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Oxazepam- used for the treatment of anxiety and insomnia

Oxazepam is a short-to-intermediate-acting benzodiazepine. Oxazepam is used for the treatment of anxiety and insomnia More

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Description

Oxazepam is a short-to-intermediate-acting benzodiazepine. Oxazepam is used for the treatment of anxiety and insomnia

Generic Name

Oxazepam- used for the treatment of anxiety and insomnia

Chemical names

Tazepam; Adumbran; Serax; Droxacepam

Brand names

Anxozap, Serepax

IUPAC name

7-chloro-3-hydroxy-5-phenyl-2,3-dihydro-1H-1,4-benzodiazepin-2-one

Pharmacokinetics

Oral absorption, hepatic metabolism.

Actions

Oxazepam is believed to stimulate GABA receptors in the ascending reticular activating system. Since GABA is inhibitory, receptor stimulation increases inhibition and blocks both cortical and limbic arousal following stimulation of the brain stem reticular formation.

Dosage/Dosage form

The recommended dose range is 10-30 mg in divided doses.

Therapeutic uses

For the treatment of anxiety disorders and alcohol withdrawal.

Adverse effects/Side effects

Syncope (rare), oedema; drowsiness, ataxia, dizziness, vertigo, memory impairment, headache, paradoxical reactions (excitement, stimulation of effect), lethargy, amnesia, euphoria; rash; decreased libido, menstrual irregularities; incontinence; leukopenia, blood dyscrasias; jaundice; dysarthria, tremor, reflex slowing; blurred vision, diplopia; drug dependence.

Interaction

  • Reduced sedative effects with theophylline and other CNS stimulants. Increased incidence of headache with zidovudine. May reduce effects of levodopa.
  • Additive CNS depression may occur with valerian, kava kava, St John's wort, gotu kola.
  • Additive CNS depression with other CNS depressants and alcohol.

Contraindications

Pregnancy and lactation.

Storage

Store at 15-30°C

Information

Molecular weight

286.713

Molecular formula

C15H11ClN2O2

CAS number

604-75-1

Precautions

  • Cross-sensitivity with other benzodiazepines may occur.
  • Hepatic and renal impairment.
  • Respiratory disease.
  • Debilitated patients, elderly, patients at risk of falls.
  • Withdraw gradually.
  • Porphyria; impaired gag reflex.
  • History of drug abuse or acute alcoholism.
  • May impair ability to drive or operate machinery.
  • CV or cerebrovascular disease, intolerance to transient decreases in BP.
  • Depression or if suicidal risk is present.