Многих пациентов волнует вопрос: «Феназепам понижает давление или нет?» Стоит рассмотреть возможные варианты ответа на столь волнующий вопрос, а также основные свойства и особенности этого препарата.
Бромдигидрохлорфенилбензодиазепин — это активный ингредиент лекарственного препарата Феназепам, который относится к группе анксиолитиков.
Этот компонент обладает седативным и снотворным эффектом, а также после его употребления происходит снижение мышечного напряжения. При воздействии Феназепама на центральную нервную систему снижается скорость реакций – передача нервных импульсов значительно тормозится.
Под влиянием лекарственного препарата в мозге активируются рецепторные структуры ствола, но нейроны, которые расположены в подкорке головного мозга, теряют часть своей восприимчивости и чувствительности. Подобная реакция наблюдается со стороны таламуса и гипоталамуса. При воздействии анксиолитика на организм человека уменьшается активность спинальных рефлексов.
Феназепам обладает специфической активностью по отношению к лимбической системе мозга, а именно устраняет чувство страха и тревоги, нервные состояния и беспокойство. При действии препарата на ствол головного мозга наблюдается седативный эффект, который необходим для устранения психических расстройств, галлюцинаций и проблем с памятью и сознанием.
Кроме этого, развивается снотворный эффект, который помогает пациенту синхронизировать фазы сна и упростить процесс отхождения ко сну, так как человек перестает обращать внимание на отвлекающие его внешние раздражители. Медикамент снижает мышечное напряжение, воздействуя на структуру пресинаптического торможения. Возможен также вариант прямого влияния Феназепама на периферическую нервную систему.
Феназепам в лечении артериальной гипертензии
Феназепам можно использовать в комплексном лечении артериальной гипертензии: для устранения гипертонического криза, а также в период максимальной возбудимости пострадавшего. Такую разновидность гипертонического кризового состояния называют нейровегетативный криз. При этом больному необходимо назначение медикаментозных средств с успокоительным эффектом, действие которых угнетает нервное возбуждение и гиперактивность.
При кризовом течении в схему лечения включают, кроме Феназепа, следующие лекарства: Анаприлин, Клофелин, Реланиум, Коринфар и Элениум. Все возможные комбинации и дозировки препаратов выписывает и назначает только лечащий врач, поскольку при неправильном приеме и неверном режиме употребления можно снизить артериальное давление пациента до критических показателей.
Показания к употреблению Феназепама
К основным патологическим состояниям и заболеваниям, при которых стоит назначать Феназепам, следует отнести такие:
- психические расстройства, которые возникли на фоне сильного переживания или стресса;
- расстройства сознания, когда человек принимает иллюзию за реальность;
- нарушение процесса засыпания;
- расстройства, связанные с нарушениями тонуса сосудов, гипертоническая болезнь, неврозы;
- изменения со стороны психики и ЦНС, которые сопровождаются беспричинным страхом, беспокойством, агрессивностью по отношению к окружающим и эмоциональной нестабильностью;
- чрезмерный тонус мышечной мускулатуры;
- нестабильная работа вегетативной нервной системы;
- самопроизвольные мышечные сокращения, тики;
- с профилактической целью при эмоциональной неустойчивости;
- височная и миоклоническая эпилепсия.
Противопоказания к употреблению Феназепама
Феназепам не является исключением по наличию противопоказаний, к ним следует отнести следующие:
- шоковые состояния;
- слабость мышечной деятельности;
- состояние комы;
- хроническое обструктивное заболевание легких в тяжелой форме;
- период беременности, особенно первые три месяца;
- возрастное ограничение до 18-го возраста;
- индивидуальная непереносимость компонентов препарата;
- женщины в период лактации;
- дыхательная недостаточность в острой форме;
- закрытоугольная глаукома.
С особым вниманием и осторожностью следует принимать препарат пациентам с нарушениями в работе печени и почек, если диагностированы органические поражения мозга, депрессивные расстройстваа, а также при проблемах с координацией движений.
Побочные эффекты Феназепама
Все побочные явления препарата можно разделить на несколько групп – это изменения, которые наблюдаются со стороны разных органов и систем.
Со стороны центральной и периферической нервной системы:
- нарушение координации движений;
- предобморочное состояние;
- повышенная усталость и постоянная сонливость;
- торможение двигательных и психических реакций;
- неустойчивая походка;
- мышечная слабость;
- суицидальные наклонности;
- приступы эпилепсии;
- дрожание верхних и нижних конечностей;
- неконтролируемая агрессия по отношению к окружающим;
- эмоциональная нестабильность;
- развитие галлюцинаций.
Неблагоприятные явления в работе мочеполовой системы:
- болезненные менструации;
- нарушение в работе почек;
- бесконтрольное мочеиспускание;
- уменьшение или увеличение сексуального влечения.
Изменения в работе органов желудочно-кишечного тракта:
- тошнота, иногда переходящая в рвоту;
- желтушность кожных покровов;
- запор или расстройство желудка;
- понижение тяги к пище;
- нарушения в работе печени;
- отрыжка кислым;
- пересыхание слизистой оболочки в ротовой полости.
Нарушения в работе системы кроветворения:
- снижение уровня гемоглобина;
- уменьшение количества лейкоцитов;
- перегревание организма;
- снижение уровня тромбоцитов;
- уменьшение количества нейтрофилов.
Феназепам является довольно серьезным и сильнодействующим медикаментозным средством, поэтому его стоит принимать только по рекомендации врача!
Медицинский препарат «Феназепам» является одним из популярных успокоительных средств. Разработка и производство его началось ещё с 1980 года в СССР, за что ученые были награждены Государственной премией. И до нашего времени успех этого средства не перестает нас удивлять.
«Феназепам» – препарат широкого действия, и назначают его при большом спектре заболеваний, это могут быть различные неврозы или невропатические состояния. Все больше и больше пациентов интересуют последствия его применения, а вопрос: понижает давление «Феназепам» или нет? – становится всё более актуальным.
Давайте разберём вместе, что это за чудо фармацевтической промышленности.
Форма выпуска и лекарственный состав
Выпускается в виде белых таблеток, содержащих 0,5 мг или 1 мг феназепама, а также вспомогательные вещества, такие как сахар, желатин, крахмал, стеарат кальция.
Упаковки по 10, 20, 50 штук.
В ампулах можно приобрести раствор для введения внутримышечно или внутривенно, концентрация фенозепама в нем 0,1 или 3%.
Феназепам считается специальным психотропным средством, которое избавляет от страха, тревоги, раздражительности, бессонницы
Показания
«Феназепам» – это медикамент, воздействующий на центральную нервную систему. Это очень сильное средство, к которому существует привыкание организма. Он назначается только лечащим врачом. Во многих странах нет этого медикамента в свободной продаже, и отпускается он по рецепту или вовсе запрещен.
Назначается «Феназепам» при:
- неврозах;
- психопатических состояниях;
- повышенной раздражительности;
- эмоциональной неустойчивости;
- угнетенном состоянии;
- эпилепсии;
- панической тревоге и страхе;
- алкогольной абстиненции;
- перед хирургическими вмешательствами, если пациент не может побороть паническое чувство страха.
Его нередко выписывают пациентам врачи невропатологи и психиатры при неврозах и иных невропатических состояниях
Противопоказания
Как и любой препарат медицинского предназначения, «Феназепам» имеет ряд противопоказаний:
- аутоиммунное нервно-мышечное заболевание,
- индивидуальная непереносимость препарата,
- повышенное внутриглазное давление,
- хронические болезни лёгких,
- нарушение дыхательной деятельности,
- беременность,
- грудное вскармливание,
- возраст до 18 и старше 65 лет,
- кома,
- нарушение работы почек и печени,
- отравление транквилизаторами другого типа.
Запрещено принимать препарат людям, которым нет 18 лет, а также пациентам при беременности и в период кормления грудью
Способ применения
При употреблении нужно строго соблюдать дозировку и принимать при наблюдении врача:
- при нарушениях сна дозировка составляет 0,25–0,5 мг, принимать за 20–30 минут до сна;
- начальная доза составляет от 0,5 до 1 мг, при лечении психопатических и неврологических отклонений принимают три раза на день. На усмотрение врача при нормальной переносимости дневная доза может быть увеличена до 6 мг;
- при приступах эпилепсии суточная доза может доходить до максимальной, а это 10 мг. Курс лечения расписывает врач.
Для того чтобы предотвратить привыкание организма пациента к препарату, идеальный курс составляет 14 дней, но при необходимости может доходить и до двух месяцев.
При употреблении таблеток максимальная концентрация препарата в крови наступает через 1,5–2 часа. Выводится из организма в течение 6–10 часов.
Таблетки Феназепам принимают вовнутрь, также существует форма лекарственного средства для внутримышечных и внутривенных инъекций
Побочные реакции
В процессе использования препарата у многих пациентов снижалось артериальное давление. Сам «Феназепам» к снижению давления не имеет никакого отношения, действие его рассчитано на центральную нервную систему. Пациенты могут чувствовать на себе реакцию других компонентов этого средства.
С осторожностью надо назначать людям, подверженным гипотонии, при этом заболевании давление и так низкое.
Врачи могут рекомендовать принимать по полтаблетки при тахикардии, так как повышенный пульс может быть последствием высокого тонуса симпатической нервной системы.
«Феназепам» – это серьезный препарат, используемый в редких случаях, иначе он действует на организм как наркотическое вещество.
Побочные реакции:
- жар или озноб;
- анемия;
- снижение памяти, затруднение речи;
- тремор, повышается чувство тревоги;
- припадки эпилепсии;
- тошнота, сухость во рту, слюноотделение, понос;
- слабость, дезориентация, сонливость, головокружение;
- недержание или застой мочи;
- нарушение либидо.
После того, как принят препарат, может появиться изжога, тошнота, повышенное слюноотделение, диарея, аллергическая реакция на кожных покровах
Взаимодействие препарата с другими лекарственными средствами
Как отмечалось выше, при постоянном употреблении этого препарата развивается зависимость. При резком прекращении приема или при значительном уменьшении дозировки у пациента могут наблюдаться нарушения сна, резкая смена настроения, увеличение чувства страха и нервозности, галлюцинации.
Особые указания
При курсе лечения «Феназепамом» употребление этанола противопоказано!
Воздействие лекарства усиливается, если принимать его с наркотическими, снотворными, антипсихотическими препаратами.
При передозировке требуется экстренно оказать первую помощь больному (максимально промыть желудок) и вызвать скорую помощь.
При неправильном применении могут быть очень серьёзные последствия вплоть до летального исхода.
Условия отпуска и хранения
Как любой медицинский препарат, «Феназепам» надо хранить в темном, недоступном для детей месте при температуре +15–25 оC.
Срок хранения – 3 года.
Аналоги
Фармацевты разработали много химических аналогов «Феназепама»: «Элзепам», «Транквезипам», «Фезанеф», «Фезипам», «Фензитат», «Фенорелаксан», «Диазепам», «Оксазепам», «Мелаксен». Аналоги также являются транквилизаторами.
Originally posted 2018-01-23 10:28:19.
Гипертоников интересует: применение «Феназепама» снижает ли давление. Этот препарат призван регулировать действие центральной нервной системы. Его выписывают при повышенной тревожности. «Феназепам» — психотропное средство. Он купирует повышенное возбуждение, бессонницу, нервное перенапряжение. Препарат эффективно воздействует на организм.
Применение «Феназепама» оказывает дополнительное влияние на пациента. Некоторые проходившие курс лечения гипертоники отмечают снижение артериального давления.
Как препарат действует на организм
Для ответа на вопрос: понижает или повышает препарат давление, требуется изучить механизм его действия.
Принцип воздействия «Феназепама» на организм основан на взаимодействии активного вещества с нейронами. Поступающие сигналы передаются не сразу. В результате происходит угнетение активности проводящих импульсы клеток.
Пациент испытывает улучшение состояния. Это происходит из-за:
- снижения чувства страха;
- улучшения сна;
- исчезновения приступов панических атак;
- снятия судорог и спазмов;
- уменьшения тревожности.
«Феназепам» влияет на деятельность центральной нервной системы. Из-за угнетения проводимости сигналов пациент воспринимает раздражители не так остро. Если причина повышенного давления была постоянная тревожность и стресс, то произойдет снижение АД.
Во время гипертонического криза применять средство рекомендуется только в крайнем случае. Настойка пустырника или валерианы окажется более эффективной.
Но для стойкого гипотензивного эффекта рекомендуется применять узконаправленные препараты.
Воздействие «Феназепама» достаточно сильное. Дозы определяются индивидуально в каждом конкретном случае. Поэтому лечение следует проводить только под наблюдением врача.
Формы выпуска и состав
Всемирная организация здравоохранения присвоила «Феназепаму» официальное название: бромдигидрохлорфенилбензодиазепин. Так называется активное вещество препарата.
В состав средства входят и дополнительные компоненты. Они улучшают проводимость активного элемента, обеспечивают стабильность формы и повышают эффективность.
Связующие компоненты таблеток:
Бромдигидрохлорфенилбензодиазепин входит в состав других лекарственных средств. Производители дают им отличные названия.
Формы выпуска
Препарат выпускается в двух формах: таблеток и инъекций. Таблетки имеют белый цвет и сладковатый вкус. Они бывают по 0,5, 1, 2,5 мг. Производители упаковывают таблетки в пластиковые блистеры или герметичные банки.
Инъекции представлены в виде прозрачного или слегка желтоватого раствора «Феназепама» (0,1%) по 1 мл. В аптеках продаются упаковки по 5 или 10 ампул. Инъекции делают внутримышечно или внутривенно.
Показания к применению
Механизм действия «Феназепама» определяет спектр его использования. Врачи назначают препарат для лечения расстройств центральной нервной системы.
Показания к применению:
- судороги, тики;
- расстройства восприятия действительности (вымысел воспринимается как реальность);
- стресс и последующие психические расстройства;
- повышенный тонус мышц;
- нарушения сна;
- эпилепсия;
- психические расстройства, произошедшие из-за нарушения деятельности сосудов;
- неврозы;
- эмоциональная неустойчивость;
- нестабильность вегетативной нервной системы.
Грамотно проведенное лечение устраняет возникшие из-за расстройства деятельности ЦНС проблемы с памятью и галлюцинации.
Инструкции к применению лекарственного средства
Препарат назначают больным при высоком давлении. Гипотоникам его не назначают: снижение АД осложнит их положение. Способ лечения «Феназепамом» зависит от тяжести состояния больного.
В сложных случаях для скорой стабилизации пациента требуется применять инъекции.
Вводить следует внутримышечно (струйно) или внутривенно (капельно или струйно). Начальная разовая доза должна составлять 0,5 мг активного вещества. Ее допустимо увеличить до 3-5 мг. Максимальная суточная доза для взрослого человека не должна превышать 10 мг. После улучшения состояния пациента можно перейти на прием внутрь таблеток. Доза рассчитывается врачом индивидуально для каждого человека. Она зависит от тяжести заболевания и индивидуальных особенностей пациента.
В нетяжелых случаях допустимо сразу начинать лечение с приема таблеток. При этом следует следить за состоянием пациента. При возникновении побочных эффектов прием препарата требуется прекратить. Особенность лечения «Феназепамом» — быстрое привыкание.
Врачи назначают прием препарата в течение двух недель. Иногда курс продлевают до 1-2 месяцев.
Просто перестать принимать «Феназепам» нельзя: возникнут неприятные явления:
- психоз;
- спазмы;
- депрессия;
- озноб;
- тошнота, рвота;
- боязнь света;
- нарушения сна;
- искаженное восприятие себя и реальности;
- обострение слуха;
- снижение настроения.
График и схему снижения употребления лекарства рассчитывает врач индивидуально для каждого случая.
Передозировка
При отсутствии контроля со стороны врача расчетная доза может оказаться слишком большой. Произойдет передозировка.
- тошнотой;
- резким снижением давления;
- диареей;
- недержанием мочи;
- учащенным сердцебиением;
- повышенным отделением слюны.
Передозировка вызывает необратимые изменения ЦНС. При появлении первых признаков следует вызвать рвоту, промыть желудок. Затем вызвать скорую помощь.
Побочные эффекты
Побочные эффекты при применении «Феназепама» возникают нечасто. Пациентам следует обратить внимание на:
- головную боль;
- утомляемость;
- озноб;
- снижение памяти;
- снижение концентрации;
- нарушение функций ЖКТ;
- нарушение мочеиспускания;
- тахикардию;
- снижение массы тела;
- зависимость от приема препарата;
- снижение артериального давления;
- спутанность сознания.
При появлении одного или нескольких симптомов требуется сообщить об этом лечащему врачу. Он проанализирует ситуацию и скорректирует лечение.
Противопоказания
Эффективность «Феназепама» накладывает ограничения на применение препарата. Его не назначают:
- беременным;
- кормящим матерям;
- имеющим болезни почек и печени;
- страдающим нарушениями зрения;
- при депрессии;
- при алкогольном отравлении.
Только врач может назначать препарат и определять схему лечения. Он проводит предварительное обследование пациента и выявляет патологии.
Взаимодействие с другими препаратами
«Феназепам» имеет свойство усиливать или ослаблять воздействие на организм при приеме пациентом других препаратов. Антибиотики не влияют на активное вещество. Кофеин ослабляет его. Алкоголь — усиливает.
При назначении «Феназепама» и разработке схемы лечения врач проводит опрос и выясняет, принимает ли пациент дополнительные препараты.
Аналоги «Феназепама»
Иногда применение «Феназепама» невозможно. Врач заменяет его структурным аналогом:
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