symptoms. In general, the treatment does not last any longer than 8-12 weeks which includes the gradual reduction of dose process.

Does Ralium 5mg Injection have any effect on contraception?

Ralium 5mg Injection does not affect the functioning of any type of contraception including the birth control pills and emergency contraception. Birth control pills can keep Ralium 5mg Injection in your body for a long time and increase its effect. You can also experience bleeding in between your periods if you take Ralium 5mg Injection and birth control pills together. But your contraceptive method will still work.

Is it safe to take clozapine and Ralium 5mg Injection together?

No, it is not recommended to take clozapine and Ralium 5mg Injection together because the effects of both medicines may get added together. This can result in severe drop in blood pressure, breathing problems (respiratory depression) and can even stop your heart which can lead to death.

Is Ralium 5mg Injection safe to be used in elderly patients?

The dose in elderly is generally half of the dose recommended to young people. This is because Ralium 5mg Injection causes muscle relaxation which can make the patient fall down, which may further lead to fractures.

Fact Box

Chemical Class

1,4- benzodiazepines

Habit Forming

Yes

Therapeutic Class

NEURO CNS

Action Class

Benzodiazepines

Related lab tests

Complete Blood Count

References

Stahl SM, editor. Diazepam. In: Stahl's Essential Pschopharmacology: Prescriber's Guide. 5th ed. New York, New York: Cambridge University Press; 2014. pp. 185-89.
White PF, Katzung BG. Skeletal Muscle Relaxants. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 462-63.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 389-91.
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 20 Mar. 2019] (online) Available from:
Diazepam. Gloucester UK: Hameln Pharmaceuticals Ltd.; 1983 [revised 20 Jun. 2018]. [Accessed 22 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:

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Disclaimer

Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

Marketer details

Name: Paksons Pharmaceuticals Pvt Ltd
Address: 2/215 Maharaja Aggarsain Commercial Complex Sector 9 Rohini Delhi, Delhi, India.

Vendor Details

Country of origin: India

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Ralium 5mg Injection

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General Information

Contains

Marketer

Storage

Product introduction

Uses of Ralium Injection

Benefits of Ralium Injection

Side effects of Ralium Injection

How to use Ralium Injection

How Ralium Injection works

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Tramadol (Injection Route)

Clozapine (Oral Route)

Modafinil (Oral Route)

Tramadol (Oral Route)

Morphine (Oral Route)

Frequently asked questions

Is Ralium 5mg Injection an antidepressant? What is it used for?

How long does it take for Ralium 5mg Injection to start working?

Does Ralium 5mg Injection cause sleepiness? If yes, then should I stop driving while taking Ralium 5mg Injection?

Is it safe to take Ralium 5mg Injection and alcohol together?

Is Ralium 5mg Injection addictive?

Can I stop taking Ralium 5mg Injection if I start feeling better?

For how long should I take Ralium 5mg Injection?

Does Ralium 5mg Injection have any effect on contraception?

Is it safe to take clozapine and Ralium 5mg Injection together?

Is Ralium 5mg Injection safe to be used in elderly patients?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Complete Blood Count

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

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