DIASTAT ACUDIAL vs NIRAVAM

Independent side-by-side comparison.

Rated against independent regulatory sources·Last updated August 18, 2026·How we rate

Possible drug interaction. DIASTAT ACUDIAL and NIRAVAM are different prescription medicines. Combining or switching between them can cause interactions — talk to a pharmacist or prescriber before making changes. This page is not medical advice.

Attribute	DIASTAT ACUDIAL	NIRAVAM
Rating	New	70/100
Pharmacy pays	~$0.87 /30	~$0.76 /30
Type	RX	RX
Active ingredient	DIAZEPAM	ALPRAZOLAM
Manufacturer	Bausch	Ucb Inc
Dosage forms	Topical	Tablet, orally disintegrating
Drug class	Benzodiazepine	Benzodiazepine
Boxed warning	Boxed warning	None
Half-life	about 48 hours (up to 48 hours), but it varies strongly with age — roughly 20 hours at age 20 and rising by about 1 hour for each year of age	about 11 hours (mean 11.2 hours; range roughly 6 to 27 hours) in healthy adults
Treats	Alcohol Withdrawal Delirium, Muscle Spasticity, Status Epilepticus	Agoraphobia, Depressive Disorder, Panic Disorder

diastat acudial niravam

Rating

New

70/100

Pharmacy pays

~$0.87 /30

~$0.76 /30

Type

Active ingredient

DIAZEPAM

ALPRAZOLAM

Manufacturer

Bausch

Ucb Inc

Dosage forms

Topical

Tablet, orally disintegrating

Drug class

Benzodiazepine

Boxed warning

None

Half-life

about 48 hours (up to 48 hours), but it varies strongly with age — roughly 20 hours at age 20 and rising by about 1 hour for each year of age

about 11 hours (mean 11.2 hours; range roughly 6 to 27 hours) in healthy adults

Treats

Alcohol Withdrawal Delirium, Muscle Spasticity, Status Epilepticus

Agoraphobia, Depressive Disorder, Panic Disorder

Frequently asked questions

Which is cheaper, Diastat Acudial or Niravam?

Niravam costs pharmacies less to acquire — about $0.76 vs $0.87 for a 30-count supply, per the CMS NADAC survey. That gap is in the pharmacy's cost of goods, not necessarily in what you pay: your price is set afterwards by your insurer and the pharmacy.

What is the difference between Diastat Acudial and Niravam?

Diastat Acudial contains Diazepam, while Niravam contains Alprazolam — they have different active ingredients.

Ratings are based on FDA regulatory (recall-safety) data. This comparison is for general reference only — not medical advice. Always consult a licensed professional before choosing or switching a medication.