Brief Answer:
both.

Detailed Answer:
It is a valium like agent and is a benzodiazepine. As such there is the potential for all the problems associated with valium like drugs. There can be dependence. physical withdrawal and even fatal seizures from withdrawal. these are incredibly rare on this particular drug. In theory it can also increase the toxicity of other cns depressants including all narcotics. In practice, this occurs at the start of therapy or it doesn't happen. After 16 years it is not at all likely that it is going to have a fatal or non-fatal interaction with oxycodone Now when it never did before. Unless the doses of either medicine are changed.

Withdrawal from it can be bad and cause serious agitation even fatal seizures. This is dependent on how much and for how long the drug is taken. It is neither the longest, strongest, or most dangerous of the valium like drugs. The usual dose is not very sedating and the withdrawal/dependence to it is generally not as much as is seen with other valium like drugs or even high doses of alcohol.

Speaking of which, librium has been a standard detox drug for alcohol for most of a century. Therefore, liver doctors use it a LOT. It is commonly prescribed by liver doctors. It also was formulated with a gut blocker..clidinium, in the drug LIBRAX. Librium is JUST the valium like drug by itself. LIBRAX is quite good for irritable bowel. and is prescribed by gastroenterologists commonly for it.

It is a controlled substance, But it is not a narcotic. Its toxicity, dependence, addiction, withdrawal are not common. For this reason it is in the lowest category of restriction. It could be used by pain management but it is more so for gastroenterologic conditions than for pain and is not a pain medicine per se. So, either pain management or gastroenterologists might prescribe it. But you'd generally ONLY see it prescribed by regular internists or gastroenterologists (and only old ones).

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