How To Use Librium For Alcohol Withdrawal

Librium for alcohol withdrawal

In this article, we’re going to discuss how to use Librium for alcohol withdrawal. People who cross the line from heavy drinking to alcoholism are often shocked at how difficult it can be to quit drinking. The process can be made much easier by taking a benzodiazepine like Librium for alcohol withdrawal symptoms.

As alcohol consumption increases over time, withdrawal symptoms can progress from mild to psychologically exhausting and even dangerous. Many people avoid discussing their true levels of alcohol consumption with their doctors. As a result, they do not find out about the proper use of benzodiazepines for alcohol withdrawal. Binging, abstinence, and relapse can form a vicious cycle that continues for many years.

It’s important to understand that alcohol withdrawal is not all in your head. Symptoms like rapid heart beat, panic attacks, or a profound sense of impending doom can get worse and lead to fatal seizures. Alcohol withdrawal symptoms become more severe with repeated episodes because of a phenomenon known as kindling.

In a medical detox environment, it’s common to receive benzodiazepines for alcohol withdrawal. A patient may be given an initial injection followed by 1-2 weeks of tapered oral doses that are carefully monitored.

Librium for alcohol withdrawal

Overview of Librium

Librium is in a family of anti-anxiety drugs called benzodiazepines. Librium is a brand and its generic name is chlordiazepoxide. Other benzodiazepine brands include Ativan, Valium, Klonopin, and Xanax.

Librium for alcohol withdrawal

All of these drugs can be effective for alcohol withdrawal symptoms because they reduce anxiety, prevent convulsions, and help with sleep. Because they vary in terms of strength and their length of effects, doctors choose between them depending on the patient’s symptoms.

Librium is effective at alleviating or preventing the following symptoms:

  • Anxiety
  • Insomnia
  • Nausea
  • Headache
  • Restlessness
  • Panic attacks
  • Tremors
  • High blood pressure
  • Delirium Tremens

Benzodiazepines work by activating GABA receptors in the brain, which are also stimulated by alcohol. GABA is an inhibitory neurotransmitter associated with feelings of calm. Alcohol intoxication causes a spike in GABA and withdrawal involves a plunge in GABA. Many alcohol withdrawal symptoms (including panic and even seizures) are caused by insufficient levels of GABA in the brain.

Librium for alcohol withdrawal

Using Librium for alcohol withdrawal can provide temporary peace of mind and prevent severe symptoms from manifesting. Because of the effectiveness of Librium for alcohol withdrawal symptoms, hospitals often prescribe this drug to alcoholics and then gradually reduce the dose to taper them off of it.

Here are some things to consider before obtaining a prescription of Librium for alcohol withdrawal symptoms:

  • Because everyone is biochemically different, another benzodiazepine may work better for you than Librium for alcohol withdrawal.
  • Depending on the severity of your alcoholism, your doctor may recommend inpatient detox or prescribe you with Librium that you can taper off of while you quit drinking at home. If you quit drinking at home, make sure you have support and that you repair your body proactively.
  • All benzodiazepines including Librium can be addictive, which is why they should only be used for a short period of time and in the lowest effective dose.
  • All benzodiazepines including Librium can cause overdose if too much is taken at once. Mixing these drugs with alcohol can be very dangerous and lead to blackouts.
  • Even if you take Librium for alcohol withdrawal, you will still need to repair nutrient deficiencies caused by excessive drinking. You may also have other symptoms such as low motivation and depression that benzodiazepines cannot resolve.
  • Using Librium for alcohol withdrawal is a great strategy for the short term, but in the longer term, it’s important to have external support and to renew your sense of purpose in life.

How To Take Librium

Here are some things to consider as you take Librium for alcohol withdrawal symptoms:

  • Only take Librium with a prescription and under the supervision of a doctor.
  • Librium tablets are typically 5, 10, 20, or 25 mg.
  • The first dose of Librium for alcohol withdrawal is usually 25-100 mg.
  • Doses are often taken 2-4 times per day or hourly if needed.
  • Dosage may be increased to 300 mg per day and then tapered down to zero.
  • Librium is often preferred for alcohol withdrawal because it has a long half-life.
  • There is no standard dosage of Librium for alcohol withdrawal; a doctor can determine this depending on your situation.
  • Most people do not need to take Librium for alcohol withdrawal for more than a few days or a week.
  • To avoid dependence, do not use Librium for longer than you need it.

Further Considerations

By preventing complications caused by low levels of GABA in the brain, using Librium for alcohol withdrawal can help you have a much safer and more pleasant detox. Even if your symptoms aren’t severe, envisioning life without alcohol is hard enough. Nervous exhaustion and insomnia can make the task of quitting drinking seem nearly impossible.

But while Librium can help with getting off of alcohol, it is not a cure-all for the physical damage caused by alcoholism. Many people who use benzodiazepines like Librium end up relapsing because they feel tortured by depression or alcohol cravings after their taper ends. These other symptoms are often caused by the following problems that are NOT resolved by benzodiazepines:

  • Low dopamine
  • Low serotonin
  • Magnesium deficiency (my life changed when I began taking magnesium!)
  • B-vitamin deficiencies
  • Other vitamin and mineral deficiencies
  • Poor liver health

Fortunately, there is a way to address all of these problems at once. Check Fit Recovery’s list of supplements that work best for supporting the brain-body system through alcohol recovery.

Another trick is to take glutamine to resolve sudden, intense bouts of alcohol cravings. Try it and you’ll see that it works. Glutamine is an amino acid that can help to repair every cell in your body.

The bottom line is that using Librium for alcohol withdrawal can be very effective, but it’s just the first part of a long process. Give your body what it needs during this time, and your mind will be sure to follow!

Librium for alcohol withdrawal


We hope you’ve enjoyed this article on the use of Librium for alcohol withdrawal. Subscribe to our email list to stay posted on future articles that can help you down the road.

If you have any questions about how to use Librium for alcohol withdrawal, please leave them in the comment box below.


Dr. Ken Starr is board certified in both Addiction Medicine and Emergency Medicine, and diplomate of the American Board of Addiction Medicine. In addition to his work as the Addiction Medicine Director for Fit Recovery, he operates Ken Starr MD Wellness Group in Arroyo Grande, CA. His clinic offers advanced drug and alcohol detox methods, long term recovery facilitation, and IV nutritional programs including NAD+ therapy.

Hierarchy of Alcohol Recovery

Please review this post!



Chris Scott founded Fit Recovery in 2014 to help people from around the world dominate alcohol dependence and rebuild their lives from scratch. A former investment banker, he recovered from alcohol dependence using cutting-edge methods that integrate nutrition, physiology, and behavioral change. Today, Chris is an Alcohol Recovery Coach and the creator of an online course called Total Alcohol Recovery 2.0.


Dr. Rebeca Eriksen is the Nutritional Consultant for Fit Recovery. She has a PhD in Nutritional Genetics from Imperial College London, and over ten years of clinical experience designing custom nutritional repair regimens for patients recovering from alcohol addiction. In addition to her work at the exclusive Executive Health clinic in Marbella, Spain, she helps to keep Fit Recovery up to date with emerging research.


The information we provide while responding to comments is not intended to provide and does not constitute medical, legal, or other professional advice. The responses to comments on are designed to support, not replace, medical or psychiatric treatment. Please seek professional care if you believe you may have a condition.

Notify of
Oldest Most Voted
Inline Feedbacks
View all comments
2 years ago

I am a nurse who works at a detox hospital. Benzos are definitely used to curve cravings and prevent seizures. Typically, Valium is used with a starting dosage of 20 mg for four does, 10 mg for four does, and 5 mg for six doses. This has proven effective over and over. Generally, in patient detox is recommended for patients that are at high risk.

Chris Scott
2 years ago
Reply to  Ken

Thanks Ken

3 years ago

Hey Chris I like what I have read about you and your products, I am a recovering alcoholic and have been precribed Librium by my doctor,my liver levels had lessened by infrequent use of alcohol ,I have consumed alcohol (wine only) while I am on Librium ,how really dangerous is this? Sincerely

Chris Scott
3 years ago
Reply to  Esachuel

Hi Esachuel! I am not a doctor so I can’t give advice about your particular usage fo Librium, however generally it’s advised not to combine alcohol with benzodiazepines. Good luck to you!

Steve phillip
Steve phillip
3 years ago

Hi Chris
Am a binge drinker will go 3 to 4 day binging
And the reason why is all because of the pain of the withdrawal
Panic attack
Is it safe to detox myself in my house with Librium ?
Can Librium be dangerous if I only use it only when am on binges ?
Will it affect my health long term
Am not a regular binger
Do it like every 6 months offend on
I always save Librium for when am on binges
And will Taper out in 4-8 days
Is it a good practice ?

Chris Scott
3 years ago
Reply to  Steve phillip

Hi Steve, thanks for sharing this. I’m not a doctor and so I can’t advise on whether/how exactly Librium should be used in your particular situation. It appears to do what it’s supposed to do in terms of helping you to taper off of alcohol, but the big question is whether repeated binges (which could become worse over time due to kindling) are sustainable if you value your long-term health.

The most helpful thing I can provide you with is a different perspective on alcohol altogether, which you can find in my eBook, Drinking Sucks! Best of luck to you!

3 years ago

I stumbled across this article, I really appreciate/needed this information

Chris Scott
3 years ago
Reply to  Lizzie

Great to hear Lizzie!

Kevin O'Shea
Kevin O'Shea
3 years ago

Hi Chris. I really liked your article especially as I have recently tried Librium to help withdraw after 25 years of alcoholism. I got a weeks script of declining doses. I did drink while using them and found them incredibly relaxing and despite a couple of binges I have tapered down considerably. I feel like I could give up if I keep this reduction consistent. Do you think its a good idea to get another course of them to help through the final stages of withdrawal or are you only suppose to take a weeks course? I think my GP… Read more »

Chris Scott
3 years ago
Reply to  Kevin O'Shea

Hi Kevin, thanks for the kind words! I’m not a doctor and so I can’t give advice about Librium in your particular situation, so it would be best to ask your doctor about this. Typically, a tapered dose is prescribed for when the patient quits drinking to help mitigate withdrawal symptoms. You might find my eBook helpful for building the motivation to get off of alcohol entirely. Good luck to you!

Would love your thoughts, please comment.x