Diazepam Ratiopharm 5 mg tablets

Description

Buy Diazepam Ratiopharm 5 mg tablets online without a prescription here at our stop at a low price with fast and secure shipping. Diazepam 5 mg is used to treat physical and psychological states of tension and excitement. Diazepam is also used to prepare for anesthesia. Diazepam Ratiopharm 5 mg tablets belongs to the benzodiazepines.

• The preparation is a drug against anxiety and tension from the group of benzodiazepines.
• The medicine is applied
  • for the symptomatic treatment of acute and chronic states of tension, excitement, and anxiety.
    • Taking the preparation in the case of sleep disorders that require treatment and are caused by anxiety, tension and excitement are only justified if the diazepam effects are desired at the same time during the day.
    • A notice:
      • Not all states of tension, excitement, and anxiety require drug therapy. They are often an expression of physical or mental illnesses and can be influenced by other measures or by treating the underlying disease.
  • for calming down and preparation (premedication) before surgical and diagnostic interventions or afterward (postoperative medication).
  • to treat conditions of increased muscle tension (increased muscle tone).

contraindication

• The medicine must not be taken
  • if you are allergic to diazepam, other benzodiazepines, or any of the other ingredients of this medicine
  • if you have ever been dependent on alcohol, drugs, or medicines
  • in acute poisoning with alcohol, sleeping pills, and painkillers or with drugs for the treatment of mental illnesses (neuroleptics, antidepressants, lithium preparations)
  • in severe, pathological muscle weakness (myasthenia gravis)
  • with severe respiratory impairment
  • if you stop breathing for a short time during sleep (sleep apnea syndrome)
  • in case of severe liver damage, e.g. B. Jaundice with bile stasis (cholestatic jaundice)
  • in newborns and infants under 6 months

Dosage of Diazepam Ratiopharm 5 mg tablets

• Always take this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure.
• The dosage depends on the individual reaction situation, age and weight of the patient as well as the type and severity of the clinical picture. The principle here is to keep the dose as low and the duration of treatment as short as possible.
• The recommended dose is:
  • Stress, agitation, and anxiety states requiring treatment
    • treatment outside the hospital
      • Adults and adolescents over 14 years of age take 1 tablet once a day or 1/2 tablet twice a day (equivalent to 5 mg of diazepam per day) at the beginning of treatment. If the desired effects cannot be achieved with this dosage, the dose can be increased by the doctor to 1 tablet twice a day or 2 tablets once a day (equivalent to 10 mg diazepam per day). Higher doses are only necessary in rare cases (e.g. psychiatric and neurological diseases) and are usually only given in hospitals.
    • Inpatient treatment
      • In severe states of tension, excitement, anxiety, and restlessness, the dose can be increased step by step to 2 tablets 3 to 6 times a day (equivalent to 30 – 60 mg diazepam per day). Dosage strengths of 10 mg are also suitable for this.
  • Treatment of conditions with increased muscle tension
    • At the beginning of treatment, take 1 tablet 2 to 4 times a day (equivalent to 10 – 20 mg of diazepam per day).
    • To continue treatment, 1 tablet once or twice a day is sufficient (equivalent to 5-10 mg of diazepam per day).
  • For calming down and preparation for operations in anesthesiology and surgery or afterward (pre-medication/post-operative medication)
    • On the eve of the operation
      • Adults receive 2 – 4 tablets (equivalent to 10 – 20 mg of diazepam).
    • After the operation
      • Adults receive 1 – 2 tablets (corresponding to 5 – 10 mg diazepam), a repetition is possible if necessary.
• Special patient groups
  • Elderly or weakened patients and patients with organic brain changes, circulatory and respiratory weaknesses, and impaired liver or kidney function as well as children over 3 years and adolescents up to 14 years usually receive half of the daily dose given above, ie initially 1/2 tablet per day ( equivalent to 2.5 mg diazepam) up to a maximum of 1 tablet (5 mg diazepam).

• duration of use
  • The doctor decides how long to take it depending on the type and severity of the clinical picture.
  • In the case of acute states of tension, excitement, and anxiety, you should limit the intake of the drug to single doses or a few days.
  • In the case of chronic states of tension, excitement, and anxiety, the duration of intake depends on the course. After 2 weeks of daily intake, the doctor should clarify by gradually reducing the dose whether further treatment with the preparation is indicated. However, you should not use the drug for longer than 4 weeks even if you suffer from chronic states of tension, excitement, and anxiety.
  • In the case of prolonged use (longer than 1 week), the dose should be gradually reduced when the preparation is discontinued. In this case, you must reckon with the occurrence of possible discontinuation phenomena (see category “Notes to patients”).
  • In preparation for surgical or diagnostic interventions, as well as for the treatment of conditions with increased muscle tension, the drug is generally used for short periods.
• Please talk to your doctor or pharmacist if you have the impression that the effect of the medicine is too strong or too weak.

• If you take more than you should
  • In the event of an overdose or poisoning with Diazepam Ratiopharm 5 mg tablets, a doctor should always be consulted immediately. Any assessment of poisoning should consider the presence of multiple poisoning due to the possible ingestion/application of multiple drugs.
  • Overdose symptoms are aggravated under the influence of alcohol and other brain depressants.
  • Symptoms of overdose and necessary measures
    • Symptoms of mild overdose can e.g. B. confusion, drowsiness, gait and movement disorders, slurred speech, drop in blood pressure, and muscle weakness. If such symptoms appear, a doctor must be informed immediately, who will decide on the degree of severity and any further measures that may be necessary.
    • In cases of high-grade poisoning, there can be a central reduction in cardiovascular and respiratory functions with a blue-red discoloration of the skin and mucous membranes, unconsciousness up to the respiratory arrest, or cardiac arrest. In such cases, intensive monitoring is necessary!
    • High levels of excitement can occur in the decay phase.

• If you forget to take a dose
  • Do not take a double dose to make up for a forgotten dose.
  • Take the prescribed dose at the next scheduled time.

• If you stop taking it
  • If you want to interrupt the treatment, discuss this with your doctor beforehand. Do not stop the drug treatment on your own without medical advice. This can jeopardize the success of the therapy.
  • Suddenly stopping the drug after prolonged daily use can cause insomnia and increased dreaming after about 2-4 days. Anxiety, states of tension as well as excitement, and inner restlessness can reappear. The appearance can be expressed in tremors and sweating and can increase to threatening physical (e.g. seizures) and mental reactions such as symptomatic psychoses (e.g. withdrawal delirium). Therefore, treatment should be
    stopped by gradually reducing the dose.

• If you have any further questions about the use of the medicine, ask your doctor or pharmacist.

patient notes

• Warnings and Precautions
  • Please talk to your doctor or pharmacist before taking this medicine
    • in disorders of the orderly interaction of muscle groups (spinal and cerebellar ataxia)
    • if you have organic brain changes
    • in circulatory and respiratory weakness
    • with impaired liver and kidney function
  • If taken for a longer period of time, checks of the blood count and liver function are recommended.
  • Due to the pronounced muscle-relaxing effect of the drug, caution is required, especially in elderly patients (risk of falling!).
  • The preparation should not be taken at the same time as alcohol and/or drugs with a depressant effect on the central nervous system. Concomitant use may increase the effect of the preparation and possibly lead to unconsciousness and a decrease in cardiovascular function and/or breathing, requiring emergency treatment.
  • tolerance development
    • After repeated use of the drug for a few weeks, there may be a loss of effectiveness (due to the development of tolerance to the sedative).
  • dependency development
    • As with other sedatives, the use of this drug can lead to the development of physical and psychological dependence. The risk of dependency increases with dose and duration of treatment but is present with prescribed dosage and shorter periods of treatment.
    • If you are currently dependent on drugs with a depressant effect on the central nervous system or on alcohol, you should not take the drug, except in the case of acute withdrawal reactions.
    • Uninterrupted use for more than 4 weeks should be avoided as it can lead to dependency.
  • Discontinuation of therapy/withdrawal symptoms
    • Once physical dependence has developed, withdrawal symptoms occur when treatment is stopped suddenly. These can manifest themselves in headaches, muscle pain, anxiety or tension, inner restlessness, sweating, tremors, sleep disorders, increased dreaming, mood changes, confusion, and irritability.
    • In severe cases, the following symptoms may also occur disturbances in perception of oneself or the environment (depersonalization, derealisation), hypersensitivity to light, noise, and physical contact, numbness and tingling sensations in the arms and legs, hallucinations, or epileptic seizures.
    • Even when ending a shorter treatment with the drug, states of anxiety, tension and agitation can temporarily reoccur due to sudden discontinuation. Mood changes, sleep disorders and restlessness are possible side effects. Therefore it is recommended to stop the treatment by gradually reducing the dose.
  • memory disorders
    • The drug can cause temporary memory lapses (anterograde amnesia). This means that you are e.g. For example, you can no longer remember actions that you performed after taking the preparation. This risk increases with the dose and can be reduced by getting enough uninterrupted sleep (7-8 hours).
  • Psychic and “paradoxical” reactions
    • When using the drug, especially in elderly patients or children, hallucinations and a reversal of the effect (so-called “paradoxical reactions” such as restlessness, irritability, aggressive behavior, nightmares, hallucinations, delusions, inappropriate behavior, and other behavioral disorders) can occur (see Category “Side Effects”). In such cases, treatment with preparation should be discontinued.
  • psychoses
    • The drug is not recommended for the initial treatment of mental
      disorders (psychosis).
  • depressions
    • The drug should not be used alone to treat depression or anxiety associated with depression. Under certain circumstances, the clinical picture of depression can be intensified if the underlying disease is not treated appropriately with appropriate drugs (antidepressants) (danger of suicide).
  • children and young people
    • The drug must not be used in newborns and infants up to the age of 6 months (see category “Contraindications”).
    • Treatment of children and adolescents with the drug should only be successful if there is a compelling reason.
  • Elderly and debilitated patients
    • Caution should be exercised in elderly or debilitated patients. Your doctor will adjust your dosage. Caution should be exercised in elderly patients because of the risk of falling, especially when getting up at night (see category “Dosage”).
  • Patients with impaired liver or kidney function
    • Caution should be exercised in patients with impaired liver or kidney function. Your doctor will adjust your dosage (see the Dosage section).
    • The drug must not be used by patients with severe liver damage (see category “Contraindications”).

• Ability to drive and use machines
  • Even when used as directed, this medicinal product can change the ability to react to such an extent that the ability to drive or operate machines is impaired. This applies even more in combination with alcohol.
  • You should therefore refrain from driving vehicles, operating machines, or other dangerous activities, at least during the first few days of treatment. The decision in each individual case is made by the attending physician, taking into account the individual reaction and the respective dosage.

pregnancy

• If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.
• pregnancy
  • During pregnancy, you should only use the drug in exceptional cases for compelling reasons.
  • If you become pregnant or think you may be pregnant during treatment with the product, please tell your doctor immediately.
  • Long-term use of the drug during pregnancy can lead to withdrawal symptoms in the newborn. The administration of larger doses before or during birth can cause the infant to have a reduced body temperature, reduced blood pressure, depressed breathing, reduced muscle tension, and difficulty drinking (so-called “floppy infant syndrome”).
• lactation
  • You should not use the medicine while breastfeeding, since Diazepam Ratiopharm 5 mg tablets, the active ingredient in the preparation, and its breakdown products are excreted in breast milk. If treatment is unavoidable, breastfeeding should be discontinued.

taking way

• Swallow the medicine whole with enough liquid.
• For outpatient treatment of states of tension, excitement, and anxiety, you should take the preparation mainly in the evening.
• In the evening, you should take the medicine about 1/2 hour before going to bed and not on a full stomach, otherwise, the onset of action will be delayed and – depending on the length of sleep – increased after-effects (e.g. tiredness, difficulty concentrating) the next morning can be expected got to.
• In the inpatient treatment of states of tension, excitement, and anxiety as well as in the treatment of states with increased muscle tension, you should take the prepare throughout the day, regardless of meals.

Interactions with Diazepam Ratiopharm 5 mg tablets

• Taking with other medicines
  • Tell your doctor or pharmacist if you are taking/using, have recently taken/used, or might take/use any other medicines.
  • When used with the following medicines, there may be a mutual reinforcement of the effect and possibly an increase in side effects:
    • sleeping pills, sedatives, painkillers, and anesthetics
    • Medicines for the treatment of mental disorders (neuroleptics, antidepressants, lithium preparations)
    • Medicines used to treat epileptic seizures
    • anti-anxiety drugs (anxiolytics)
    • certain medicines for allergies (sedating antihistamines)
    • Medicines used to treat a certain form of narcolepsy (sodium oxybate)
    • certain medicines used to treat HIV (HIV protease inhibitors)
  • When used with the following medicines, the effect of this preparation can be prolonged and increased:
    • cimetidine or omeprazole (medicines used to treat e.g. stomach ulcers)
    • disulfiram (medicine used to treat alcohol withdrawal)
    • ketoconazole (a medicine used to treat fungal infections)
    • fluvoxamine and fluoxetine (medicines used to treat depression)
  • The preparation can increase the effect and possibly the side effects of the following medicines:
    • Painkillers of the opiate type (the mood-elevating effect can be increased and thus the development of dependence accelerated)
    • Medicines that reduce muscle tension (muscle relaxants) (especially in older patients and at higher doses, there may be an increased risk of falling)
  • theophylline (a medicine used to treat e.g. asthma)
    • In low doses, theophylline counteracts the sedation caused by the drug.
  • levodopa (a medicine used to treat Parkinson’s disease)
    • The medicinal oil can inhibit the effect of levodopa.
  • phenytoin and phenobarbital (medicines used to treat seizures)
    • In rare cases, the preparation can inhibit the breakdown of phenytoin in the body and increase its effect. Phenobarbital and phenytoin can accelerate the breakdown of the preparation.
  • Other medicines
    • In patients who are on long-term treatment with other medicines, e.g. B. certain drugs for high blood pressure (centrally acting antihypertensives, beta-receptor blockers), anticoagulants, and drugs to strengthen the heart (anticoagulants, cardioactive glycosides) are the type and extent of interactions unpredictable. Therefore, special caution is required when taking the preparation at the same time, especially at the beginning of treatment. Tell your treating doctor if you receive such long-term treatments.
    • Concomitant use of the medicine and opioids (strong painkillers, medicines for substitution therapy, and some cough medicines) increases the risk of drowsiness, difficulty breathing (respiratory depression), and coma and can be life-threatening. For this reason, concomitant use should only be considered when there are no other treatment options.
    • However, if your doctor prescribes the medicine together with opioids, the dose and duration of the concomitant treatment should be limited by your doctor.
    • Please tell your doctor about all opioid medicines you are taking and follow your doctor’s dosage recommendations closely. It might be helpful to inform friends or relatives to watch out for the signs and symptoms above. Contact your doctor if you experience such symptoms
  • The excretion of Diazepam Ratiopharm 5 mg tablets can be accelerated in smokers.
  • Due to the slow elimination of diazepam from the body, you must still be aware of possible interactions even after stopping treatment with the drug.
• Consumed with alcohol
  • Avoid consuming alcohol during treatment with the drug, as alcohol changes and enhances the effect of the drug in an unpredictable manner.

QUANTITIES

• 100 PILLS (5 mg) =$220
• 200 PILLS (5 mg)=320
• 300 PILLS (5 mg)= 460

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