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Valium (diazepam) is a medication used to treat anxiety, muscle spasms, and seizures. It is important to note that there are certain situations where the use of Valium is contraindicated or should be used with caution. Here are some contraindications for Valium:

• Allergy: Do not use Valium if you are allergic to diazepam or any other benzodiazepine medications.
• Respiratory depression: Valium can cause respiratory depression, which can be dangerous in people with severe respiratory disorders or conditions such as asthma, chronic obstructive pulmonary disease (COPD), or sleep apnea.
• Severe liver disease: Valium is metabolized in the liver, so it should not be used in people with severe liver disease.
• Glaucoma: Valium can increase intraocular pressure and worsen glaucoma, so it should be avoided in people with this condition.
• Pregnancy: Valium is a category D pregnancy medication, which means that it can cause harm to the developing fetus. It should only be used during pregnancy if the benefits outweigh the risks.
• Breastfeeding: Valium is excreted in breast milk and can cause drowsiness and other side effects in nursing infants, so it should be avoided while breastfeeding.
• Age: Valium should be used with caution in older adults, as they may be more sensitive to its effects and more likely to experience side effects such as confusion and drowsiness.

It is important to talk to your healthcare provider before using Valium to determine if it is safe and appropriate for you to use based on your medical history and current medications.

A category D pregnancy medication is a classification given to drugs by the U.S. Food and Drug Administration (FDA) based on the potential risks to the fetus during pregnancy. The FDA uses a pregnancy categorization system to help healthcare providers and patients assess the risks and benefits of medication use during pregnancy.

Category D medications have shown evidence of fetal risk in human studies, but the potential benefits of the medication may outweigh the potential risks in certain situations. It is important to note that pregnancy categories are not an absolute indicator of fetal risk, and individual circumstances may vary.

In the case of Valium (diazepam), it is classified as a category D medication because it has been shown to cross the placenta and may cause harm to the developing fetus, particularly in the first trimester when the fetal organs are forming. Valium has been associated with an increased risk of cleft lip and palate, heart defects, and other developmental abnormalities.

If you are pregnant or planning to become pregnant, it is important to talk to your healthcare provider about the potential risks and benefits of taking any medication, including Valium. They can help you make an informed decision based on your individual circumstances.