REPAM 5MG 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, REPAM 5MG 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.

REPAM 5MG 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, REPAM 5MG TABLET relieves temporary insomnia (sleeplessness) due to anxiety disorder. Off-label uses for REPAM 5MG TABLET include alcohol withdrawal syndrome, insomnia, panic disorder, chemotherapy-associated nausea and vomiting. REPAM 5MG TABLET is not recommended for mild to moderate anxiety and tension related to day-to-day life.

REPAM 5MG TABLET should not be used unless prescribed by a doctor. Depending on your medical condition, you are advised to take REPAM 5MG 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 REPAM 5MG 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 REPAM 5MG TABLET of your own as it may cause withdrawal symptoms. Do not take REPAM 5MG 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. REPAM 5MG TABLET is a habit-forming drug, so there is a risk of dependence on REPAM 5MG TABLET. So, before stopping REPAM 5MG 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 REPAM 5MG TABLET may reduce mental alertness.

REPAM 5MG TABLET helps manage anxiety disorder and relieve symptoms of anxiety, acute alcohol withdrawal, and skeletal muscle spasm. When you take REPAM 5MG 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. REPAM 5MG TABLET benefits people who struggle with anxiety and worries in daily life. Regular intake of the prescribed dose of REPAM 5MG TABLET improves social life, your ability and performance at work, and general wellbeing.

• Daytime drowsiness
• Feeling sleepy (sedation)
• Light-headedness
• Unsteadiness, or dizziness
• Confusion
• Shaky hands or tremors

Taking REPAM 5MG TABLET with opioid pain killer medicines can cause severe drowsiness, breathing problems, coma, and even death. REPAM 5MG TABLET should be taken with extreme caution in patients with a history of alcoholism or drug abuse. Do not take REPAM 5MG TABLET if you have had severe breathing problems, are allergic to REPAM 5MG 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). REPAM 5MG 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. REPAM 5MG TABLET can be used in patients with open-angle glaucoma but is contraindicated in acute narrow-angle glaucoma. REPAM 5MG TABLET should not be given for the treatment of psychotic patients. Abrupt withdrawal of REPAM 5MG TABLET may cause a temporary increase in the frequency and severity of seizures (fit). So, before stopping taking REPAM 5MG TABLET, discuss with the doctor.

Drug-Drug Interactions: REPAM 5MG TABLET may have interacted with antianxiety or antiepileptic medicines (e.g. carbamazepine, fluvoxamine, phenobarbital, phenytoin, primidone), anti-HIV drugs (e.g. amprenavir, ritonavir), acidity medicine (e.g. cimetidine), pills to treat chronic alcoholism (e.g. disulfiram), antibiotics (e.g. rifampicin), anti-Parkinson’s drug (e.g. levodopa), and asthma drugs (e.g. theophylline). Besides this, central nervous system depressant drugs and opioid analgesics or pain killers should be avoided with REPAM 5MG TABLET as they may cause life-threatening conditions.

Drug-Food Interactions: Grapefruit, grapefruit juice and caffeine-containing food or drinks should be avoided as they can affect the working of REPAM 5MG TABLET.

Drug-Disease Interactions: REPAM 5MG TABLET may interact with disease conditions, including obesity, acute alcohol intoxication, closed-angle glaucoma, drug addiction, kidney/liver disease, respiratory depression, prolonged low blood pressure, muscle disease (myasthenia gravis), and severe seizures (fits).

• CARBAMAZEPINE
• FLUVOXAMINE
• PHENOBARBITAL
• PHENYTOIN
• PRIMIDONE
• AMPRENAVIR
• RITONAVIR
• CIMETIDINE
• DISULFIRAM
• RIFAMPICIN
• LEVODOPA
• THEOPHYLLINE

• 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.

• REPAM 5MG TABLET causes drowsiness. Avoid doing activities that require your complete focus and attention, like driving when on this drug.
• An abrupt stoppage of REPAM 5MG TABLET can lead to significant withdrawal symptoms. Always discuss with your doctor about decreasing the dosage before completely stopping its usage.
• Avoid consuming alcohol while on REPAM 5MG TABLET as it can lead to dangerous side effects.
• REPAM 5MG TABLET is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor in such situations about changing/replacing the medicine with safer alternatives.
• To avoid getting addicted to this drug, take it only in prescribed quantities and only as directed by your doctor. Do not self-medicate.

High anxiety levels can cause panic attacks, with intense feelings of nervousness, fear, and sudden onset of sweating, hyperventilation, fast heartbeat, and skin flushing. Anxiety disorders are different from feelings of anxiety and feeling nervous, which involve excessive anxiety, fear, or worry. Fear can arise due to stress and emotional response to an immediate threat related to more staying to fight or leaving to escape danger. Fear before getting ready for the surgery is also a part of short-term anxiety. Anxiety disorders can affect an individual’s job performance, school work, and personal relationships.