• রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন
Indications:
Bopam is indicated for:
Treatment of moderate to severe anxiety and panic disorders
Nervous tension and restlessness
Short-term management of insomnia associated with anxiety
As premedication before minor surgical or diagnostic procedures
Pharmacology:
Bromazepam is a benzodiazepine that enhances the effect of the inhibitory neurotransmitter GABA (gamma-aminobutyric acid) at GABA-A receptors. This results in anxiolytic, sedative, muscle-relaxant, and anticonvulsant effects.
Dosage & Administration:
Adults: Initial dose is 1.5–3 mg two to three times daily
Maximum daily dose typically does not exceed 6–18 mg depending on patient response
Should be taken orally with water, with or without food
Use lowest effective dose for the shortest duration
Interaction:
Additive sedative effect with alcohol, opioids, antihistamines, and other CNS depressants
Caution with antipsychotics, antidepressants, anticonvulsants
Avoid with strong CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
Contraindications:
Hypersensitivity to Bromazepam or other benzodiazepines
Severe respiratory insufficiency
Myasthenia gravis
Sleep apnea syndrome
Acute narrow-angle glaucoma
Severe hepatic impairment
Side Effects:
Common: Drowsiness, fatigue, dizziness, sedation
Less common: Confusion, coordination problems, blurred vision
Serious (rare): Dependence, withdrawal symptoms, memory impairment, behavioral changes
Pregnancy & Lactation:
Contraindicated in pregnancy, especially during the first trimester due to potential teratogenic effects. Also contraindicated during breastfeeding as the drug passes into breast milk and may cause sedation in the infant.
Precautions & Warnings:
Risk of dependence and withdrawal symptoms if used long-term or abruptly discontinued
Caution in elderly (risk of falls and sedation)
Avoid alcohol and other sedatives
Not for use in children unless specifically prescribed
Therapeutic Class:
Benzodiazepines (Anxiolytics/Sedatives)
Storage Conditions:
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.