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People with anxiety, depression, and other mental health issues are often prescribed the potent painkiller valium. It has a long history of use as an anti-anxiety drug and is also prescribed for muscle spasms and insomnia. The medication is taken once or twice daily with or without food and comes in pill form. The typical daily dose is 10 mg or 20 mg. If necessary, this can be increased to 100 mg per day. Additionally, your doctor may advise you to take Valium along with other prescribed drugs like benzodiazepines (like Ativan) or antidepressants (like Prozac).