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Diazepam (brand Prodes or generic) requires a valid prescription from a DEA-registered US healthcare provider as a Schedule IV controlled substance for anxiety, muscle spasms, seizures, or alcohol withdrawal; no home delivery fast-track or online service can legally dispense it without comprehensive medical evaluation, and prescription-free "buy online" constitutes federal felony distribution under 21 U.S.C. § 841, punishable by up to 20 years imprisonment and $250,000 fines.

Standard strengths like 5mg tablets follow regimens (anxiety: 2-10mg BID-QID max 40mg/day; withdrawal: 10mg TID-QID Day 1 taper) under 2025 DEA telemedicine flexibilities through 12/31/2025, mandating synchronous HIPAA video with HAM-A>18 or CIWA-Ar>10, PDMP clearance, SUD exclusion (CAGE<2), and lowest dose/shortest duration—post-2025 requires in-person or special EPCS registration with state limits.

Long-Acting Benzodiazepine Dosing

GABA-A agonist (Ki 10nM), Tmax 1h, t½ 20-50h (active metabolite 100h); contraindications: glaucoma, severe COPD, pregnancy D; black box: dependence (tolerance 2-4wks), opioid OR8 respiratory, seizures 30% abrupt >20mg equivalents—APA hyperbolic taper 20%→10%→5%.

Compliance Sequence

1. HAM-A>18 screening.

2. Video PDMP/LFTs.

3. Consent/naloxone.

4. EPCS #30 tabs.

5. Signature 2-day.

6. Biweekly taper.

AE Matrix

Frequency	Effects	Management
>20>#/td###	Sedation/ataxia	BID-QID
5-15>#/td###	Amnesia/falls	Geriatric cap
<1>#/td###	Respiratory	Naloxone

Home delivery fast-track violates Ryan Haight—prosecutable C-IV diversion.

About Vibha

At Vibha, we believe education is the key to breaking the cycle of poverty. Since 1991, we have transformed the lives of 4.8 million children, empowering them through access to quality public education. As a platinum-rated, volunteer-driven nonprofit, Vibha collaborates with grassroots organizations, government agencies, and communities across India and the USA to enhance learning outcomes in government schools, providing equal opportunities for all children.

Our multifaceted approach focuses on addressing specific educational needs, investing in professional development for educators, integrating technology to drive data-informed decisions, and engaging communities to create lasting impact. We partner with stakeholders at every level, ensuring long-term sustainability and meaningful progress.

What sets Vibha apart is its network of highly skilled professionals from various sectors, united by a shared vision of transforming education. Our volunteers, donors, and supporters bring expertise and passion to the mission, making real change possible.

With over $24 million raised and invested in proven educational models, Vibha remains committed to building a brighter future for children. Together, we are not just supporters but partners for change, working towards a more inclusive and prosperous society.

All donations to Vibha are tax deductible. Vibha is a 501(c)(3) organization, registered in the USA in the State of New Jersey. Vibha's Tax ID is 22-3122761.