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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Hari Kumar , MBBS

Composition :

Manufacturer/Marketer :

Consume Type :

Oral

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About Calm 5 Tablet

Calm 5 Tablet belongs to a group of medications called Benzodiazepine (BZD), primarily used to treat short-term relief of severe anxiety disorder, muscle spasms and fits (seizures). Besides this, it also reduces alcohol withdrawal symptoms (like sweating or difficulty sleeping etc.). Before undergoing any surgical procedure, Calm 5 Tablet is sometimes given as 'pre-med' to prevent anxiety, fear and worry. An anxiety disorder is a mental condition characterized by feelings of excessive fear or worry that affect an individual's daily activities. High anxiety levels can cause panic attacks, with intense feelings of nervousness, fear, and sudden onset of sweating, hyperventilation, fast heartbeat, and skin flushing.

Calm 5 Tablet contains Diazepam, which works by increasing levels of brain cells (neurons) calming chemical, known as gamma-aminobutyric acid (GABA), in your brain that helps to relieve anxiety and stop seizures attacks (fits), and relaxation of the tense muscles. Besides this, Calm 5 Tablet relieves temporary insomnia (sleeplessness) due to anxiety disorder. Off-label uses for Calm 5 Tablet include alcohol withdrawal syndrome, insomnia, panic disorder, chemotherapy-associated nausea and vomiting. Calm 5 Tablet is not recommended for mild to moderate anxiety and tension related to day-to-day life.

Calm 5 Tablet should not be used unless prescribed by a doctor. Depending on your medical condition, you are advised to take Calm 5 Tablet for as long as your doctor prescribes it. Sometimes, you may experience certain common side effects, such as daytime drowsiness, light-headedness, unsteadiness, or dizziness. Most of these side effects of Calm 5 Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Try not to stop taking Calm 5 Tablet of your own as it may cause withdrawal symptoms. Do not take Calm 5 Tablet if you have any lung disease, muscle weakness (myasthenia gravis), sleeping disorder or difficulty in sleeping (sleep apnoea), severe liver disease, or problem with alcohol or other prescription recreational drugs. Calm 5 Tablet is a habit-forming drug, so there is a risk of dependence on Calm 5 Tablet . So, before stopping Calm 5 Tablet , contact a doctor as it may cause withdrawal symptoms like anxiety, increased heart rate, tremor, or general unwell feeling. If you are pregnant or breastfeeding, please tell your doctor so that your doctor will weigh the benefits and any potential risks before prescribing it to you. Do not drive or operate machinery as Calm 5 Tablet may reduce mental alertness.

Uses of Calm 5 Tablet

Anxiety disorder, Short-term anxiety, Pre-operative anxiety, Alcohol withdrawal

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Directions for Use

Tablet: Swallow it as a whole with water; do not crush, break or chew it. Suspension/Syrup: Shake the bottle well before use. Check the label for directions and take Calm 5 Tablet in doses as prescribed by your doctor with the help of a measuring cup.

Key Benefits

Calm 5 Tablet helps manage anxiety disorder and relieve symptoms of anxiety, acute alcohol withdrawal, and skeletal muscle spasm. When you take Calm 5 Tablet , you will have more chemical messenger (GABA neurotransmitter) in your body. It decreases the feeling of nervousness, stress, and anxiety, which leads to a state of calm and relaxation. Calm 5 Tablet benefits people who struggle with anxiety and worries in daily life. Regular intake of the prescribed dose of Calm 5 Tablet improves social life, your ability and performance at work, and general wellbeing.

Storage

Store in a cool and dry place away from sunlight
Side effects of Calm 5 Tablet
  • Uncoordinated muscle movements need immediate medical attention.
  • Observe your movements and try to understand and control the particular movement.
  • Regularly do strengthening exercises to improve blood flow throughout the body and avoid involuntary movements.
  • Implement massage techniques to enhance blood flow to organs.
  • Take a balanced diet and quit smoking.
  • Practice yoga and meditation to improve thought processes and reduce uncontrolled and involuntary movements.
  • Rest well; get enough sleep.
  • Eat a balanced diet and drink enough water.
  • Manage stress with yoga and meditation.
  • Limit alcohol and caffeine.
  • Physical activities like walking or jogging might help boost energy and make you feel less tired.

Drug Warnings

Taking Calm 5 Tablet with opioid pain killer medicines can cause severe drowsiness, breathing problems, coma, and even death. Calm 5 Tablet should be taken with extreme caution in patients with a history of alcoholism or drug abuse. Do not take Calm 5 Tablet if you have had severe breathing problems, are allergic to Calm 5 Tablet or other related benzodiazepine class, muscle weakness (myasthenia gravis), severe liver problem, breathing problems while sleep (apnoea), breastfeeding, pregnant or planning for pregnancy, and glaucoma (high blood pressure in eyes). Calm 5 Tablet may affect your ability to drive a motor vehicle or operate heavy machinery if taken with alcohol. If you feel excess suicidal thoughts, difficulty in concentration, sleep disturbances (apnoea), dizziness, or sleepiness, let your doctor know about this. A pregnant or nursing mother should consult a doctor before intake as it is a Category D pregnancy medicine. Calm 5 Tablet can be used in patients with open-angle glaucoma but is contraindicated in acute narrow-angle glaucoma. Calm 5 Tablet should not be given for the treatment of psychotic patients. Abrupt withdrawal of Calm 5 Tablet may cause a temporary increase in the frequency and severity of seizures (fit). So, before stopping taking Calm 5 Tablet , discuss with the doctor.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Calm 5 Tablet:
Using Morphine together with Calm 5 Tablet can cause central nervous system depression (a physiological state that can result in a decreased rate of breathing, decreased heart rate, and loss of consciousness).

How to manage the interaction:
Co-administration of Morphine with Calm 5 Tablet can result in an interaction, but it can be taken if a doctor has advised it. However, if you experience any symptoms like trouble breathing, feeling tired, or having a cough, dizziness, drowsiness, difficulty concentrating, impaired judgment, reaction speed, and motor coordination, make sure to contact a doctor immediately. Do not stop using any medications without consulting a doctor.
How does the drug interact with Calm 5 Tablet:
Co-administration of Calm 5 Tablet with tramadol may cause serious side effects like respiratory distress or coma.

How to manage the interaction:
Consult the doctor if you are taking Calm 5 Tablet and tramadol. The doctor may prescribe alternatives that do not interact, dose adjustment, or more frequent monitoring to safely use both medications. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Calm 5 Tablet:
Taking Calm 5 Tablet together with olanzapine can cause low blood pressure, weak pulse, shallow breathing, muscle weakness, drowsiness, dizziness and slurred speech.

How to manage the interaction:
Combining Olanzapine and Calm 5 Tablet can lead to an interaction, it can be taken if your doctor has suggested it. If you experience any symptoms consult the doctor immediately. Avoid activities requiring mental alertness until you know how these medications will affect you. Do not stop using any medications without first talking to your doctor.
DiazepamSufentanil
Severe
How does the drug interact with Calm 5 Tablet:
Co-administration of Sufentanil with Calm 5 Tablet can increase the risk of adverse effects.

How to manage the interaction:
Co-administration of Calm 5 Tablet with Sufentanil can possibly result in an interaction, but it can be taken if your doctor has advised it. If you notice any of these symptoms - feeling tired or sleepy, having trouble breathing, or a slower heartbeat - make sure to contact your doctor right away. Do not stop using any medications without first talking to your doctor.
DiazepamCodeine
Severe
How does the drug interact with Calm 5 Tablet:
Co-administration of Calm 5 Tablet with codeine may cause serious side effects.

How to manage the interaction:
Consult your doctor if you are using Calm 5 Tablet and codeine. The doctor may prescribe alternatives that do not interact, dose adjustment, or more frequent monitoring to safely use both medications. Do not discontinue the medication without consulting a doctor.
How does the drug interact with Calm 5 Tablet:
Co-administration of Nalbuphine with Calm 5 Tablet can make the side effects worse or more dangerous.

How to manage the interaction:
Although there is a possible interaction between Calm 5 Tablet and Nalbuphine, you can take these medicines together if prescribed by your doctor. If you notice any symptoms like feeling dizzy, having trouble breathing, or feeling very tired, make sure to call your doctor right away. Do not stop using any medications without first talking to your doctor.
DiazepamRemifentanil
Severe
How does the drug interact with Calm 5 Tablet:
Co-administration of Remifentanil with Calm 5 Tablet can increase the seriousness of side effects.

How to manage the interaction:
Although taking Calm 5 Tablet and Remifentanil together can evidently cause an interaction, it can be taken if your doctor has suggested it. It's important to keep an eye on your health and talk to your doctor about any concerns. They can recommend different options that won't cause any problems. If you notice any symptoms like feeling dizzy, having trouble breathing, or feeling very tired, make sure to call your doctor right away. Do not stop using any medications without a doctor's advice.
How does the drug interact with Calm 5 Tablet:
Taking Calm 5 Tablet together with fluvoxamine may cause an increase in side effects such as drowsiness, confusion, muscle weakness, and fainting.

How to manage the interaction:
Although there is a possible interaction, Calm 5 Tablet can be taken with fluvoxamine if prescribed by the doctor. However, if you experience any unusual symptoms consult your doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Calm 5 Tablet:
Taking Calm 5 Tablet and fentanyl together can increase the risk of side effects.

How to manage the interaction:
Although taking Fentanyl together with Calm 5 Tablet can result in an interaction, they can be taken together if prescribed by your doctor. However, consult a doctor if you have sleepiness, difficulty concentrating, and impaired judgment. Do not stop taking any medication without consulting your doctor.
DiazepamEthanol
Severe
How does the drug interact with Calm 5 Tablet:
Drinking alcohol while taking Calm 5 Tablet can make you feel more sleepy and slow down your brain and body.

How to manage the interaction:
Although there is a possible interaction between Ethanol and Calm 5 Tablet, you can take these medicines together if prescribed by your doctor. If you have any of these symptoms - problems with your brain or nerves, feeling dizzy, feeling sleepy or having trouble focusing - make sure to contact your doctor right away. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

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DIAZEPAM-5MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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DIAZEPAM-5MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit

How to manage the interaction:
Grapefruit and grapefruit juice may interact with Calm 5 Tablet leading to potentially dangerous side effects. Avoid increasing or decreasing the amount of grapefruit products in your diet without talking to a doctor.

Diet & Lifestyle Advise

  • Regular exercise can help lower anxiety by releasing endorphins and improving your sleep and self-image.
  • Find humour in your daily life. Try to watch a comedy show to help relieve stress.
  • You can try increasing your mindfulness by including yoga, meditation, cognitive therapy, and mindfulness-based stress reduction.
  • Drink enough water to stay hydrated, and limit or avoid alcohol and caffeine to relieve anxiety.
  • Include a diet rich in whole grains, vegetables, and fruits. This is a healthier option than eating many simple carbohydrates in processed foods.
  • Herbs like turmeric, ginger, and chamomile contain anti-inflammatory properties. Including this stuff in the meal can reduce inflammation caused due to anxiety disorder.
  • Reduce your alcohol, caffeine, added sugar, high salt, and high fat intake. Especially trans-fat may help also help reduce inflammation.
  • You can include antioxidants in your daily diet like ashwagandha, omega-3 fatty acids, green tea and lemon balm.
  • Try to spend time with your friends and family. Having a strong social network may help you lower your risk of anxiety.

Habit Forming

Yes

Therapeutic Class

[SEDATIVE-HYPNOTIC DRUGS]

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Alcohol

Safe if prescribed

Taking Calm 5 Tablet with alcohol can increase the side effects of Calm 5 Tablet like dizziness, drowsiness, and difficulty in concentrating. In a few cases, people may also experience impairment in thinking and judgment. Hence, you should avoid or limit the use of alcohol while being treated with Calm 5 Tablet .

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Pregnancy

Consult your doctor

Calm 5 Tablet is a Category D pregnancy drug that is considered unsafe for pregnant women. Calm 5 Tablet can have some harmful effects on the unborn baby (foetus), so your doctor will weigh the benefits and any potential risks before prescribing it to you.

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Breast Feeding

Consult your doctor

Calm 5 Tablet passes into the breast milk and may cause some degree of sedation in the baby. So, if you note any signs in the baby let your doctor know about this.

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Driving

Safe if prescribed

Calm 5 Tablet may cause sleepiness, dizziness, drowsiness and visual disturbances. So, it is not recommended to drive or operate machinery after taking Calm 5 Tablet . Tell your doctor if you get these types of side effects.

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Liver

Consult your doctor

Calm 5 Tablet to be taken with caution, especially if you have a history of liver disease. The dose may have to be adjusted by your doctor.

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Kidney

Consult your doctor

Calm 5 Tablet to be taken with caution, especially if you have a history of kidney disease. The dose may have to be adjusted by your doctor.

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Children

Safe if prescribed

It is not known if Calm 5 Tablet is safe and effective in children under 6 months of age. So, it is not recommended for infants less than 6 months. However, you should consult a doctor regarding dosage for children above 6 months.

FAQs

Calm 5 Tablet contains Diazepam, which works by increasing levels of brain cells (neurons) calming chemical, known as gamma-aminobutyric acid (GABA), in your brain that helps to relieve anxiety and stop seizures attacks (fits), and relaxation of the tense muscles. Besides this, Calm 5 Tablet relieves temporary insomnia (sleeplessness) due to anxiety disorder. Off-label uses for Calm 5 Tablet include alcohol withdrawal syndrome, insomnia, panic disorder, chemotherapy-associated nausea and vomiting.

If you have taken a double dose or overdose of Calm 5 Tablet , you need immediate medical help either by calling a doctor or going to the nearest hospital or clinic.

Do not stop taking Calm 5 Tablet until instructed by your doctor. You may get side effects like confusion, depression, nervousness, sweating and diarrhoea. Your doctor may lower the dose of Calm 5 Tablet if exceeded more than 2-4 weeks of treatment to reduce side effects.

Yes. Memory loss is a common side effect of Calm 5 Tablet . So, regular intake of Calm 5 Tablet can impact your memory including a lack of focus or concentration, or complete ‘black out’ difficult to remember important things.

Calm 5 Tablet is prescribed for anxiety disorder and short term anxiety. So, if Calm 5 Tablet is prescribed for more than 4 weeks, your doctor may reduce the dose before stopping to prevent further withdrawal symptoms.

Quitting smoking, avoiding intake of alcohol, and caffeine-containing food drinks can help you in minimizing the common side effect. If side effects like exhausted feeling, sleepiness (sedation), muscle weakness, and body posture imbalance persist it means you need some blood test to find out the exact cause.

If you have taken a double dose or overdose of Calm 5 Tablet , you need immediate medical help either by calling the doctor or going to the nearest hospital or clinic.

Caffeine is a stimulant that may reduce the calming effects of clonazepam. So, it is advisable to avoid the intake of caffeinated beverages like coffee, tea, and cola, or chocolate that contain caffeine.

Country of origin

India

Manufacturer/Marketer address

3 Yogi Complex, Nr Doordarshan, Kendra, Thaltej, Ahmedabad, India 380054.
Other Info - CAL0489

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