Is it possible to buy phenazepam in an online pharmacy with delivery ( Moscow, Saint Petersburg)?

Online pharmacies that can deliver phenazepam

Phenazepam for the elderly. Safe dose of phenazepam Phenazepam is a fairly common drug in medicine, which is used mainly to affect the central nervous system ( CNS) person. According to the medicinal effect, it belongs to the group tranquilizers, as it inhibits the activity of many nerve centers. Thanks to this, many different effects are achieved. Most often, phenazepam is used to achieve the following effects: Sedative. Sedation is a calming effect in various excited states. It is he who is often needed in psychiatry. Anticonvulsant. An anticonvulsant or anticonvulsant effect is needed to quickly relieve a patient's convulsive syndrome. Otherwise, there is a danger of violating important functions (cessation of breathing or heartbeat, irreversible organ damage). To relieve seizures in practice, it is more often used not phenazepam, but other drugs from its group. The anticonvulsant effect is important for providing emergency assistance at convulsive syndrome. anxiolytic. This effect similar in action to a sedative. It consists in eliminating anxiety states, strong feelings. This is also often applied in psychiatry. Muscle relaxant. This effect involves the relaxation of most of the muscles in the body. It is often used in anesthesiology to prepare the body for surgery. However, in phenazepam, this muscle relaxant effect is relatively weak. Hypnotic. High doses of phenazepam give a pronounced hypnotic effect. It is also often used in psychiatry to calm violent and agitated patients. Thus, phenazepam has a complex effect on the human nervous system, which allows it to be used in various areas of medicine. It is most widely used in psychiatry, neurology and anesthesiology ( for additional anesthesia or preparation for surgery). Phenazepam is one of the most potent substances among benzodiazepines. Potentially, it can cause quite a strong addiction in the future and, as a result, a withdrawal syndrome. In most countries, the sale of phenazepam without a prescription is prohibited due to high health risks if used incorrectly. It is also prohibited to transport this drug across the border without accompanying documents ( a certificate from a doctor stating that the passenger needs the drug). Pharmacological group of phenazepam In terms of pharmaceutical classification, phenazepam belongs to benzodiazepines. The active ingredient in this drug isepine. In general, the benzodiazepine group has psychoactive properties. Most of the drugs in this group are characterized by depression of the activity of the central nervous system, hypnotic, sedative and relaxing effect. varying degrees expressiveness. Along with phenazepam, the group of benzodiazepines includes the following drugs: diazepam; lorazepam; alprazolam; clonazepam; midazolam etc. Despite the similar mechanism of action on the central nervous system, these drugs are not interchangeable in all cases. Each of them has its own range of applications, which should be followed as far as possible. It is impossible to use any of the above analogs if phenazepam was prescribed to the patient. Each drug has its own duration of action, dosage and may be combined differently with other medicines ( with complex treatment). After consultation with a doctor or pharmacist, phenazepam can be replaced by the following analogues(drugs with the same active ingredient): phenorelaxan; phezaneph; fezipam; elzepam; tranquezipam. How do you spell phenazepam in Latin? Like the vast majority of other pharmacological drugs, the name of phenazepam is traditionally written in Latin. It is most commonly used in prescriptions. Correct name The drug is Phenazepam. You can also find variants of Phenazepami and Phenazepamum, which are declensions of the name in various cases of the Latin language. The mechanism of action of the drug phenazepam As mentioned above, phenazepam has complex impact on the CNS. This effect is mainly due to the reaction with certain receptors. The work of the central nervous system can be abstractly represented as a tangle of nerves through which many impulses pass simultaneously. Irritation of certain areas or structures of the brain controls not only human emotions, but also movements, sensitivity, the functioning of internal organs, and in general, almost any process. There is a special substance in the human body, gamma-aminobutyric acid (GABA), which impairs the performance nerve impulses in the CNS. Phenazepam enhances the action of this substance through receptors, blocking some parts of the brain. This explains the main therapeutic effects of the drug. The effect of taking phenazepam is achieved through the following mechanisms: a decrease in the activity of the subcortical structures of the brain; stimulation of GABA receptors ( reduces the conduction of nerve impulses); weakening and inhibition of spinal reflexes; effect on the amygdala one of the brain structures) reduces emotional experiences, anxiety, fear, etc.; inhibition of cells of the reticular formation ( one of the brain structures) reduces irritation of the nervous system and facilitates the process of falling asleep; influence on nonspecific nuclei of the thalamus ( one of the brain structures); engine braking ( motor) impulse ensures the cessation of convulsions and muscle relaxation. Thus, the drug has a complex effect on various structures of the central nervous system. In part, this gives strong effect, which can be used in the treatment of a number of pathologies. On the other hand, such a complex impact is associated with certain risks ( there are many contraindications and side effects ). That is why the drug is sold only by prescription and in no case is used without the appointment of a specialist. How much phenazepam is found in blood and urine? Despite the fact that the effect of phenazepam usually lasts 6 to 8 hours ( no more than a day), residual doses can be detected in the blood and in the urine for more than long time. On average, the breakdown products of this drug are excreted within a week. During this period, it can be detected using a chemical-toxicological analysis of blood or urine. This study is very expensive and rarely used. The residual amount of phenazepam in the blood no longer gives toxic effects while taking other medications or alcohol. It should be noted that in some diseases of the liver or kidneys, the period of complete elimination of the drug from the body may increase slightly. This is due to the fact that it is the liver and kidneys that "neutralize" phenazepam and contribute to its excretion in the urine. In severe disorders in the work of these organs, the drug is not prescribed precisely because it for a long time will not be removed from the body. Indications for the use of phenazepam Due to its wide spectrum of action, phenazepam is used in various fields of medicine and for various purposes. In most cases, it is scheduled after thorough examination patient. The course of treatment is carried out with periodic consultations with a doctor. In emergency situations or in the absence alternative drugs phenazepam can be used and one-time ( e.g. to relieve seizures). In all cases, one has to take into account a wide range side effects. Most often, phenazepam is prescribed for the following diseases and pathological conditions reactive psychoses; pathological irritability; increased anxiety; nervous breakdowns; unreasonable mood swings ( emotional lability ); withdrawal syndrome ( breaking) after cessation of alcohol intake or narcotic drugs; some disorders of the autonomic nervous system; nervous tics; with some convulsive states; in some forms of schizophrenia; in some forms of epilepsy; panic states; some phobias; for premedication ( medical preparation ) before surgery. It should be noted that many of the above states are a normal manifestation of emotions. Distinguish pathological disorders mentality from the norm can only be a specialist after examining the patient. Long-term use of phenazepam is justified mainly in chronic mental disorders. Sometimes it is used to prevent acute emotional stress ( death loved one, bad news, etc.), but also after consulting a doctor. Does phenazepam help with fears and panic attacks? According to the therapeutic effect, phenazepam is, among other things, an anxiolytic drug, that is, it can relieve various anxiety states. This effect is often used to treat schizophrenia, various types of paranoia and other mental illness. With these pathologies, it relieves the corresponding symptoms. Also, the drug can be used once in case of a panic attack. It should be noted that in all these cases, phenazepam is not the drug of choice, since its effect on the body will be complex. There are anxiolytics with a narrower spectrum of action, the use of which will be safer and more effective. However, in the case of the patient's susceptibility to phenazepam, it can be prescribed in the form of a rather long course of treatment. Of course, the patient should be regularly monitored by a specialist. Contraindications to the use of phenazepam Since phenazepam has a serious effect on the central nervous system, its administration can seriously affect the course of a number of pathologies. Mostly we are talking about chronic diseases which may escalate. Pathological and some physiological states, in which phenazepam can harm the health of the patient, are contraindications. All contraindications can be divided into relative and absolute. Relative contraindications mean that the harm to health will be moderate, and the drug can be used if the doctor, for example, does not have access to its analogues, and the patient's condition will greatly worsen without taking phenazepam. Absolute contraindications categorically exclude the use of phenazepam, since a sharp deterioration in the patient's health will most often create a direct threat to life or cause irreversible damage. Contraindications to the use of phenazepam Absolute relative Hypersensitivity (risk of severe allergies). Some diseases of the brain past injuries, tumors, surgeries, etc.). Some types of poisoning alcoholic, sleeping pills, drugs, etc.). Renal failure on the background of various pathologies. Angle-closure glaucoma ( can cause permanent vision loss). Loss of sensation or movement. chronic obstructive pulmonary disease ( severe forms). Low level total protein in blood ( hypoproteinemia). Depression with suicidal tendencies. Acute psychoses. shock states different kind. Elderly age. Pregnancy ( first trimester) and lactation ( the drug is excreted in milk). Breathing disorders during sleep sleep apnea). Coma of various origins. Tendency to drug addiction past drug or drug addiction). Severe illnesses lungs with severe respiratory failure. Age under 18 ( no verified usage data). About absolute contraindications need to be known to both physicians and patients, because otherwise one could simply inadvertently kill the patient. Relative contraindications can sometimes be neglected by physicians, as they imagine exactly how the patient's condition may worsen, and are ready to provide needed help. Without consulting a doctor, in no case should even relative contraindications be neglected. Is it possible to use phenazepam during pregnancy and lactation (feeding)? Phenazepam has a teratogenic effect ( can cause fetal damage and congenital mutations at the DNA level). In this regard, the drug is not recommended during pregnancy. Most dangerous period is the first trimester, since at this time the fetal cells divide most actively. Any toxic effect on them ( e.g. phenazepam) is likely to lead to severe birth defects. In the II and III trimesters, the use of phenazepam is possible, but not desirable. During this period, the risk of birth defects decreases, but the health of the child is still at risk. Increased risk various complications course of pregnancy. Taking the drug on the eve of childbirth can lead to the fact that the child will have breathing problems after birth. However, the use of phenazepam during pregnancy is permissible for health reasons ( if taking the drug can save the life of the patient, and doctors do not have safer means). During breastfeeding, phenazepam can be excreted from the mother's body in small amounts with milk and thus enter the child's body. Even these negligible doses can affect his health. Therefore, during lactation, the use of phenazepam is also not recommended. Can I drink alcohol and phenazepam? Drinking alcohol at the same time as taking phenazepam is strictly prohibited due to the high risk of complications. Alcohol itself affects the central nervous system, and when taking phenazepam, it enhances the effect of the drug. In addition, with the simultaneous influence of alcohol, the necessary healing effect. In other words, the drug may not help the patient, but the side effects and overdose symptoms will increase significantly. Since phenazepam can potentially depress vital important processes (breathing and heartbeat), its reception along with alcohol is simply life-threatening. The degree of danger is directly proportional to the dose of alcohol and the drug. In the case of regular use of phenazepam for a long time, alcohol should not be consumed throughout the entire course of treatment. Only after a gradual decrease in the dose, and then the complete withdrawal of the drug, you can drink alcohol. In most cases, it is better to discuss the time of their use and the dose with your doctor in advance. At what age can children take phenazepam? In general, it is believed that the group of benzodiazepines, to which phenazepam belongs, can have a very strong effect on children's body. Since the main effect of phenazepam is the inhibition various processes in the CNS, its use in childhood it might just be dangerous. Currently, accurate data on safe dosage in childhood have not been collected, so the drug is not prescribed to patients under 18 years of age. If a child takes the standard adult dose of phenazepam, there is a high risk of overdose or serious side effects. The most severe of them are severe impairment of consciousness, breathing, heartbeat, and coma. The problem is that smaller doses can produce the same effect ( because the child's body is more sensitive). That is why this drug is not prescribed to children. Can phenazepam be administered to diabetic patients? In principle, diabetes mellitus is not a contraindication to the use of phenazepam, since this drug does not increase blood sugar levels. However, with this pathology, it must be taken with caution. Be sure to notify the attending physician about the presence of diabetes in the patient, even if at the time of the examination, the sugar level is normal. The fact is that with diabetes, some internal organs. The pathology of these organs can change the effect of taking phenazepam. For example, in diabetic nephropathy, the drug will be more slowly excreted from the body, therefore, its effect may be longer and more toxic. The risk of overdose and side effects increases. Instructions for use of the drug phenazepam Phenazepam is available as tablets or solution for intramuscular and intravenous injections (injections). The medicine should be taken exactly in the form and dose that were prescribed by the attending physician. Only in this case, its action will be optimal and contribute to recovery. Tablets are washed down with a small amount of liquid. Synchronization of taking pills with food is not of fundamental importance. Most often, phenazepam is taken at night to avoid the side effect of daytime drowsiness. Ampoules with a solution are sold in a ready-to-use form. The solution is drawn into a syringe and injected into a muscle or vein. After the introduction or use of phenazepam, it is recommended to stay at home and not engage in work that requires a high concentration of attention or physical activity. Shelf life of the drug phenazepam Standard term The shelf life of phenazepam tablets in most manufacturers is 3 years. When not proper storage it decreases. The drug should be stored in a dry place protected from the sun. Optimum temperature for storage - no more than 25 degrees. Why is an expired tranquilizer phenazepam dangerous? Any pharmacological product has an expiration date, after which its use becomes dangerous. According to the mechanism of action, phenazepam is a tranquilizer, that is, a drug that affects the central nervous system. An expired drug may slightly change chemical structure substances. It may also accumulate other compounds over time ( impurities). First, as a result, phenazepam may simply not work on the patient ( will not give the expected therapeutic effect). Second, impurities and others chemical compounds may be toxic. First of all, it increases the risk of various side effects associated with exposure to the central nervous system. When taking over-the-counter phenazepam, the patient exposes himself to serious danger, since the altered effect of the drug can cause respiratory or palpitation to stop. Dosage and method of using phenazepam Phenazepam is available in several dosage forms- tablets, solution for intramuscular or intravenous administration. The drug is not used in childhood or adolescence ( under 18). In adults, the dosage may vary widely depending on the purpose of the drug. In all cases, phenazepam is tried not to be used continuously for a long time ( usually the course lasts no more than 2 weeks). This is explained possible development addiction. In some cases ( in chronic mental disorders) it is possible to prescribe a longer course of treatment ( up to 2 months). In all cases, phenazepam is canceled by gradually reducing the dose so as not to provoke a withdrawal syndrome. Approximate dosages of phenazepam for various pathologies Admission Form Pathology Method of application and dose In tablets Sleep disorders 0.25 - 0.5 mg half an hour before bedtime. neurosis and psychopathy Start with a dose of 0.5 - 1 mg 2 - 3 times a day. If necessary, the dose is increased to 4-6 mg / day. Severe anxiety states 3 mg / day for 2 - 3 doses. Epilepsy By decision of the attending physician, the dose is gradually selected within the range of 2-10 mg / day. 2.5 - 5 mg / day. Marked increase in muscle tone ( convulsions, spasms, etc.) 2-3 mg 1-2 times a day. Intramuscular and intravenous (in injections) neurosis and psychosis to stop an attack) 0.5 - 1 mg, if necessary, re-introduction - 3 - 5 mg / day. Rarely up to 7 - 9 mg / day. Frequent epileptic seizures Start with 0.5 mg and, if necessary, increase to 1 - 3 mg / day. alcohol withdrawal syndrome 0.5 mg 1 time per day. elevated muscle tone 0.5 mg 1 - 2 times a day. If you need urgent relief of an attack, it is advisable to administer the drug intravenously or intramuscularly to achieve a faster effect. After that, if necessary, long-term use is recommended to switch to oral intake (in tablets). In most pathologies, the average single dose is 0.5–1 mg, and the average daily dose is 1.5–5 mg ( broken down into several steps). The maximum daily dose is 10 mg, in rare cases perhaps a slight excess. All dosages are approximate, since each specific pathology requires one or another effect ( and it depends on the dose of the drug). Patients should strictly adhere to the dose prescribed by their doctor. Self-administration of the drug without consulting a doctor is dangerous even in subtherapeutic doses ( less than the minimum indicated in the table). How long does the course of treatment with tablets and injections (injections) of phenazepam last? The duration of the course of treatment depends mainly on the pathology in which phenazepam is prescribed. It should be noted that there are not so many such pathologies, and in most cases, doctors try to use phenazepam once, and not in courses. This is because for long-term treatment, there are other drugs that are better tolerated. If we are talking about neurosis, psychosis, epilepsy and some other diseases in which a course of phenazepam is really needed, then it lasts an average of about two weeks. During this time at correct reception patients do not have time to develop dependence on the drug and there will be no withdrawal syndrome. In some cases, the duration of the course can reach 1 - 2 months ( at the discretion of the physician), but then the drug will have to be canceled gradually. Is it possible to overdose phenazepam (poisoning)? When taking too large doses of phenazepam, an overdose is possible, which is serious danger for the patient's health. There is a risk lethal outcome. In case of an overdose, the patient's condition deteriorates rapidly. They appear mainly neurological symptoms characteristic of violations at the level various structures CNS. At first, it may seem that there are only side effects. But the combination of several side effects in one patient immediately after administration is a very rare occurrence. In addition, the symptoms are pronounced and intensify. You can recognize an overdose of phenazepam by following symptoms and features: severe confusion and disorientation; depression of the heart ( weak pulse, slow heartbeat, etc.); respiratory depression ( shallow, rare breathing); weakening of reflexes ( knee, elbow, etc.); severe drowsiness; lowering blood pressure; dizziness, tinnitus, nausea; involuntary trembling in the limbs ( tremor); rapid involuntary pupillary movements vertically or horizontally). When taking high doses of the drug, coma and death can occur. Precisely how the patient will respond to a high dose of the drug ( more than 7 - 8 mg / day), difficult. Therefore, phenazepam is usually prescribed in small doses and gradually increase them if the expected therapeutic effect does not occur. A single dose of a large dose of the drug is highly likely to cause an overdose and endanger the life of the patient. In the event of an overdose of phenazepam, the patient must be urgently taken to the hospital. The main treatment is gastric lavage and the use of sorbents ( Activated carbon and etc.). Hemodialysis to remove the drug from the blood usually does not give a sufficient effect. It is possible to prescribe flumazenil ( already in the hospital). Also, if necessary, support breathing and heartbeat. How many milligrams ( mg) Phenazepam should be taken for sleep? hypnotic effect is one of the most pronounced actions of this drug. In this regard, it is often prescribed specifically for sleep disorders ( insomnia, superficial and restless sleep ). Most often, patients are advised to take 1 tablet of 0.5 mg of phenazepam half an hour before bedtime. For most patients, this dose will provide deep good dream. It is not recommended to increase the dose without consulting a doctor. There is a chance that this will cause side effects, but will not give a visible improvement in sleep. If a standard dose does not help, you need to consult a specialist and choose another sleeping pill. What is the difference between phenazepam in tablets and phenazepam in injections ( in injections)? In principle, the action of phenazepam remains the same regardless of the way it enters the body. In both cases, there is an effect on receptors in the central nervous system with its subsequent inhibition. The main difference in this case is the speed of action of the drug. Since the time will differ, there are also features in the appointment of injections or tablets. Tablets, entering the body, pass through the esophagus and stomach, and only in the intestines the drug is absorbed into circulatory system. On the passage upper divisions the gastrointestinal tract needs some time, so phenazepam will act more slowly. When administered intramuscularly ( usually in the gluteal muscle) the drug enters the bloodstream faster, and the time of onset of the effect is reduced. Most quick effect achieved with intravenous administration, since the solution enters directly into the bloodstream. It is also noted that the faster the effect of the drug, the shorter it lasts. It should be noted that phenazepam in injections is somewhat more likely to cause side effects and the risk of overdose if the dose is incorrectly selected is higher. Therefore, mostly doctors try to prescribe pills ( especially when needed long-term use ). Intravenous administration may be used in emergency situations. For example, phenazepam may be administered to a patient under anesthesia in the event of an increase blood pressure if other means fail. It is also preferable to give an injection for a panic attack or an attack of epilepsy. In any case, the attending physician will prompt the correct way to use the drug for a specific pathology. Possible side effects of phenazepam When using phenazepam, various side effects may occur. Since the drug acts on various structures in the central nervous system, through it it can affect various organs and tissues. This explains a wide range of possible problems. In general, however, they appear quite rarely. Side effects are more common in patients with certain contraindications or when the drug is misused ( incorrect dose or regimen). When using phenazepam, the following side effects may occur: Skin rash and itching. Most often, these symptoms are a sign of intolerance to certain components of the drug and are a form of an allergic reaction. Drowsiness, fatigue and apathy. They are manifestations of a sedative effect and are quite common. Due to these side effects, it is not recommended to use phenazepam during work for drivers, dispatchers and representatives of other specialties requiring heightened attention. Headache. It is a fairly common side effect, but does not appear regularly and not in all patients. Depression, depression. They are the result of depression of the central nervous system. These symptoms may accompany the patient throughout the course of treatment. With a tendency to suicide, they try not to prescribe the drug. Coordination disorders. Can be expressed in instability, uncertainty of gait, unusual movements. This side effect occurs rarely and mainly in the treatment of high doses of the drug. Clouding of consciousness and memory impairment. They are a consequence of CNS depression and are quite common during treatment. Tremor (involuntary trembling in the limbs). It is observed very rarely. In patients with epilepsy, the drug may cause a seizure. Libido disorders (rise or fall sexual attraction ). It is explained by the effect on certain zones in the central nervous system. Urination disorders. Both urinary retention and incontinence can be observed. Disorders at the level of the gastrointestinal tract ( gastrointestinal tract) . Violations can be varied and affect the work of various organs. They are explained by intolerance to the drug or impaired innervation of smooth muscles that control the work of the gastrointestinal tract. There may be drooling or dry mouth, heartburn, vomiting, or abdominal pain. During treatment, the patient may suffer from constipation or, conversely, diarrhea ( indigestion). Dysmenorrhea. In women, long-term use may cause menstrual irregularities. Lowering blood pressure. Rare side effect. Weight loss. May occur against the background of long-term use of the drug due to lack of appetite and disorders of the gastrointestinal tract. visual impairment(double vision, lack of clarity, blurred vision). It is noted rarely, mainly when taking high doses of the drug. Congenital malformations. Occur in children if the mother took the drug during pregnancy in the first trimester. Also, while taking phenazepam, there may be deviations in some test results. In particular, a decrease in the level of leukocytes, platelets or erythrocytes is often observed in the complete blood count ( anemia), however, all types of blood cells are rarely reduced. In the leukocyte formula, mainly neutrophils are lowered. After the end of treatment, changes in blood tests may be observed for some time ( on average 1 - 2 weeks). Very rarely, when using phenazepam, so-called paradoxical side effects occur ( opposite to the main action of the drug). For example, an attack of psychosis or severe arousal is possible. In general, it should be noted that most of the side effects listed above appear only on the background of long-term use or after changing the dosage during the course of treatment. If you follow the prescription of the attending physician, the likelihood of these disorders is greatly reduced. Does phenazepam cause hallucinations? Phenazepam has a fairly wide spectrum of action on the nervous system, but is not a hallucinogenic drug. Even with his long-term use this side effect is extremely rare. In patients complaining of hallucinations while taking phenazepam, in most cases there is incompatibility of taking several drugs. It should also be noted that in some diseases that can be treated with phenazepam, hallucinations are one of the possible symptoms. Thus, phenazepam itself does not cause hallucinations, and when they appear, you need to look for another, more real reason Problems. Is it possible to take phenazepam in old age? Elderly age ( after 65 years) is a relative contraindication for the use of phenazepam. Due to the peculiarities of the central nervous system, the drug can provoke the so-called senile delirium ( senile psychosis ). It manifests itself shortly after the use of some psychotropic drugs. This condition is characterized by agitation, clouding of consciousness, fussiness, speech disorders. These symptoms gradually disappear. In view of the danger this complication Phenazepam is prescribed to the elderly only as a last resort. The price of the drug phenazepam The cost of the drug can vary within a fairly wide range. This is due to various manufacturers, the cost of delivery of the drug. Also, prices in the same city may vary depending on the place of purchase ( large pharmacy chains, hospital pharmacies, pharmaceutical warehouses, etc.). The table below shows the average cost of the drug phenazepam in various subjects Russian Federation.	155 rubles	159 rubles
Ufa	79 rubles	92 rubles	140 rubles	151 ruble
Samara	95 rubles	117 rubles	166 rubles	168 rubles
Krasnodar	82 rubles	102 rubles	145 rubles	160 rubles
Permian	92 rubles	115 rubles	165 rubles	170 rubles
Yekaterinburg	89 rubles	110 rubles	156 rubles	167 rubles
Omsk	84 rubles	105 rubles	151 ruble	158 rubles

Which doctor prescribes phenazepam?

This drug refers to pharmacological group tranquilizers, and in a sick organism has a pronounced anticonvulsant, hypnotic, anxiolytic, central muscle relaxant effect. Such activity is achieved due to the presence in chemical composition the active ingredient of the same name.

Phenazepam is efficiently absorbed from the gastrointestinal tract, while reaching its maximum permissible plasma concentration within an hour after the first dose. In the liver, the process of metabolism is observed, and it is excreted from the body by the kidneys within 6-18 hours.

The tranquilizer is available in the form of tablets.

Analogues are Fezipam, Fenorelaxan, Fezanef, Fezanef, Elzepam and Tranquezipam.

Indications and contraindications for the use of Phenazepam

The list of indications for which the use of Phenazepam is appropriate is huge. So, the drug is prescribed for disorders of the psyche and nervous system in the presence of such anxiety states as a feeling of fear, tension, emotional imbalance.

In addition, Phenazepam is prescribed for epilepsy, sleep disorders, vegetative disorders, withdrawal symptoms, as well as for the treatment chronic insomnia and to eliminate nervous tics.

The list of contraindications for Phenazepam is represented by the following diagnoses: myasthenia gravis, serious violations kidney and liver function, poisoning with tranquilizers or other medications, alcohol poisoning, periods of pregnancy and lactation. Use with caution in the elderly.

Side effects and overdose of Phenazepam

Tranquilizer imperceptibly adapts in a sick body, but often causes tangible disorders of the central nervous system. With an exacerbation side effects the following anomalies are possible: impaired memory, coordination of movements and concentration of attention, muscle weakness, increased drowsiness, ataxia, dizziness, migraine attacks, dry mouth, signs of dyspepsia and allergic rash. Long term treatment causes severe drug dependence.

In case of an overdose of Phenazepam, all side effects may increase, as well as respiratory failure and heart rate. The antidote is strychnine nitrate or flumazenil. Treatment is symptomatic.

Application instruction of Phenazepam

The tranquilizer is intended for internal use, and a single dose depends on the nature of the pathology present in the body. AT intensive care psychopathic, neurotic, neurosis-like and psychopathic states, it is close to 0.5-1 mg up to three times a day, but can be increased up to 6 mg, depending on the body's tolerance.

With severe agitation, anxiety, fear, treatment begins with a dose of 3 mg / day, quickly increasing it until a noticeable therapeutic effect occurs. In the treatment of epilepsy, the daily norm varies between 2-10 mg, and with alcohol withdrawal shown 2.5-5mg per day.

The average daily dose of Phenazepam is 1.5-5 mg, but it should be taken in parts, where 0.5-1 mg in the morning and afternoon and up to 2.5 mg at night. The maximum daily dose does not exceed 10 mg.

According to the instructions, an acceptable course of treatment with Phenazepam reaches two weeks, and longer therapies can cause an addictive effect. Withdraw the drug gradually by reducing the daily dose.

Features of the use of Phenazepam

The use of Phenazepam is contraindicated in pregnancy and lactation, and caution in treatment should be considered for elderly patients.

In the event of an increase in side effects, it is advisable to reduce daily dose until their final disappearance.

Phenazepam enhances the activity of alcohol in the body, so drinking alcohol is not recommended during treatment with this drug.

Taking a tranquilizer is not compatible with the management of transport, as well as with intellectual activity.

Drug interaction:

The drug is incompatible with hypnotics, anticonvulsants, antipsychotics, as there is an increase in the sedative effect. In addition, Phenazepam enhances the toxicity of zidovudine, and also provokes a decrease in pressure.

Reviews about Phenazepam, price

Reviews of Phenazepam are mostly negative, and patients describe exacerbation of side effects during such treatment. The central nervous system often suffers, because after taking the drug, patients compare themselves with sleepy flies, observing a retardation of actions and consciousness.

That is why it is necessary to control the intake of Phenazepam, otherwise strong sedation can lead to irreversible consequences with health. This tranquilizer should be prescribed by a doctor and only according to indications, only then clinical effect will be positive.

The price of Phenazepam is 000 rubles.

04:41 -

At nervous disorders of varying severity, doctors very often prescribe the medical drug Phenazepam, which has a mild effect in the body and a wide range medicinal properties. general description Phenazepam This drug belongs to the pharmacological group of tranquilizers, and in a sick body it has a pronounced anticonvulsant, hypnotic, anxiolytic, central muscle relaxant effect. Such activity is achieved due to the presence [...]

Phenazepam, the side effects of which will be discussed later, is a tranquilizer. It is used to treat reactive-type psychoses, in syndromes that cannot be treated with other tranquilizers, neurotic and psychopathic conditions, autonomic dysfunctions and sleep disorders. The drug can remove causeless fear and emotional tension. It is also used during epilepsy, with tics and hyperkinesis, during the development of rigidity of muscle structures, autonomic lability.

The medicine is used inside. It greatly affects the activity of various brain structures. In some patients, due to the action of the drug, headaches, migraines appear, a depressed state may occur, or, conversely, unreasonable excitement.

In case of an overdose of Phenazepam, the instructions for use describe the following symptoms:

1. If the dose was relatively moderate, then the patient's side effects increase or the therapeutic effect of Phenazepam increases.
2. With a large dose of an overdose, cardiac activity is inhibited, breathing problems arise, and a depressed state is recorded in a person.

When should this medication not be used?

Contraindications to the use of this drug are as follows:

1. Coma or shock.
2. Myasthenia.
3. An acute attack of angle-closure glaucoma or a predisposition to this disease.
4. Severe illnesses respiratory system and lungs, which can cause respiratory failure.
5. Pregnancy and lactation. It is especially forbidden to use the drug during the first trimester of pregnancy.
6. If the patient is under 18 years of age.
7. High human sensitivity to benzodiazepines.
8. If the patient complains of a drop in the ability to remember any information.

Some people treated with this medicine have a tendency to make erratic movements. In many patients, myasthenia gravis, dysarthria, and asthenia were noted as side effects.

If this remedy is supposed to be used to cure a person of epilepsy, then you need to know that at the initial stage of the treatment course, the drug can provoke a serious attack of the disease. In some patients, increased aggressiveness, seizures or the appearance of a feeling of fear were noted.

The drug should not be taken while driving a motor vehicle or performing work that requires concentration and quick reaction. In children, the drug causes depression of the central nervous system. Caution is advised to use this medication under the following circumstances:

1. The patient has renal or hepatic insufficiency.
2. Ataxia of cerebral or spinal type.
3. Predisposition to the abuse of psychotropic drugs.
4. Hyperkinesis and various organic diseases of brain structures.
5. during hypoproteinemia.
6. Depression.
7. If the patient is an elderly person.

A side effect while taking the medication may be a deterioration in the normal functioning of the liver. The main symptom in this case is yellowing of the sclera and skin of the patient. Kidney function may be impaired. Some patients complained of decreased sex drive. This drug may cause allergic reactions. A long course of treatment with Phenazepam leads to addiction.

What negative effects can this remedy cause in patients?

Side effects of Phenazepam are as follows:

1. Constant craving for sleep.
2. Violation of coordination of movements.
3. The person becomes lethargic.
4. The work of the brain is noticeably slowed down.
5. Falling down physical activity sick.

Some patients stated that they were visited by various visions. But most of the people treated by doctors with Phenazepam experienced sleep disturbance. it medicine can provide Negative influence for blood production. In this case, there is a shortage of red blood cells, which leads to an increase in the number of platelets and white blood cells. The patient's body reacts with a fever. A person happens sharp rise body temperature, lethargy covers it. Treatment of diseases with Phenazepam often negatively affects the work of the patient's gastrointestinal tract. In this case, he begins to salivate profusely, vomiting and heartburn develop.

In many patients, this leads to an aversion to the proposed food, causes constipation or diarrhea.

Patients have a sharp drop in blood pressure blood vessels, body weight falls, the rhythm of the heart muscle may be disturbed. This drug adversely affects the development of the central nervous system of the fetus, if future mother takes the drug.

Character side effects and its frequency in to a large extent depend on the dose taken, the duration of treatment and the individual sensitivity of the person. If appeared adverse events, then you need to stop taking this remedy. Before you start using Phenazepam, you need to get advice from your doctor.

Instructions for use:

pharmachologic effect

Phenazepam is a highly active tranquilizer that has anxiolytic, anticonvulsant, central muscle relaxant and sedative action. The tranquilizing and anti-anxiety effect is superior in strength to Phenazepam's analogues. It also has anticonvulsant and hypnotic effect. The anxiolytic effect of the drug is expressed in a decrease emotional stress easing fear, anxiety and worry.

According to the received reviews, Phenazepam has practically no effect on affective, hallucinatory and acute delusional disorders.

Dosage of Phenazepam and instructions for use

Intramuscularly and intravenously: for the rapid relief of psychomotor agitation, anxiety, fear, as well as in psychotic conditions and vegetative paroxysms - an initial dose of up to 1 mg, average dose per day -3-5 mg, maximum - 7-9 mg.

Oral: for sleep disorders, 250 to 500 micrograms, 20 to 30 minutes before bedtime. In the treatment of psychopathic, neurotic, psycho-like and neurosis-like conditions, the first dose is up to 1 mg, 2-3 times a day. The dosage can be increased after 2-4 days, in the presence of a positive effect, up to 4-6 mg per day. With severe fear, agitation, anxiety, the first dose is 3 mg per day, with a rapid increase until a therapeutic effect is achieved. In the treatment of epilepsy, 2-10 mg per day. In the treatment of diseases with muscle hypertonicity, 2-3 mg of the drug is taken 1-2 times a day. The maximum dose is 10 mg / day.

In order to avoid acquiring dependence on Phenazepam, the instructions recommend that the course of therapy should not last more than two weeks. In exceptional cases, it is possible to increase the duration of the course up to 2 months. Dosage reduction should be gradual.

Indications for the use of Phenazepam

Phenazepam is indicated for neurotic, neurosis-like, psychopathic and psycho-like conditions. With reactive psychoses, senesto-hypochondriac disorders, insomnia, alcoholism, substance abuse, status epilepticus, epileptic seizures.

For the treatment of muscle rigidity, hyperkinesis, athetosis, tics, autonomic lability.

Contraindications to the use of Phenazepam

• coma;
• myasthenia gravis;
• severe form of depression;
• angle-closure glaucoma;
• analgesic poisoning or acute poisoning alcohol;
• acute respiratory failure;
• I trimester of pregnancy;
• children under 18;
• with lactation;
• intolerance to benzodiazepines.

special instructions

Caution is required when using Phenazepam in patients with hepatic or renal insufficiency, persons prone to abuse psychoactive substances, with organic brain damage, elderly patients.

Like analogues, Phenazepam can cause drug dependence when long-term therapy large doses. During treatment with Phenazepam, the use of ethanol is strictly prohibited. There are no reviews on the treatment of persons under 18 years of age with Phenazepam, the effectiveness and safety of the drug has not been established. Phenazepam has an effect on concentration, so special care is required when driving vehicles for people receiving Phenazepam treatment.

Overdose of Phenazepam

Symptoms of an overdose of Phenazepam: decreased reflexes, drowsiness, tremor, nystagmus, prolonged dysarthria, shortness of breath or shortness of breath, bradycardia, coma, lowering blood pressure.

Interaction of Phenazepam with other drugs

According to reviews, Phenazepam reduces the effectiveness of levodopa in patients with Parkinson's disease. Phenazepam increases the toxicity of zidovudine.

A mutual enhancement of the effect was noted when combined with antipsychotic, antiepileptic and sleeping pills, as well as with central muscle relaxants, narcotic analgesics and ethanol.

When combined with antihypertensive agents, it is possible to enhance their action. At simultaneous reception clozapine may cause respiratory depression.

Pregnancy and lactation

The use of Phenazepam by pregnant women is permissible only for vital signs. The drug has a toxic effect on the fetus, increasing the risk of congenital malformations, when used in the 1st trimester of pregnancy. The use of Phenazepam for more than later dates causes depression of the central nervous system in the newborn. Regular use during pregnancy may develop addiction and withdrawal symptoms in the newborn.

The use of Phenazepam during childbirth, or immediately before them, may be the cause of the newborn: respiratory depression, hypothermia and hypotension.

Side effects of Phenazepam

From the side of the central and peripheral nervous system: in the first days of admission (especially in elderly patients) - a feeling of fatigue, confusion, drowsiness, dizziness, ataxia, decreased concentration, disorientation, slow reactions; rarely - depression, euphoria, headache, tremor, impaired coordination, memory impairment, uncontrolled movements, asthenia, dysarthria, myasthenia gravis, epileptic seizures (in patients with epilepsy); extremely rarely - aggressive outbursts, fear, psychomotor agitation, suicidal tendencies, muscle spasms, hallucinations, irritability, agitation, insomnia, anxiety.

From the circulatory system: leukopenia, agranulocytosis, neutropenia, thrombocytopenia, anemia.

From the digestive system: heartburn, vomiting, diarrhea or constipation.

Allergic reactions in the form of itching or skin rash are possible.

Other possible reactions: like its analogues, Phenazepam causes the occurrence drug addiction, lowering blood pressure; rarely - visual impairment, tachycardia. With a sharp cancellation or dose reduction - the appearance of a withdrawal syndrome.

in the pharmaceutical market. This drug has a number of properties that allow you to remove psychosomatic symptoms in a person in the presence of various kinds of neurological disorders.

To put it more simply,Phenazepam is able to suppress fears or causeless feelings of anxiety, eliminate manifestations of depression and stabilize the psycho-emotional background of the individual as a whole. In today's article, we will consider the tranquilizer in more detail, highlighting all its properties, side effects and principles of therapeutic use.

Phenazepam is a representative of the pharmacotherapeutic group of tranquilizers (scientifically - anxiolytics). These drugs belong to psychosedatives and are necessary to eliminate psychosomatic disorders. varying degrees gravity. In any tranquilizer, including Phenazepam, a whole list of properties is combined.

The most pronounced effects of these drugs are:

• anxiety suppression
• soothing a person
• providing sedative and relaxing effects
• anticonvulsant effect on the body

The drug "Phenazepam" is one of the oldest representatives of the tranquilizer group. It was first synthesized and used in the 50s of the last century by Soviet scientists. Since that time, the drug has been actively used in medicine as a highly active tranquilizer.

In fact, Phenazepam is a drug that suppresses many processes in the human nervous system. However, in the manufactured forms of the drug, the active substances are determined in the correct dosages, so it acts gently and as intended.

More information about the drug can be found in the video:

The composition of Phenazepam includes:

1. active substance - Phenazepam (orzepine)
2. auxiliary substances such as lactose, starch, povidone, talc and calcium (in tablets) or glycerin, povidone, sodium, polysorbate and water (in injections)

A tranquilizer is available in tablet and injectable form. As a rule, the dose for single use contains 1 milligram active substance. You can buy Phenazepam at any pharmacy, but only on prescription from a treating specialist. Since at wrong reception or deliberate excess of dosages, the drug provokes drug intoxication, on sale it is limited.

Phenazepam is stored in a place protected from children at a temperature not exceeding 25 degrees Celsius and in dry, non-solar conditions. With proper storage, the shelf life of the drug is 3 years, after which its use should be discarded.

Indications for the use of Phenazepam

As noted earlier, Phenazepam is used to relieve various kinds of psychosomatic disorders.

The main indications for taking this tranquilizer are:

• neurotic and psychopathic states of a person (anxiety, fear, increased irritability etc.)
• sleep problems
• reactive form of psychosis
• hypochondriacal syndrome
• autonomic dysfunction
• phobias of any kind
• panic attacks
• dyskinesias and tics
• muscle rigidity
• unstable functioning of the nervous system
• withdrawal syndrome caused by alcohol abuse

In addition, taking Phenazepam can be implemented as a preparation of a person for an operation with general anesthesia. In this case, the tranquilizer acts both on the psychosomatic state of the individual and on the autonomic nervous system.

Regardless of the indication for taking Phenazepam, its implementation is possible only with the approval of the doctor. This tranquilizer can be prescribed by various doctors who treat people for psychosomatic disorders. Often, the drug is prescribed by a psychotherapist or neurologist, less often by other specialists.

Dosages and rules of admission

It is important to take Phenazepam in accordance with the doctor's prescription. Even when taken correctly, tranquilizers can provoke serious addictions, so it is extremely dangerous to ignore the dosages determined by the doctor.

Currently used in medicine oral form drug. The practice of injecting is rare and practically not implemented by doctors.

Doctors divide the dosages of Phenazepam into three groups:

• The recommended doses are from 0.0005 to 0.001 grams of the active substance per day.
• Permissible norms for serious disorders - no more than 0.0025.
• The maximum allowable limit is 0.01 grams daily.

Exact dosages are selected for each patient individually. Most often, 2-week courses are prescribed for:

• 0.00025-0.0005 grams of active substance daily for sleep problems
• 0.0015-0.003 - 2-3 times a day for neuroses and psychosomatic disorders
• 0.003-0.005 - twice a day for motor, vegetative anxiety and fears, panic attacks, anxiety
• 0.002-0.01 - 2-4 times a day for epilepsy
• 0.0025-0.005 - daily with withdrawal syndrome and problems with muscle tone

Reception of Phenazepam is carried out according to the technique of gradual build-up or refusal. That is, at the beginning of tranquilizer therapy, one should approach certain dosages for several days, and by the end of it, gradually reduce the doses taken. This approach will reduce the risk of developing addiction and secure treatment course for the patient.

Important! Phenazepam in the form of injections, similar to tablets, is important to take in full accordance with the doctor's prescription and under his strict control.

Any deviation from the norm entails the most dangerous consequences, expressed in the consequences of an overdose or dependence on a tranquilizer. Given this, it is better not to even think about self-treatment with Phenazepam.

Contraindications

With myasthenia, taking the drug is contraindicated!

Phenazepam - potent drug, so its use is prohibited for some groups of people.

Basic and non-specific contraindications to its use include:

• shock and coma sick
• myasthenia gravis
• angle-closure glaucoma
• COPD
• acute respiratory failure
• pregnancy and lactation
• age up to 18 years
• hypersensitivity to the benzodiazepine series

With caution, Phenazepam is allowed to be taken by persons:

1. with violations in the work of the liver and kidneys of a serious origin
2. prone to addiction
3. old age

Ignoring contraindications entails the most dire consequences. As a rule, if it is present, it cannot do without the development of dependence or the manifestation of “side effects”.

Side effects

Side effects often occur in people forced to take Phenazepam in the treatment of psychosomatic disorders.

The undesirable effect of the drug develops either when contraindications to its use are ignored, or due to an overdose, or due to a specific reaction of the organization to the drug itself.

Most people who start taking Phenazepam experience:

• increased drowsiness
• chronic fatigue and lethargy
• dizziness
• problems with concentration and orientation in space
• signs of ataxia
• clouding of consciousness
• incorrect mental and motor reactions to external stimuli

With a frivolous manifestation of such "side effects" you should not worry - they are the norm. However, the strengthening of the considered effects indicates the importance of replacing Phenazepam with another drug. As a rule, to the marked "side effects" are added:

• chronic headaches
• intermittent feeling of euphoria
• increased depression
• tremors of the limbs
• problems with memory and logical activity
• serious disorders of the coordination apparatus
• frequent mood swings
• myasthenia gravis
• dysarthria
• malfunctions of the gastrointestinal tract
• development of addiction to the drug
• heartache
• unexplained weight loss

Quite rarely, Phenazepam provokes aggression, hallucinations and other psychosomatic disorders, with which he is designed to fight. If any side effects appear from taking a tranquilizer, it is important to refuse and replace it with another remedy, after consulting with the doctor.

Signs and dangers of overdose

Overdose is one of the most dangerous phenomena associated with taking Phenazepam. Its admission is often fatal for a person, as it can cause serious health problems or even death.

Given this, it is important to treat the dose of the drug taken very responsibly and exclude its use for other purposes.

1. serious malfunction of the nervous system of the body
2. improper functioning of the cardiovascular structures
3. dysfunction of the gastrointestinal tract, ENT organs of the liver and kidneys

For the most part, an overdose provokes pathologies of the heart or blood vessels. Exceeding the doses of Phenazepam not detected in time and the lack of appropriate measures often provokes cardiac arrest or asphyxia. This is due to the high toxic level of the drug, which provokes various problems in the body.

Signs of an overdose are expressed in the general malaise of a person and the appearance of an enhanced form of many "side effects". Such a condition requires hospitalization of the person and the introduction of Phenazepam neutralizers into his body. Often, sodium chloride solution and ordinary glucose administered intravenously are used for these purposes.