ジアゼパムの通常予想される作用と反対の反応、つまり、易興奮性、筋痙攣、そして（極端な場合）憤激や暴力が起きる可能性がある。これは「奇異反応」と呼ばれる。こうした反応があった場合、ただちにジアゼパムを中止しなければならない。こうした効果から、身体における耐性と精神的な依存が引き起こされうる。[要出典]
外来患者にジアゼパムを処方する場合、機械操作・車両の運転に支障をきたす可能性に常に留意する必要がある。こうした障害は、アルコール摂取によって悪化する。どちらの薬物も中枢神経系を抑制するからである。治療の経過中に、通常は鎮静効果への耐性が出現する。
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