One of the most famous drugs widely used in the field of neurology and psychiatry is Relanium. The doctor selects its analogs, since drugs of this category belong to strong tranquilizers. This medicine is used to treat many diseases and is dispensed from pharmacies strictly by prescription.
Composition and form of release
The medicine "Relanium" (its analogues are sold in a pharmacy and can replace this drug at any time if it does not fit) is considered a benzodiazepine tranquilizer (anxiolytic). Contains the active substance diazepam.
Auxiliary elements in its composition are: benzyl alcohol, glacial acetic acid, propylene glycol, sodium benzoate, acetic acid 10%, ethanol 96%, as well as water for injection.
May have the following form of release of the drug "Relanium":
- tablets (instructions attached to them) at 2, 5 and 10 mg;
- ampoules for injection in 2 ml.
Tablets in the amount of 10 pieces are enclosed in an aluminum blister and packed in a cardboard box of three blisters. Glass ampoules are packaged in plastic holders of 5 pieces. A cardboard box can contain from one to ten plastic containers.
The drug “Relanium” belongs to potent drugs and is assigned to list No. 1, which is controlled by the Permanent Drug Control Committee of the Russian Federation.
The drug is stored at a temperature of 15-25 ° C, in a cool place protected from sunlight and inaccessible to children. The shelf life of a medicine from the moment of its production is five years.
pharmachologic effect
Relative drug “Relanium” refers to anxiolytic agents of benzodiazepine series. The analogs of this medicine are characterized by a similar effect on the body and are shown in the treatment of the same diseases. The drug has a sedative-hypnotic effect. Has anticonvulsant, central muscle relaxant characteristics.
The effect of the drug on the body is due to the activation of benzodiazepine receptors. It increases their inhibitory effect on the transport of nerve impulses. It enhances the work of benzodiazepine endings, which are located in the allosteric center, reduces the excited state of the brain, and also slows down the work of spinal polysynaptic reflexes.
The anxiolytic effect of the drug on the human body is expressed in its effect on the complex of the limbic system, which is reflected in a decrease in emotional stress, a decrease in anxiety, fear and anxiety.
Sedative properties are characterized by effects on the brain stem, as well as on the nuclei of the thalamus, of a non-specific nature. Here, the drug lowers neurotic symptoms.
The hypnotic effect on a person occurs as a result of inhibition of the cellular tissue of the reticular formation related to the brain stem.
An anticonvulsant property is expressed in an increase in presynaptic inhibition, a slowdown in epileptogenic activity, where the focus of excitation is not neutralized.
The muscle relaxant central manifestation is aimed at blocking spinal polysynaptic afferent inhibitory channels. Permissible directional slowdown of motor nerves and muscle functions.
Due to the degree of symptomatic activity, both a decrease in blood pressure and an expansion of the coronary walls of blood vessels can be observed. The sensitivity of the pain threshold increases. Parasympathetic and sympathoadrenal paroxysms are suppressed. The production of gastric juice at night decreases.
The effectiveness of taking the “Relanium” remedy (analogues of the active substance are also used to treat neurotic and neurosis-like disorders) is manifested on the 2-7th day of treatment.
The medicine does not affect the pronounced symptoms of a psychotic disorder, such as hallucinations, delusions, affective conditions. In rare cases, it helps relieve nervous tension.
When withdrawal symptoms occur in chronic alcoholics, the drug weakens tremors, removes hallucinations, delusional conditions. In patients with paresthesia, arrhythmia and cardialgia, the treated effect is observed on the 6-7th day of treatment. "Relanium" can not be entered arterially, since in this case there is a danger of the occurrence and development of gangrene.
The drug with prolonged use is addictive. It is forbidden to drink alcohol during treatment with this product, to engage in activities that require an increased concentration of attention.
Indications and contraindications
The medicine “Relanium” (analogues of this drug are dispensed from pharmacies only by prescription) is used for anxiety, regular insomnia, and a painfully low mood. The drug is recommended for spastic conditions, as well as for spasm of skeletal muscle muscles, which usually occurs with injuries. Prescribe a medication for arthritis, myositis, bursitis.
Indications for use are vertebral cider, chronic polyarthritis, frequent headaches arising from excessive nervous tension. Assign "Relanium" to patients with angina pectoris, with rheumatic pelvispondylitis, arthrosis.
The drug is prescribed for excessive nervous tension, alcohol withdrawal, tremors of the arms and legs, as well as for transient reactive symptoms.
The drug is widely used in complex treatment, if there are psychosomatic disruptions in the body, a digestive tract ulcer is present, or arterial hypertension occurs.
The appointment to use the drug is epilepsy, gestosis, menstrual disorders, menopausal symptoms, eczema, persistent irritability, drug intoxication, and Meniere's disease.
The drug is used before endoscopic and surgical intervention for sedation, before general anesthesia is administered to the patient. They reduce anxiety and anxiety with myocardial infarction.
The drug is widely used in the field of psychiatry, neurology and in order to facilitate the process of giving birth to women. The doctor may prescribe a medicine if the placenta begins to exfoliate before the due date, as well as during premature birth.
"Relanium" (analogues in tablets without a doctor’s prescription) are contraindicated in case of severe myasthenia gravis, do not prescribe it for coma, shock, and closed glaucoma. The ban is sleep apnea syndrome . Do not prescribe medicine to people in a drunken state. You can not prescribe a drug to people with acute bouts of poisoning and in the presence of severe diseases of the respiratory system.
Do not use the drug in acute respiratory failure, in infancy up to one month. Do not prescribe medication to pregnant and lactating women, as well as patients with hypersensitivity to benzodiazepines.
People with abscess and Lennox-Gastaut syndrome, as well as patients with epilepsy, should use the drug with extreme caution. Patients with renal and hepatic insufficiency, people diagnosed with cerebral and spinal ataxia and suffering from hyperkinesis should be monitored. This category also includes patients with deep depressive disorders, hypoproteinemia, and the elderly.
Dosage and Administration
The dosage for each patient should be selected individually, taking into account the disease, its course, as well as the patient's reaction to the active substance in its composition. As a rule, treatment begins with small doses, gradually increasing them. The daily portion of the drug should be distributed in 3-4 doses. The main part, this is about 2/3 of the recommended dosage, should be consumed in the evening.
For adults with neurological, psychosomatic and anxiety-phobic conditions, the drug is prescribed once, at a dose of 2.5 to 5 mg. The daily norm for the adult population ranges from 5-20 mg.
He claims that you can not use more than 10 mg of the drug "Relanium" (tablets) at a time.
Treatment of seizures is carried out in a dosage of 2.5-10 mg, this amount should be divided into 2-4 doses.
If the drug is used in complex therapy, the initial daily norm should range from 20-40 mg, and the maintenance daily dosage is 15-20 mg.
The treatment of spasticity, stiffness and muscle contractures should be carried out with a daily norm of 5-20 mg.
In cachectic and elderly patients, as well as in individuals with slowed liver function, the period of drug excretion is greatly increased.
When prescribing Relanium tablets for children, the dosage should be prescribed taking into account the age of the child. You should also pay attention to the physical development of the baby, his health and reaction to the drug. Treatment begins with a daily norm of 1.25 and 2.5 mg. This dose is divided into four doses.
For children under six months of age, the drug in the form of tablets is prohibited.
Treatment of psychomotor agitation, which occurs due to causeless anxiety, begins with a dosage of 5-10 mg, the drug is administered intravenously. If necessary, the medication can be reintroduced after 3-4 hours.
With tetanus, the solution is administered intravenously or intramuscularly at 10 mg. You can use the drug intravenously - drip. For this, 100 mg of Relanium is diluted with 500 ml of sodium chloride (0.9%), which can be replaced by glucose (5%). The drug is administered at a rate of 5-15 mg per hour.
If the patient has an epileptic status, then the medication is prescribed intramuscularly or intravenously in the norm of 10-20 mg. If necessary, the procedure is repeated after 3-4 hours.
Skeletal muscle spasm is removed by administering 10 mg intravenously, a couple of hours before surgery.
In the field of obstetrics, they prescribe 10-20 mg intramuscularly as soon as the cervix opens to 2-3 fingers.
After the fifth week of life, you can use the drug for newborns. For such children, the drug is injected slowly into a vein at the rate of 100-300 ÎĽg per kilogram of weight. The maximum daily intake is 5 mg. The procedure can be repeated after 2-4 hours.
Assigned to the age of five years and older, the drug "Relanium" for children. Dosage (do not administer medication at this age intramuscularly) is 10 mg per day. The drug is injected slowly into a vein of 1 mg, with an interval of 2-5 minutes, until the dose volume approaches the maximum value of 10 mg. If necessary, the procedure is repeated after a few hours.
Patient Reviews
Always in the pharmacy you can find the drug "Relanium" analogues. Reviews about him are mostly positive. Patients note that it acts quickly and effectively. Within a few minutes relieves cramps, calms, helps to cope with excitement, stress and depression. In some cases, it is used for patients before surgery. Helps lower blood pressure. Improves well-being with severe shocks, depression, removes muscle tissue tension. Indispensable for emergency care, but with frequent use is addictive.
Many people have experienced side effects in the form of increased irritability, nausea, vomiting, and disruption of the gastrointestinal tract.
In patients with epilepsy, this drug is always at hand, within a few minutes after injection into the vein, it removes the symptoms of the disease and quickly brings the patient back to normal.
There are people on whom this drug does not work. The administration of large doses of the drug did not lull them and did not calm them, then the doctors replaced this drug with its analogues, which worked for fifteen minutes.
The drug "Relanium": analogues and similar drugs
If for some reason this drug did not fit, then you can always replace it with similar medicines, which in their effect can be very effective than the Relanium tranquilizer. Analogs in tablets (without prescription, they are not sold in the pharmacy network), these are:
- Apaurin.
- Relium.
- Reladorm.
- "Sibazon".
- Seduxen.
- "Valium Roche."
- Diazepam
- Diazepex.
Many of the above drugs are produced in the form of a solution for injection. So, the analogues of Relanium in injections are as follows:
- Diazepabene
- "Valium Roche."
- Diazepam
- Apaurin.
- Relium.
- "Sibazon".
- Seduxen.
All of the above drugs are similar to each other in the active substance - diazepam, but they differ in terms of the manufacturer and price.
The drug "Seduxen" as a direct analogue of "Relanium"
An analogue of Relanium in ampoules can be found in any pharmacy. For example, the medicine "Seduxen." The drug is produced both in the form of a solution for injection and in tablets. It refers to strong tranquilizers, benzodiazepine derivatives.
It is used for neurosis, epilepsy, muscle spasms, cramps, insomnia and depression. They undergo premedication, anesthesia before surgery. Use it for drug poisoning.
Reviews about this drug say that it works effectively with neurosis, helps to cope with insomnia, gives a good result in the fight against various phobias and can cause dependence.
The medicine is hard to find in pharmacies. The cost of 20 tablets varies around 500 rubles.
Tranquilizer "Diazepam"
It is impossible to find an over-the-counter analogue of Relanium in pharmacies. But you can replace this drug with very effective agents that are not inferior in their effect on the body to Relanium. “Diazepam” refers to such drugs.
He acts quickly and efficiently. Available in ampoules for injection, and in tablets. It is used for neurosis, psychopathy, schizophrenia, epilepsy. Helps to cope with stress, insomnia. Relieves muscle tension.
The drug is serious, and its use without the permission of a doctor is not allowed. Contraindicated in pregnant and lactating women. It can be used to treat children from a very young age. When taking it, patients are often worried about side effects.
The cost of 20 tablets is 600 rubles.
Cheap and affordable analogue - Relium
The medicine “Relanium” (analogues without a prescription are not sold in pharmacies) can be replaced by a cheap and very effective drug “Relium”. The active substance of this drug is diazepam. It is made both in tablets and in ampoules for intravenous and intramuscular administration.
Helps quickly and efficiently. Relieves cramps, copes with insomnia, depression. Removes anxiety, anxiety and hallucinations. It is an effective sedative. Eliminates fears and phobias. Increases dopamine levels in the brain.
The medicine can not be taken continuously for more than two weeks, otherwise it will cause dependence. It can provoke the appearance of side effects, such as weakness, itching, rash, anxiety, hallucinations, irritability. The maximum dose is 20 mg (4 tablets).
This is a cheap and effective analogue of Relanium, its cost ranges from 30-50 rubles. It is made in Russia.
Russian analogue "Sibazon"
Analogues of Relanium in tablets are not difficult to find, just such a medicine is Sibazon. This is a very powerful and effective tranquilizer, able to remove all forms of anxiety disorders. Widely used in neurological and psychiatric practice. It can not be used alone, without a doctor’s prescription.
The medicine removes anxiety, anxiety, excitability. It has a large number of contraindications. To purchase it you need a recipe.
The cost of 20 tablets of 5 mg is equal to 20 rubles, and the price of a package of ampoules varies around 70 rubles. This is the cheapest Russian analogue of Relanium.
What should be preferred in the treatment of neurological and psychological disorders "Relanium" or its analogues? The answer to this question can only be given by the attending physician based on the full picture of the patient’s disease.