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Phenazepam - instructions for use, analogs, reviews and release forms (tablets 0.5, 1 and 2.5 mg) drugs for the treatment of neuroses, psychoses and epilepsy in adults, children and pregnancy. Leave from pharmacies (prescription or not), the effect of alcohol

Phenazepam - instructions for use, analogs, reviews and release forms (tablets 0.5, 1 and 2.5 mg) drugs for the treatment of neuroses, psychoses and epilepsy in adults, children and pregnancy. Leave from pharmacies (prescription or not), the effect of alcohol

In this article, you can read the instructions for using the drug Phenazepam. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of physicians specialists on the use of Phenazepam in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogues of phenazepam in the presence of existing structural analogues. Use for the treatment of neuroses, psychoses,epilepsy and other mental and psychosomatic disorders and diseases in adults, children, as well as during pregnancy and lactation. Terms of leave from pharmacies (prescription or not). Joint reception of alcohol.

 

Phenazepam - has a pronounced anxiolytic, anticonvulsant, central muscle relaxant and hypnotic action.

 

Amplifies the braking effect of GABA in the CNS by increasing the sensitivity of the GABA neurotransmitter-receptor as a result of stimulation of benzodiazepine receptors, reduces the excitability of subcortical brain structures inhibits polysynaptic spinal reflexes.

 

Pharmacokinetics

 

When ingestion the drug is absorbed well from the digestive tract. Metabolised in the liver. Isolation of the drug, mainly carried out through the kidneys.

 

Indications

  • at various neurotic, psychotic neurosis, psychopathic and other conditions involving anxiety, fear, increased irritability, stress, emotional lability;
  • with reactive psychoses;
  • with hypochondriacelo-sensopathic syndrome (incl.resistant to the action of other tranquilizers);
  • with autonomic dysfunction and sleep disorders;
  • for the prevention of states of fear and emotional stress;
  • as an anticonvulsant drug is used to treat patients with temporal and myoclonic epilepsy;
  • in neurological practice, phenazepam is used to treat hyperkinesis and tics, muscle stiffness, vegetative lability.

 

Forms of release

 

Tablets 0.5 mg, 1 mg and 2.5 mg.

 

Solution for injection 1 mg / ml.

 

Instructions for use and dosing regimen

 

The drug is prescribed inside.

 

A single dose of phenazepam is usually 0.5-1 mg, and for sleep disorders, 0.25-0.5 mg for 20-30 minutes before sleep.

 

For the treatment of neurotic, psychopathic, neurosis-like and psychopathic-like conditions, the initial dose is 0.5-1 mg 2-3 times a day. After 2-4 days, taking into account the effectiveness and tolerability of the drug, the dose can be increased to 4-6 mg per day, morning and daytime dose is 0.5-1 mg, at night - 2.5 mg.

 

With severe agitation, fear, anxiety, treatment starts with a dose of 3 mg per day, rapidly increasing the dose to obtain a therapeutic effect.

 

In the treatment of epilepsy, the dose is 2-10 mg per day.

 

To treat alcohol withdrawal are prescribed in a dose of 2.5-5 mg per day.

 

In neurological practice in diseases with increased muscle tone, the drug is prescribed for 2-3 mg 1 or 2 times a day.

 

The average daily dose of Phenazepam is 1.5-5 mg, it is divided into 3 or 2 doses, usually 0.5-1 mg in the morning and in the afternoon and up to 2.5 mg at night. The maximum daily dose is 10 mg.

 

To avoid the development of drug dependence, with course treatment, the duration of the use of phenazepam, as well as other benzodiazepines is 2 weeks. But in some cases, the duration of treatment can be increased to 2 months. With the withdrawal of the drug, the dose is reduced gradually.

 

Side effect

  • memory impairment, concentration of attention, coordination of movements (especially at high doses);
  • drowsiness
  • muscle weakness
  • ataxia
  • perhaps paradoxical arousal
  • dizziness, headache
  • dry mouth
  • nausea
  • diarrhea
  • menstrual disorder
  • decreased libido
  • dysuria
  • skin rash, itching.

 

With prolonged use, especially in high doses - addiction, drug dependence.

 

Contraindications

  • myasthenia gravis;
  • marked violations of the liver and kidneys;
  • poisoning with tranquilizers, antipsychotic drugs (neuroleptics), sleeping pills, narcotic drugs, ethyl alcohol;
  • children and adolescents under 18 years of age (safety and efficacy not identified);
  • pregnancy;
  • lactation period.

 

With care - the elderly.

 

Application in pregnancy and lactation

 

Contraindicated in pregnancy and lactation.

 

Use in children

 

Contraindicated in children and adolescents under the age of 18 years (safety and efficacy not determined). Children, especially young children, are very sensitive to the CNS depressing action of benzodiazepines.

 

special instructions

 

It is necessary to use the drug with caution in elderly and weakened patients.

 

The frequency and nature of side effects depend on the individual sensitivity, dose and duration of treatment. With decreasing doses or stopping the use of phenazepam, side effects disappear.

 

Like other benzodiazepines. has the ability to induce drug dependence in long-term admission in large doses (more than 4 mg per day). With a sudden discontinuation of reception can be a withdrawal syndrome (depression, irritability, insomnia, increased sweating), especially with prolonged admission (more than 8-12 weeks).

 

The drug enhances the effect of alcohol, so the use of alcohol during treatment with phenazepam is not recommended.

 

Impact on the ability to drive vehicles and manage mechanisms

 

Phenazepam is contraindicated during work by drivers of transport and other persons performing work requiring quick reactions and precise movements.

 

Drug Interactions

 

Phenazepam is compatible with other drugs causing oppression of the central nervous system (hypnotics, anticonvulsant, neuroleptic), but in complex application it is necessary to take into account the mutual enhancement of their action.

 

Reduces the effectiveness of levodopa in patients with Parkinsonism.

 

May increase the toxicity of zidovudine.

 

Inhibitors of microsomal oxidation increase the risk of toxic effects.

 

Increases the concentration of imipramine in the serum.

 

Hypotensive drugs can increase the severity of blood pressure lowering.

 

Conditions of leave from pharmacies

 

The drug is released by prescription.

 

Analogues of the drug Phenazepam

 

Structural analogs for the active substance:

  • Tranquesipam;
  • Fezaneff;
  • Fesipam;
  • Phenorelaxane;
  • Elzepam.

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Reviews (26):
Guests
Dr. Doolittle
By the way, a colleague, Fenazepam is released only on prescription, so the above infa is more for doctors than for patients.
Administrators
admin
So after all the site not only consumers of medicines search, but also those who appoint them. Therefore, reference information here is more for professionals than for ordinary visitors. Although it sometimes happens, doctors can not accept and prescribe the drug without seeing the contraindication that the patient has in the annotation.
Guests
maria
I've been drinking phenazepam for more than 8 years with panic attacks and for preventing them, nothing helps anymore ...
Guests
Nina
At one time I took phenazepam, since I work in the school, you know, this work is nervous. I agree with the previous comment that they prescribe these pills only on prescription, as they are very strong.I would advise you to drink them only for the night, because in the daytime you will feel like a sleepy fly. From pobochek I had weakness and nausea, but with neuroses the drug does well.
Guests
Julia
And what dosage for children? And at what age is it better to take it?
Administrators
admin
Julia, Phenazepam is contraindicated in children and adolescents under the age of 18 (added to the instructions). Children, especially younger children, are very sensitive to the CNS depressing action of benzodiazepines, to which phenazepam belongs.
Visitors
marine1965
I drink phenazepam with amitriptyline for 10 years, otherwise I can not cope with the anxiety-depressive state and panic attacks.
Guests
Vera
Tell me, can I drink half a tablet of my daughter (13 years)? She just can not sleep at all. And what are the consequences? If she drinks.
Administrators
admin
Vera, Children Phenazepam is dangerous because of the depressing effect on the central nervous system.At such a young age, insomnia is not a disease (only if it is not a symptom of a severe organic disease) and passes by itself or with the help of a maximum amount of a motherwort infusion.
Guests
Artem 29
Today I definitely decided to go for the drug. He drank it for 10 years to eliminate PA and anxious depression. Tobish I look at phenazepam as a medicine, not a drug. The hospital in the HDPE only helped with the acute psychosis that was obtained from the successful use of AD (fevarin) ... No good antipsychotics were given to me ... Besides that I became fat and temporarily lost my sports skills ... There was abstinence before hitting in the HDPE. An attempt to abandon the medicine when it is required - the PND has ended. I drank it when the situation demanded it and everything was fine. And to listen to all and all this business is dousing ... I agree that it is not very good, but if in any other way ?! Especially to the present time drinking it 10 years was in excellent physical. form, cheerful, with a great sense of humor, etc., and absolutely did not interfere with anyone. And now without it, for 6 months now: firstly, I torture myself day in and day out, and secondly, my relatives are not allowed to live peacefully.To listen to doctors already there are no forces and in general it is tired. In addition to neuroleptic depression, nothing after discharge does not feel, etc. Plus, after PND, the first evening after discharge, she threw a girl (29 years old, like me), motivating her decision - supposedly her parents forbade her to see me, in general ***. So I make a firm decision to restore phenazepam, even if it sounds paradoxical, but I know myself better. Best regards, Artem.
Administrators
admin
Artem 29, I understand your emotions and condition. Of course, if the cancellation of the drug leads to a dispensary, it is better to stay on it, and at the same time consult and look for novelties, may release some radical drug to treat your diseases. Although with psychiatry, everything is always difficult.
Guests
Irina
Drank phenazepam for more than 10 years and should note that with PA, no drug can cope better. It is unfortunate that he was equated with us for drugs, but he was not offered a proper replacement. As for habituation, I somehow gradually was able to reduce the dose (saw by 0.001 - 2 r.v. day) removed by 1/2 table.for 2-3 weeks, covered with afobazol, now I keep it only for the case of PA or severe stress. always carry with myself and with horror I wait when it will end, because it is not realistic to write it out. In comparison with neuroleptics (which our doctors so much love), he has fewer side effects and he acts better at times.
Guests
measures
I can not live without this drug.
Guests
Julia 30
The doctor prescribed phenazepam for panic attacks, he said to drink only when the attack. Is it possible to drink alcohol with such treatment?
Administrators
admin
Julia 30, Phenazepam increases the effect of alcohol on the body, so when treating this drug, alcohol is prohibited. The half-life of the drug is 6-18 hours, that is, two days after taking the drug, it is possible to take alcoholic beverages. In general, alcohol is harmful to the body, even with pills, even without tablets.
Guests
Boris is 67 years old.
I have been drinking phenazepam for more than 10 years. I suffer from neurosis for about 30 years.
Guests
Marrakech
I was prescribed phenazepam as a sleeping pill, I did not go, a braked state, but did not contribute to sleep (((
Visitors
VIKTOR
Drank phenazepam more than 10 years and should notice

On 1 tablet a month I still believe that there is no addiction, and if you drink daily, then for 10 years, it simply will not help you anymore, and if you cancel it, it will break that your mother does not mourn. This is pure water drug. Getting used after a couple of months of reception is guaranteed, but jumping off it is not that easy. Only inpatient treatment in narcology will solve this problem with cancellation.
Guests
Galina
When I had a difficult situation in my life, I took nerves with phenazepam. I was prescribed by a doctor to calm my nerves. The remedy is very strong and fast. Now I do not accept.
Guests
Olesya
When I worked on two jobs, my life was easy to call clearly unequivocally. Everything was complicated by the fact that in both the work I was not allowed to run down and three skins were scratched from me, regardless of any other work, workload and so on. If she took it upon herself, be kind - take it. The demands were tough, sometimes the nerves could not stand it.At home on trifles, she began to break into tears and tantrums. I wanted to feel sorry for my beloved and revel in my tears. Then it came to a sleep disorder. It would Seem, from legs or foots it is betrayed, and as I shall lay down - a dream in one eye. Then I realized that I'm starting to get bogged down in this state as in a swamp and I need the help of a specialist. I registered for a consultation with a psychologist, where I was prescribed a course of treatment with phenazepam. About this drug I heard a long time ago, but I always thought that he was appointed for more serious things. I was prescribed the most minimal dose twice a day, but I drank only in the evenings, because I was afraid to lose concentration at work, because side effects mentioned drowsiness. Maybe it would not have manifested itself, but I did not want to risk it at all. Therefore, saw only before bed. Insomnia has receded, I began to feel calmer. A good drug.
Guests
Marina Savina
Treated anxiety and insomnia with this drug. Unpleasant symptoms began because of nervous work. I prescribed a doctor, bought a prescription from the pharmacy, as far as I know, they do not sell without a prescription.Were prescribed 0.25 mg before going to bed during the crescent (sawed on a half tablet). The tablets themselves are small, white, washed down with water and did not notice any bitterness from them. The result became noticeable already with the second application: I was less nervous and slept better. And already from the second week I slept like a marmot, I slept soundly and well. At a low price, but effective. Definitely, I recommend this drug, but, with the advice of a doctor.
Guests
Karina00
Approximately six months ago, I had problems with sleep, straight insomnia. In the daytime she walked herself not her own, somehow confused, unable to concentrate at all. I tried to drink before going to bed different herbs (chamomile drank somewhere for two weeks, for example) and tinctures (valerian, motherwort), took baths before going to bed, walked in the fresh air, but in the end still could not fall asleep. I had to see a doctor, although I really do not like hospitals, but it was already so bad that there was no choice. The doctor, looking at my condition, prescribed the drug Phenazepam, and at first I was somehow afraid, because it seems like this drug is prescribed only from mental illnesses.But the doctor explained that this is not so, be sure to drink the course in 14 days and not a day more - as it can be addictive. She started taking half the pill (five milligrams) half an hour before bedtime, and a dream came back. Almost half a year has already passed, I do not remember sleeplessness, but I do not risk breaking the regime of the day and I always go to bed at the same time. What I want to say - if you have health problems that are not solved on your own, do not pull, do not push yourself to exhaustion, but contact a doctor!
Guests
Сергей 57 years old
Phenazepam I do not drink constantly, only when it's bad with a dream or what the hell is going into my head. Fight one's own psyche is hard. If you can better go to the HDPE. At us in city good doctors, still the Soviet school, but owing to the Russian character and the devil-may-care attitude to the health I drink phenazepam. It helps. I drink 2-3 times a year, usually fall-spring. But it's better not to run your health, this is the most important thing, you can handle the rest.
Guests
Nikola
I take phenosepam for 15 years, periodically, when a bad dream because of what in the daytime the state becomes anxious, you can not concentrate, a bad mood.I take one pill at night - after that, a normal state of sleep is normal for a long time. How do I feel for the intellect is not particularly affected, and I'm 69 years old. My personal opinion is that the drug is excellent, just do not overuse and consult with competent doctors.
Guests
Vladimir 60 years old
He was treated since 1993 in regional polyclinics, in the regional 3 times lay. Everywhere they were bred with their hands, you have a neurocirculatory dystonia that will all pass (and this is all panic and pressure jumps, then it throws them into the heat, then into the cold, not life, but coexistence). And I was in this state until 1998, until I accidentally got into the PND. The doctor was very good tried many medications, but helped me only with phenazepam. He was treated for more than 6 months and even as a result of improvement he did not notice when he stopped taking it. Phenazepam not only removes from the psycho-nervous state after it appears energy and vivacity. Thank the doctors for helping me get out of the state I was in.
Guests
KARSAK
When panic attacks are better than fluoxetine, it is better than phenazepam.

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