4.1.2 Anxiolytics

Drugs used for anxiety not listed below:


Benzodiazepines should only be used for short-term treatment except in exceptional circumstances. Clear justification must be made and agreed between primary and secondary care for long-term treatment.

Benzodiazepines should only be prescribed for an anticipated maximum of 2-4 weeks; each single prescription should not exceed one month's supply.

Benzodiazepines are associated with a poorer outcome in the long term and should not be prescribed for the treatment of individuals with panic disorder (NICE CG113).

  • Tablets 2mg, 5mg, 10mg (£2.28 = 5mg three times daily)
  • Oral solution 2mg/5ml (£31.75 = 100ml)
  • Injection (emulsion) 5mg/ml (£0.91 = 2ml amp)
  • Injection (solution) 5mg/ml (£0.55 = 2ml amp)
  • Rectal tubes 2.5mg, 5mg, 10mg (£7.35 = 5 x 10mg tube)


  • Short-term use in anxiety (up to 4 weeks only)
  • Status epilepticus
  • Febrile convulsions
  • Muscle spasm
  • Adjunct in acute alcohol withdrawal (hospital only)
  • Capsules 5mg, 10mg



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