After nearly two decades of suffering from daily pain from grinding and clenching my teeth, my doctor has prescribed me 2mg diazepam and 500mg naproxen to be taken before bed. However, he openly admits that he isn't an expert on TMJ so I am wondering what others have been prescribed and if this is the correct dosage. Thanks.
Diazepam - What dosage is needed when diazapam is used to treat symptoms of TMJ?
Question posted by lucy56 on 31 Oct 2013
Last updated on 19 August 2020 by Seascape66
8 Answers
Seascape66
19 Aug 2020
Your Dentist would be if more help than a doctor.
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Jumjum
24 May 2015
Diazepam produces bruxism as I found out when my wife was given it for agitation with her alz. It is listed as a side-effect. Any longer than 4 weeks on it and then you develop agitation and bruxism. She was on it for 14 months! (recommended short term 2-4 weeks). I have researched antipsychotics and benzodiazepines for 15 years (since my wife was diagnosed). She is now only on Aricept (donepezil) and vitamin E and 3 small bananas a day (to prevent strokes) she started with, after stopping 27 different meds over the years, and she is great (though she is blind from the alz -- how she was diagnosed at age 57 in 2000. Her eyes are perfect, the specialists say after each check.
Bleuidcowgirl
1 Nov 2013
TMJ is tricky to treat diazepam is used as a muscle relaxer aka Valium. Naproxen is used as an antiinflamatory/pain meds. I was started out a 5mg 3 times a day. I have been to a chiropractor and they help. Had to stop chewing gum and lay off chewy good for a couple of weeks. You can also check to see if arthritis has set in since it is a joint. Good luck
MacIntosh12
1 Nov 2013
Hi Lucy56,
I was prescribed Xanax (a medication that is similar to diazepam) for panic attacks which resulted in TMJ and I was taking 3 to 4 mgs a day, which is (compared to diazepam) quite a lot. I was taking 1mg tablets 3 to 4 times a day, which really helped. But, I'd guess that 2mgs of diazepam is about 1/2 of a Xanax, just guessing though.
You should do quite well on 2mgs. If not, ask your doc to up it to a five mg tablet, then split it in quarters and take 3/4's of the tablet. That's what I'd do if I were in your shoes.
I wish you the best and NO more clenching that jaw : )
Lara
DzooBaby
31 Oct 2013
My dentist gave me Flexeril 5mg for clenching. I dont take it any longer because I am in pain management and they give me Soma.
MacIntosh12
1 Nov 2013
Great idea, Flexeril!
HeadStarter
31 Oct 2013
I also have TMJ and use two different types of mouth guards. One is for night time use and the other is for daytime use and nearly undetectable. The only time I take that one out is when I eat...
I take Ativan however, and not Valium. Valium withdrawal can be rather nasty... my ex-mother-in-law was left with permanent tremors that look a lot like Parkinson. At the age of 65... she couldn't drive any more because of it. This is something you really need to consider because ever "body" is different. But the reality of it is you may have difficulty finding a dentist who will prescribe you something stronger. The adverse side effects are just that bad when you are talking about long-term use...
I was yold to chew gum, too, to keep my mouth busy. My dentist has done a lot of work on my teeth because of all the cracks and chips from my grinding days. Those two types of mouth guards have saved my teeth. I already have $22K invested in my teeth from rooth canals, crowns and other preventative work. I cannot afford to lose that type of investment so I use those guards. They are not like the ones you can get from your pharmacy. The hard type made for nighttime use cost me $1, 200... the daytime guards I have to replace every few years or so because I still clench but my teeth are no worse for wear. That runs me about $750... I do not have dental insurance either.
Give your options some thought, okay?
lucy56
31 Oct 2013
Thanks for your advise- it's really helpful. The withdrawal symptoms are definitely something to consider and I'll definitely be bringing it up with my doctor at the follow-up appointment.
The splint I wear was also quite costly and is designed to stop my back teeth from meeting, which is great as it protects my teeth but it doesn't relieve the pain symptoms as I'm still clenching and grinding. I also clench my teeth in the day, so I'm going to look into the day mouth guard you mention as that sounds like something that would benefit me.
HeadStarter
31 Oct 2013
You are welcome, Lucy, and I hope you find what works for you. Your night guard sounds like the one I have and the day guard is clear and almost undetectable. There are times I take the day guards out and that is when I am working my part-time job. I chew so much gum that I should take out stock. Best of luck and I hope you find what works for you. The Ativan I take at night and it does help keep me calm during the day so less clenching and grinding.
Mary
Jumjum
24 May 2015
Valium is for short-term use (2 to 4 months), and any longer agitation can set in and bruxism. It was prescribed for my wife Pat with alzheimers, took the drug for 14 months till I found out why she was agitated and developed bruxism. She still has bruxism but it is diminishing. It took months to come off.
kaismama
31 Oct 2013
For some its 2mg, some its more. See a dentist about the tmj, they are the ones who treat this.
lucy56
31 Oct 2013
I have already seen my dentist and have been wearing a mouth guard at night for a few years. However, I still clench and grind my teeth with the guard on so have continued to have the symptoms. The dentist feels that they have done all they can to protect my teeth, so I was advised to see my doctor for the long term side of it.
kaismama
31 Oct 2013
An oral surgeon may help you.
Jumjum
24 May 2015
Diazepam (Valium) increases bruxism (teeth grinding).
Related topics
pain, temporomandibular joint disorder, diazepam, naproxen, dosage, doctor, prescription, symptom
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