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Diazepam without prescription has a sedative-hypnotic, anticonvulsant and central muscle relaxant effect. Possessing moderate sympatholytic activity, can cause a decrease in blood pressure and an expansion of the coronary vessels. Increases the threshold of pain sensitivity. Reduces night secretion of gastric juice. The effect of the drug manifests itself to the 2-7th day of treatment buy diazepam online uk. The productive symptomatology of psychotic genesis (acute delusional, hallucinatory, affective disorders) practically does not affect, rarely a decrease in affective tension, delusional disorders. With an abstinence syndrome with chronic alcoholism buy valium without prescription in UK, the agitation, tremor, negativism, and also alcohol delirium and hallucinations are weakened. Therapeutic effect in patients with cardialgia, arrhythmia and paresthesia is observed by the end of 1 week of treatment buy diazepam online uk without prescrtiption pharmacy uk.

Indications for use

  • premedication before general anesthesia;
  • as a component of combined general anesthesia;
  • Myocardial infarction (as part of complex therapy);
  • motor excitation of various etiologies in neurology and psychiatry;
  • Paranoid-hallucinatory states;
  • epileptic seizures (cupping);
  • relief of labor activity;
  • premature birth (only at the end of the third trimester of pregnancy);
  • Premature detachment of the placenta.
  • Buy diazepam online uk

Method of administration and dosing regimen

The drug is administered intravenously or intramuscularly. The dose is calculated individually depending on the patient's condition, clinical buy diazepam online uk picture of the disease, sensitivity to the drug. If necessary, in / in the drip cheap diazepam online uk (not more than 4 ml), the drug is diluted in a 5-10% solution of dextrose or in 0.9% NaCl solution. To avoid deposition of the drug in the sediment should be used at least 250 ml of the infusion solution, quickly and thoroughly mix the resulting solution buy diazepam 10mg online uk.

In the complex therapy of myocardial infarction buy valium otc: the initial dose is 10 mg IM, then go to the oral dosage form, 5-10 mg 1-3 times a day. For premedication in case of defibrillation, 10-30 mg IV Slowly (in separate doses); With spasmodic conditions of rheumatic origin, vertebral syndrome - the initial dose of 10 mg IM, then go to oral oral dosage form, 5 mg 1-4 times a day. In obstetrics and gynecology: psychosomatic disorders buy diazepam online uk, menopausal and menstrual disorders, gestosis - 2-5 mg 2-3 times a day. With pre-eclampsia - the initial dose - 10-20 mg IV, then 5-10 mg orally 3 times a day.

In eclampsia - during the crisis - in / in 10-20 mg, then if necessary in / in a jet or drip, not more than 100 mg / day. With the purpose of facilitating the labor activity in the opening of the cervix for 2-3 fingers - in / m 20 mg order diazepam over the counter. In case of preterm birth and premature detachment of the placenta - IM in the initial dose of 20 mg, after 1 h the administration of the same dose is repeated; Maintenance doses - from 10 mg 4 times to 20 mg 3 times a day. With a premature detachment of the placenta, the treatment is carried out without interruptions - until the fetus ripens.

In anesthesiology and surgery: premedication - on the eve of surgery, in the evening - 10-20 mg inside; Preparation for surgery - 1 hour before the beginning of anesthesia in / m adults - 10-20 mg, children - 2.5-10 mg; Introduction to anesthesia - iv 0.2-0.5 mg / kg; For short-term narcotic sleep with complex diagnostic and therapeutic interventions in therapy buy diazepam online uk and surgery - in / in adults - 10-30 mg, for children - 0.1-0.2 mg / kg.

In pediatrics: epileptic status and severe repeated epileptic seizures: children from 30 days to 5 years - in the (slowly) 0.2-0.5 mg every 2-5 minutes to a maximum dose of 5 mg, from 5 years and older - 1 mg every 2 -5 minutes to the maximum dose of 10 mg; If necessary, the treatment can be repeated after 2-4 hours. Muscle relaxation, tetanus buy valium cheap price: children from 30 days to 5 years - in / m or / in 1-2 mg, 5 years and older - 5-10 mg, if necessary buy diazepam 10mg online uk, the dose Can be repeated every 3-4 hours.

When motor excitation is administered in / m or iv 10-20 mg 3 times a day. In case of traumatic spinal cord injuries accompanied by paraplegia or hemiplegia, chorea is given to adults in the initial dose of 10-20 mg, children - 2-10 mg. With epileptic status - IV in the initial dose of 10-20 mg, then, if necessary - 20 mg IM or IV drip. For relief of severe muscular spasm - iv once, or twice 10 mg.

For tetanus: the initial dose is 0.1-0.3 mg / kg IV at intervals of 1-4 hours or IV infusion of 4-10 mg / kg / day. For elderly and senile patients, treatment should be started at half the usual dose for Adults, gradually increasing it, depending on the effect achieved and tolerability. Parenteral in case of anxiety, iv is given in the initial dose of 0.1-0.2 mg / kg, the injections are repeated every 8 hours until the symptoms buy diazepam online uk disappear, then they switch to oral administration.

Special instructions

An intravenous solution of buy diazepam uk otc should be administered slowly, into a large vein for at least 1 minute for every 5 mg (1 ml) of the drug. It is not recommended to conduct continuous intravenous infusion (sediment formation and adsorption of the preparation with polyvinylchloride materials of infusion bottles and tubes are possible). In the process of treatment, patients are strictly prohibited from drinking ethanol buy valium online. With renal / hepatic insufficiency and long-term treatment, control of the picture of peripheral blood and liver enzymes is necessary. The risk of forming drug dependence increases with the use of large doses buy diazepam online uk, a significant duration of treatment, in patients who previously abused ethanol or drugs valium over the counter.

Without special instructions should not be used for a long time buy diazepam 5mg online uk. It is unacceptable to severely discontinue treatment due to the risk of withdrawal syndrome (headache, myalgia, anxiety, tension, confusion, irritability, in severe cases - derealization, depersonalization, hyperacusis, photophobia, tactile hypersensitivity, paresthesia in the extremities, hallucinations and epileptic Seizures), but due to the slow half-life of buy diazepam online uk, its manifestation is much weaker than in other benzodiazepines. If such unusual reactions occur in patients, such as increased aggressiveness, acute excitations, anxiety, fear, suicidal thoughts, hallucinations, increased muscle cramps buy diazepam 10mg uk, difficult sleep, superficial sleep, treatment should be discontinued.

Side effect

From the nervous system: at the beginning of treatment (especially in elderly patients) - drowsiness, dizziness, fatigue, decreased ability to concentrate, ataxia, disorientation, gait unsteadiness and poor coordination of movements, lethargy, dullness of emotions, slowing of mental and motor reactions, Anterograde amnesia (develops more often than when taking other benzodiazepines); Rarely - headache, euphoria, depression, tremor, depression buy valium of mood, catalepsy, confusion, dystonic extrapyramidal reactions (uncontrolled body movements, including eyes), weakness, myasthenia gravis during the day, hyporeflexia buy diazepam online uk over the counter, dysarthria; Extremely rare - paradoxical reactions (aggressive outbreaks, psychomotor agitation, fear, suicidal tendencies, muscle spasm, confusion, hallucinations, acute arousal, irritability, anxiety, insomnia).

From the hematopoiesis: leukopenia, neutropenia, agranulocytosis (chills, hyperthermia, sore throat, excessive fatigue or weakness), anemia, thrombocytopenia. On the part of the digestive system: dry mouth or hypersalivation, heartburn, hiccough, gastralgia, nausea, vomiting, decreased appetite, constipation; Violations of the liver, increased activity of liver transaminases and alkaline phosphatase, jaundice. From the cardiovascular system: palpitation, tachycardia, lowering blood pressure (with parenteral administration).

On the part of the genitourinary buy diazepam uk system: urinary incontinence, urinary retention, impaired renal function, increased or decreased libido, dysmenorrhea. Allergic reactions: skin rash, itching. Influence on the fetus: teratogenicity (especially I trimester), CNS depression, respiratory failure and suppression of sucking reflex in newborns whose mothers used the drug. Local reactions: at the injection site - phlebitis or venous thrombosis (redness, swelling or pain at the injection site).

Other: addiction, drug dependence; Rarely - oppression of the respiratory center, impaired function of external respiration, impaired vision (diplopia), bulimia, weight loss. With a sharp decrease in dose or discontinuation of reception - withdrawal syndrome (irritability, headache, anxiety, excitement, anxiety, nervousness, sleep disturbances, dysphoria, spasm of smooth muscles of the internal organs and skeletal muscles, depersonalization, sweating, depression, Nausea, vomiting, tremor, perceptual disorders, including hyperaemia, paresthesia, photophobia, tachycardia, convulsions, hallucinations, rarely - acute psychosis buy diazepam online uk). When used in obstetrics - in term and premature babies - muscular hypotension, hypothermia, dyspnea.

Contraindications

Hypersensitivity, coma, shock, acute alcohol intoxication with impaired vital functions, acute intoxication with drugs that exert a depressing effect on the central nervous system (including narcotic analgesics and hypnotic drugs), myasthenia gravis, angle-closure glaucoma (acute attack or predisposition); Severe COPD (danger of progression of the degree of respiratory failure), acute respiratory failure, pregnancy (especially I trimester) buy valium online over the counter, lactation period, children's age up to 30 days inclusive.

Cautious: Epilepsy or epileptic seizures in the history (initiation of treatment with buy diazepam online uk or its abrupt withdrawal may accelerate the development of seizures or epileptic status), absence of symptoms buy diazepam uk over the counter or Lennox-Gastaut syndrome (with iv administration contributes to the development of tonic epileptic status), hepatic and / or renal Cerebral and spinal ataxia, hyperkinesis, history of drug addiction, propensity to abuse psychoactive drugs, organic brain diseases, hypoproteinemia, night apnea (or suspected), advanced age.

Precautionary measures

The initiation of treatment with diazepam or its abrupt withdrawal in epileptic patients or with epileptic seizures in an anamnesis can accelerate the development of seizures or epileptic status. During pregnancy apply only in exceptional cases and only for vital indications. Has a toxic effect on the fetus and increases the risk of congenital cheap diazepam uk malformations when applied in the first trimester of pregnancy. Admission of therapeutic doses in later periods of pregnancy can cause depression of the newborn's central nervous system. Continuous use during pregnancy can lead to physical dependence - a syndrome of cancellation in a newborn valium tablets cheap price is possible. Children, especially at a young age, are very sensitive to the CNS depressing action of benzodiazepines. Newborns are not recommended to prescribe drugs containing benzyl alcohol - it is possible to develop a lethal toxic syndrome, manifested by metabolic acidosis, CNS depression, difficulty breathing, buy valium UK kidney failure, lower blood pressure and, possibly, epileptic seizures, as well as intracranial hemorrhages. Use (especially in / m or IV) at doses above 30 mg for 15 hours before delivery or during labor may cause a respiratory depression in the newborn (up to apnea), a decrease in muscle tone, a decrease in blood pressure, hypothermia, a mild sucking act Syndrome flaccid child) and metabolic disorders in response to cold stress.

During the treatment period, care must be taken buy diazepam online cheap when driving vehicles and engaging in other potentially hazardous activities requiring increased attention and speed of psychomotor reactions.

Interaction with other drugs

Strengthens the inhibitory effect on the CNS of ethanol, sedative and antipsychotic drugs (neuroleptics), antidepressants, narcotic analgesics, drugs for general anesthesia, muscle relaxants. Inhibitors of microsomal oxidation (including cimetidine, oral contraceptives, erythromycin, disulfiram, fluoxetine, isoniazid, ketoconazole, metoprolol, propranolol, propoxyphene, valproic acid) prolong the half-life of buy diazepam online uk over the counter and enhance action. Inductors microsomal liver enzymes decrease efficiency. The narcotic analgesics intensify euphoria, leading to an increase in psychological dependence.

Hypotensive drugs can increase the severity of blood pressure lowering. Against the background of simultaneous administration of clozapine, an increase in respiratory depression is possible. At simultaneous application with low-polar cardiac glycosides, it is possible to increase the concentration of the latter in the serum buy valium online and the development of digitalis intoxication (as a result of competition for the connection with plasma proteins).

Reduces the effectiveness of levodopa in patients with Parkinsonism. Omeprazole prolongs the elimination of diazepam. MAO inhibitors, analeptics, psychostimulants - reduce activity. Premedication with buy diazepam online uk without prescription reduces the dose of fentanyl required for an introductory general anesthetic buy valium cheap online, and reduces the time needed to turn off consciousness with induction doses.

May increase the toxicity of zidovudine. Rifampicin can increase the excretion of diazepam and lower its concentration in the plasma. Theophylline (used in low doses) can reduce or even pervert the sedative effect. Pharmaceutically incompatible in one syringe with other drugs.

Overdose

Symptoms: drowsiness, confusion, paradoxical buy diazepam online uk agitation, decreased reflexes, areflexia, deafness, decreased reaction to painful stimulation, deep sleep, dysarthria, ataxia, visual impairment (nystagmus), tremor, bradycardia, dyspnea or shortness of breath, apnea, severe weakness, Depression of blood pressure, collapse, oppression of cardiac and respiratory activity, coma.

Treatment: forced diuresis. Symptomatic therapy buy valium online UK (maintenance of breathing and blood pressure), ventilation. Flumazenil is used as a specific antagonist (in hospital settings). Hemodialysis is ineffective. The benzodiazepine antagonist online pharmacy uk diazepam without prescription flumazenil is not indicated in patients with epilepsy who received treatment with benzodiazepines. In such patients, antagonistic action against benzodiazepines can trigger the development of epileptic seizures buy valium UK.


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What are anxiety disorders?

Under anxiety disorders, psychiatrists and psychotherapists understand mental disorders in which anxiety (fear, panic) is the main (or one of the main) symptoms

Treatment of axiety disorders

Usually, anxiety disorders are treated with medications, special kinds of psychotherapy or combinatorially, using both methods together. The choice of course of treatment

Methods to overcome anxiety

To effectively combat anxiety, you first need to understand what exactly are your causes of anxiety and nervousness. Answer the following questions: What do anxiety attacks concern?