Pharmapam 5 mg (Tablet)

Unit Price: ৳ 0.25 (250's pack: ৳ 62.50)

Medicine Details

Category Details
Generic Diazepam
Company Pharmadesh laboratories ltd

Title

  • Pharmapam

Categories

  • Anxiety medication
  • Tranquilizer
  • Anticonvulsant
  • Muscle relaxant

Indications

  • Short-term treatment of mild to moderate anxiety
  • Excitation
  • Agitation
  • Fear
  • Aggressiveness
  • Anxiety states with somatic expression
  • Acute alcohol withdrawal
  • Status epilepticus
  • Premedication for surgical procedures
  • Febrile convulsions
  • Insomnia of hospitalized patients

Description

  • Benzodiazepine derivative
  • Safe tranquillizer
  • Anxiolytic
  • Central muscle relaxant
  • Intravenous injection widely used in obstetrics and control of status epilepticus

Mode of Action

  • Attaches to specific site on the GABA receptor
  • Potentiates the effect of GABA
  • Opens chloride ion channels into cells
  • Rapid and complete absorption after oral administration
  • Metabolized in the liver
  • Peak plasma concentration reaches within 15-90 minutes
  • Mean plasma half-life is 30 hours
  • Plasma protein binding is 98-99%
  • Small proportion of metabolites excreted through bile into the intestine and eliminated with the feces

Dosage and Administration

  • Oral administration for anxiety, insomnia associated with anxiety, and night terrors in children
  • IM/slow IV injection for severe acute anxiety, control of panic attacks, acute alcohol withdrawal, and febrile convulsion in children
  • Rectal administration for children

Interaction

  • Contraindicated with alcohol
  • Increased sedation with concomitant use of neuroleptics, hypnotics, sedative antihistamines, and CNS depressants
  • Pharmapam clearance increased by phonobarbitone and decreased by cimetidine
  • Inhibition of Pharmapam metabolism by omeprazole and isoniazide

Contraindications

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

Side Effects

  • Somnolence
  • Dizziness
  • Lightheadedness
  • Confusion
  • Ataxia

Pregnancy and Lactation

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

Precautions and Warnings

  • Avoid prolonged use and abrupt withdrawal
  • Caution in respiratory disease
  • Muscle weakness
  • History of drug or alcohol abuse
  • Hepatic or renal impairment

Overdose Effects

  • Sedation
  • Muscle weakness
  • Profound sleep or paradoxical excitation
  • Ataxia
  • Hypotonia
  • Hypotension
  • Respiratory depression
  • Rarely coma and death

Therapeutic Class

  • Benzodiazepine sedatives
  • Centrally acting Skeletal Muscle Relaxants
  • Primary anti-epileptic drugs

Storage Conditions

  • Store in a cool and dry place below 25°C

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