G-Diazepam 10 mg/2 ml (IM/IV Injection)

2 ml ampoule: ৳ 7.00 (2 x 5: ৳ 70.00)

Medicine Details

Category Details
Generic Diazepam
Company Gonoshasthaya pharma ltd
Also available as

Title

  • G-G-Diazepam

Categories

  • Benzodiazepine
  • Tranquilizer
  • Anxiolytic
  • Anticonvulsant
  • Muscle Relaxant
  • Sedative
  • Antiepileptic Drug
  • Suppository
  • Oral Medication
  • Injection
  • Central Nervous System Medication

Description

  • Benzodiazepine derivative
  • Safe tranquillizer
  • Anxiolytic action
  • Anticonvulsant action
  • Muscle relaxant action
  • Widely used in obstetrics
  • Control of status epilepticus

Indications

  • Mild to moderate anxiety
  • Excitation
  • Agitation
  • Fear
  • Aggressiveness
  • Anxiety reactions caused by stressed conditions
  • Anxiety states with somatic expression
  • Acute alcohol withdrawal
  • Status epilepticus
  • Premedication for surgical procedures
  • Febrile convulsions
  • Insomnia of hospitalized patients

Pharmacology

  • Attaches to GABA receptor
  • Potentiates effect of GABA
  • Opens chloride ion channels into cells
  • Rapid and complete absorption after oral administration
  • Peak plasma concentration within 15-90 minutes
  • Mean plasma half-life of 30 hours
  • 98-99% plasma protein binding
  • Metabolized in the liver
  • Traces excreted in urine
  • Metabolites excreted through bile into intestine
  • Eliminated with feces
  • Significant absorption after rectal administration
  • Peak concentration within 1.5-2 hours

Dosage and Administration

  • Oral administration for anxiety
  • Increased dosage if necessary
  • Different doses for insomnia and night terrors
  • IM/slow IV injection for severe acute anxiety and febrile convulsions in children
  • Rectal administration for children
  • Dosage adjustments for elderly or debilitated patients

Interaction

  • Contraindication with alcohol
  • Increased sedation with concomitant use of neuroleptics, hypnotics, sedative antihistamines, and CNS depressants
  • G-G-Diazepam clearance affected by concomitant administration of phonobarbitone and cimetidine
  • Inhibition of metabolism by omeprazole and isoniazide

Contraindications

  • Myasthenia gravis
  • Pulmonary insufficiency
  • Respiratory depression
  • Hypersensitivity to bezodiazepine

Side Effects

  • Somnolence
  • Dizziness
  • Lightheadedness
  • Confusion
  • Ataxia

Pregnancy and Lactation

  • Crosses placental barrier
  • Passes into breast milk
  • Avoid during pregnancy and lactation
  • US FDA pregnancy category D

Precautions and Warnings

  • Prolonged use should be avoided
  • Caution in respiratory disease
  • Caution in muscle weakness
  • Caution in history of drug or alcohol abuse
  • Caution in hepatic or renal impairment

Overdose Effects

  • Sedation
  • Muscle weakness
  • Profound sleep
  • Paradoxical excitation
  • Ataxia
  • Hypotonia
  • Hypotension
  • Respiratory depression
  • Coma
  • Death

Therapeutic Class

  • Benzodiazepine sedatives
  • Centrally acting skeletal muscle relaxants
  • Primary anti-epileptic drugs

Storage Conditions

  • Store below 25˚C temperature
  • Cool and dry place
  • Protected from light

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