"Phenazepam" refers to agents with anti-anxiety activity with sedative, hypnotic, anticonvulsant and muscle relaxing effects. You should take the drug only as prescribed by the doctor and clearly know whether it is possible to dissolve "Phenazepam" under the tongue.
The effect of the drug and its properties
"Phenazepam" is a tranquilizer with high activity and a particularly pronounced anti-anxiety effect. In addition, the drug has hypnotic sedative, muscle relaxant and anticonvulsant effects. This is due to the stimulation of benzodiazepine receptors located in the trunk of the brain and lateral horns of the spinal cord, and the inhibitory effect on the subcortical structures and spinal reflexes.
The anti-anxiety effect is characterized by relieving tension, fear and motor anxiety. It does not have a special effect on delusional symptoms and hallucinations. Accelerates and improves the mechanism of entering the phase of sleep.
The drug stops convulsions, causing inhibition of the transmission of a nerve impulse.
The maximum concentration of the active substance in the body occurs within an hour or two after administration. The drug undergoes transformation in the liver cells and is excreted by the kidneys. It has a long half-life - from 6 to 18 hours.
Indications for use
Swallow Phenazepam, take or inject under the tongue - the specialist decides, depending on the disease and the severity of the condition.
The medication is indicated for:
- Neurotic disorders, accompanied by severe anxiety and agitation (panic, generalized disorder, phobias).
- Mood disorders, accompanied by anxiety (mixed anxiety-depressive disorder, depression).
- Adaptation Disorders.
- Somatoform disorders, accompanied by fears and anxiety.
- Obsessive-compulsive disorder with obsessive thoughts and actions.
- Sleep disturbances.
- Withdrawal from alcohol or drug withdrawal.
- Epileptic seizures, up to the epistatus.
- To help fight fear in extreme conditions.
- For sedation before anesthesia, as one of its components.
How to take "Phenazepam": under the tongue or inside?
Doctors, prescribing the drug, clearly specify the dosage and timing of admission. "Phenazepam" to drink or dissolve this medicine under the tongue, the patient can check with the doctor without a shadow of embarrassment. The tablet is made so that it dissolves well in the gastrointestinal tract. Medicines such as Phenazepam do not need to be taken under the tongue because of the longer dissolution of the drug in the oral cavity and, accordingly, a longer expectation of the effect.
With insomnia, the medicine is taken in 1/4 - 1/2 tablets half an hour before bedtime.
For the treatment of neurosis, 1/2 - 1 tablet is taken up to three times a day. The maximum dose is 6 tablets (6 mg).
For the treatment of epileptic seizures, the dose is from two to 10 mg per day.
With withdrawal, it is indicated to take from two to five tablets per day. In a hospital, injectable forms are prescribed.
When prescribing and using "Phenazepam", you should clearly know that this medicine should be taken no more than two weeks. The maximum period for regular use in severe cases can be up to two months. Cancel the drug gradually. In chronic conditions, the drug can be resumed after a three-week break.
Contraindications
"Phenazepam" and under the tongue and inside is forbidden to take in the following conditions and diseases:
- Shock states.
- Coma states of any nature.
- Angle-closure glaucoma.
- Severe chronic obstructive pulmonary disease.
- Myasthenia gravis
- Severe depression.
- Acute poisoning by alcohol or psychoactive substances.
- Pregnancy in the first trimester, breastfeeding.
- Children under 18 years old.
- Individual sensitivity to the main or auxiliary components of the drug, including lactase deficiency.
Side effects
The nervous system of patients taking Phenazepam may respond to drowsiness, increased fatigue, decreased concentration, dizziness, impaired gait and orientation, confused consciousness, slowed reaction, headache, mood swings, depressive symptoms, euphoria, trembling limbs, memory impairment, ticose uncontrolled movements, decreased muscle strength, asthenia, double vision, impaired pronunciation of sounds, aggression, psychomotor overexcitation, suicidal tendency, enhanced anxiety, sleep disturbance, hallucinations and addiction with withdrawal.
In the blood, a decrease in white blood cells, platelets and hemoglobin is possible.
There are hypersensitivity reactions in the form of a rash and itching when using the drug.
Sometimes the digestive tract is disturbed. Dry mouth or increased salivation, nausea, impaired stool and appetite, heartburn, increased liver enzymes in the blood with a deterioration in the functioning of this organ, up to jaundice.
The kidneys and the reproductive system respond with the following manifestations: incontinence or delayed urination, a change in sexual desire, a violation of menstruation.
Drug interactions
When prescribing several medicinal substances, they must be taken separately, observing the time interval. It is necessary to drink "Phenazepam". Under the tongue or in the oral cavity, along with other medicines, this drug also does not dissolve.
- "Levodopa" with a joint admission will not act in full force.
- Zidovudine may become more toxic to the body.
- Other tranquilizers, sleeping pills, antiepileptic drugs, narcotic painkillers, central muscle relaxants and ethyl alcohol can mutually enhance the effect and side effects.
- MAO inhibitors increase toxicity.
- Imipramine increases its amount in the blood.
- When taken with drugs to lower blood pressure, hypotension may develop.
- “Clozapine” together with “Phenazepam” promotes respiratory depression.
Product release form
The drug is available in 1 mg white tablets with a risk in blisters of 10 and 25 pieces, as well as in banks of 50 pieces.
It should be remembered that Phenazepam tablets do not need to be taken under the tongue, they are swallowed and washed down with clean water.