Bromazepam

Tranquilizer, Sedative/Hypnotic · Benzodiazepine

Indications

Short-term treatment of anxiety that is severe or disabling occurring alone or with insomnia.

Dosage

Adults: Elderly, 1.5-9 mg daily; others, 3-18 mg daily. Both in divided doses. Children: Not recommended.

Adverse Effects

Drowsiness and light headedness, which may continue into the following day. Muscle weakness, ataxia, confusion, vertigo, GI upset, hypotension, visual disturbance, rash, impaired alertness and dexterity, headache, urinary retention, changes in libido, Rarely blood disorder, jaundice, respiratory depression, abnormal psychological reactions. Paradoxical reactions, anterograde amnesia. Dependence. Injection: Rarely, thrombophlebitis.

Risk Factor (Pregnancy/Lactation)

Pregnancy: Not rated. Lactation: Caution advised or effect undetermined. Contraindications: Acute pulmonary insufficiency, respiratory depression, sleep apnoea, phobic or obsessional state, chronic psychosis, unstable Myasthaenia gravis. Severe hepatic impairment. As monotherapy to treat depression or anxiety associated with depression. Precautions: Chronic pulmonary insufficiency, Myasthaenia gravis, renal impairment, mild to moderate hepatic impairment, history of drugs or alcohol abuse, personality disorders, Elderly, avoid long-term use. Withdraw gradually.

Interactions

Alcohol, CNS depressants, anticonvulsants, CYP3A4 inhibitors or inducers (e.g. cimetidine, rifampicin).

Advice to Patient

Take with or without meals. Contact prescriber if there is poor concentration, changes in weight, changes in sleep pattern, decreased interest in activities. Avoid alcohol during therapy.

Pharmacokinetics

Absorption: Fasting state: Almost completely absorbed. Metabolism: Hepatic. Bioavailability: Oral: 84%. Half-life elimination: 17 hrs. (Range 11-22 hrs). Time to peak, plasma: 0.5-4 hrs. Excretion: Urine (69%; as metabolites).

Brands with this active ingredient

Compiled by Healify Pharmacy from published drug references. How we compile it →

Always consult a pharmacist or doctor.