Rating of the best analogues of Phenazepam for 2022

Phenazepam is a tranquilizer prescribed for the treatment (relief) of nervous disorders, sleep disorders. It is used to relieve withdrawal symptoms in alcohol and drug addiction.

How does it work

Benzodiazepine - the active substance of the drug, interacts with the GABA receptor, suppressing the transmission of nervous excitation. On the one hand, this is good, on the other hand, benzodiazepines, in addition to relieving the same anxiety, cause lethargy (which reduces efficiency and concentration), drowsiness.

By the way, about drowsiness - Phenazepam is often prescribed for insomnia. But even here everything is ambiguous.The fact is that benzodiazepines can disrupt the structure of sleep (the same fast and slow phases) - a person, of course, falls asleep, but in the morning he feels overwhelmed. The ability of Phenazepam to relax muscles can be deadly for people with heart disease (due to inhibition of cardiac activity).

In general, this drug is serious, not recommended for long-term, and even more so uncontrolled use. Some doctors even insist that such a medicine is best used to treat patients exclusively in hospitals.

What about addiction

Here the opinions of both the patients themselves and the doctors differ. Some argue that you can get used to the pills in a week, while others say that if you follow the dosage and the recommended duration of treatment for a couple of weeks, addiction can be avoided.

There are no open studies on this topic, but the psychotherapist, MD Mark Sandomiersky believes that psychological dependence on phenazepam can occur with constant use of increased doses, physical dependence in patients with sleep disorders, for example. The drug is often given to older people for insomnia, and they end up taking it for years. At risk and people suffering from depression - pills help much faster than a full-fledged treatment by a psychotherapist.

withdrawal syndrome

It usually occurs after long-term use of tranquilizers (8-12 weeks) in a large dosage. Standard symptoms are attacks of unmotivated aggression, hyperactivity, sleep disturbance, anxiety, suicidal thoughts. With the manifestation of such symptoms, treatment with the drug is either stopped or the dosage is gradually reduced.

If you don’t want to be treated later after treatment (a tautology, but the meaning conveys correctly), ask your doctor or look at the instructions for how long drug dependence usually occurs.
On average, 2 weeks is considered optimal. But in the instructions for use for some drugs, this period is increased to 12-20 weeks.

It is important

No one argues with the effectiveness of tranquilizers. But this is probably the last option, when no other method of treatment helps. These drugs are serious with a decent set of side effects. That's why:

First, you do not need to self-medicate, discuss a specific drug and the possibility of taking it only with your doctor.

Second, tranquilizers are incompatible with alcohol. For the period of treatment, you should refrain from any, even low-alcohol drinks. And even more so, do not drink pills with alcohol - this is dangerous, and can end very badly.

Third - about any symptoms (even if they are indicated in the instructions), such as tremor, decreased vision, it is better to tell the doctor right away. Especially if you are taking the pills for the first time. Then the doctor will decide whether to change the dosage or change the medicine.

The last - with depression, it is better to undergo treatment with a psychotherapist or consult a psychologist. Pills relieve symptoms, significantly improve the quality of life, but they will not be able to cope with the problem itself - the cause of depression.

Why do we need analogues

The fact is that in March 2020, a law was adopted to tighten the rules for the circulation of potent drugs. Phenazepam was also included in the list.If earlier the drug was prescribed on a simple prescription form (these are issued for any antibiotics), and pharmacies could sell the medicine without a prescription at all, now doctors will have to issue a numbered prescription to the patient and additionally make an entry in the register.

The law also touched upon the implementation rules - potent drugs must be stored in special metal cabinets, which are not available in every pharmacy. Therefore, according to analysts, pharmacy chains will simply reduce the purchase of Phenazepam.

Rating of the best analogues of Phenazepam for 2022

Complete analogues

Prescription drugs, with serious side effects and a whole range of contraindications. Select the drug, the dosage should only be a doctor. And, yes, this is not glycine, which can be drunk in unlimited quantities - the recommended dose and duration of administration must be strictly observed.

Etaperazine

A neuroleptic based on perphenazine, has a strong antiemetic effect, has a pronounced muscle-relaxing effect. It is indicated for psychotic disorders accompanied by hyperactivity, it is prescribed for the treatment of neuroses, anxiety states accompanied by fear. It copes well with skin itching caused by nervous disorders.

Despite the rather frightening instructions (at least this is what users say about it), Etaperazine acts gently, does not cause drowsiness and lethargy. Good as a sleeping pill - does not affect sleep phases. Of the minuses - side effects in the form of blurred vision.

Contraindications:

• pregnancy - the active substance adversely affects the development of the fetus;
• lactation period;
• diseases of the liver, heart;
• children, up to 12 years old, age.

The doctors' comments on the medicine are positive - it goes well with sedatives, the clinical manifestations of side effects, subject to the dosage, are minimal.

Price - pack of 50 pcs. from 345 rubles, country of origin - Russia.

• soft action;
• lack of addiction;
• a wide range of activities.

• no.

Tranquezipam

Tranquilizer based on bromdihydrochlorophenylbenzodiazepine with anticonvulsant, muscle relaxant, pronounced sedative effect. It is used for the treatment of psychoses, neuroses, psychopathic conditions and also as a premedication, as a component of induction anesthesia.

It is prescribed as a means for the rapid and effective relief of panic attacks. It has a strong hypnotic effect, so it is often used to treat sleep disorders.

Contraindications:

• glaucoma;
• pregnancy (in the first trimester it has a toxic effect on the fetus, which has been proven by clinical trials), lactation;
• severe depression - due to the risk of suicidal tendencies
• age up to 18 years.

Reviews are good. If taken as a sleeping pill - in the morning there is no feeling of "brokenness". With a single dose, it quickly “extinguishes” anxiety, a feeling of fear, without causing a feeling of lethargy.

Price - from 125 rubles per pack of 50 tablets, country of origin - Russia.

• efficiency;
• can be used as a course and one-time;
• quickly cope with insomnia.

• when taken in high doses for a long time causes drug dependence with withdrawal syndrome.

Fenzitat

Based on bromdihydrochlorophenylbenzodiazepine, it has a fast action, is used to treat epilepsy, reactive psychoses, sleep disorders, irritability associated with nervous disorders.

Important: causes drug dependence. According to the instructions - the course of treatment should be no more than 2 weeks. In exceptional cases - up to 2 months, with a gradual decrease in dosage, in order to avoid the manifestation of the withdrawal syndrome.

Side effects of Fenzitat are similar to those of Phenazepam - drowsiness, dizziness, unsteady gait, especially in the first days of administration (often observed in older people). Plus dry mouth, lowering blood pressure.

Contraindications:

• liver failure;
• pregnancy, exception - appointment for health reasons, since the toxic effect of tablets on fetal development has been proven by clinical trials;
• age up to 18 years;
• severe depressive state - with regular use, it can worsen, suicidal thoughts can be added to the main symptoms.

The reviews are not bad - it acts quickly, relieves anxiety well, helps to fall asleep, cope with alcohol addiction due to the sedative effect. Of the minuses - it slows down the reaction, can cause lethargy, so it's definitely not suitable for drivers.

Price - 150 rubles, country of origin - Russia.

• price;
• efficiency;
• can be used one-time, as a sedative in emergency situations, accompanied by severe stress.

• addictive.

Analogues with a similar effect

Sonapax

The main active ingredient is thioridazine hydrochloride. Sold in dosages of 10 and 25 mg.It is indicated for psychotic states accompanied by hyperactivity, has a moderate sedative effect, does not cause lethargy. It is prescribed to treat depression, reduce anxiety, sleep disorders.
Of the significant disadvantages - a clear lethargy (according to users, reminiscent of "failures") after taking, drowsiness, impaired concentration. Some report tremor after 2-3 days of use.

Standard contraindications:

• heart diseases;
• acute depression;
• adequate studies on the effect of the drug on the fetus have not been conducted. Therefore, pregnant women are prescribed pills in emergency cases.

Sonapax can be used to treat children over the age of 1 year and adults. The dosage is chosen by the doctor individually, depending on the patient's condition, the medications taken.

Price - 500 rubles per pack of 60 pieces, country of origin - Poland.

• availability;
• broad-spectrum drug;
• suitable for adults and children;
• there is no mention of addiction in the instructions for use.

• side effects;
• many contraindications.

Grandaxin

It is indicated for the treatment of neurotic conditions accompanied by apathy, lethargy, obsessive-compulsive disorders, anxiety. Unlike Phenazepam in minimal therapeutic doses, it does not cause drug dependence (neither psychological nor physical). It can be used to reduce irritability, acts quickly, and has been successfully used to treat depressive conditions.

Contraindications:

• history of respiratory arrest;
• pregnancy, lactation - in the second case, if the use of the drug is necessary for health reasons, it is recommended to stop breastfeeding;
• nervous conditions accompanied by increased aggressiveness - the effect of the application may be the opposite of what is expected with an increase in symptoms.

A common side effect is headache. Otherwise, it’s a good analogue, given that out of 15 reviews, none of the users noted negative consequences even after abrupt withdrawal of the drug.

Price - 600 rubles per pack of 20 tablets, country of origin - Hungary.

• fast action;
• not addictive;
• can be taken once.

• incompatible with a large number of drugs;
• price.

Phenibut Oline

A broad-spectrum drug - is prescribed for the treatment of insomnia, psychotic and psychopathic disorders, as an auxiliary therapy for the treatment of childhood enuresis, prevention of kinetosis (sickness). Compatible with other psychotropic drugs, enhances the effect of neuroleptics, sedatives.

Side effects with the right dosage are mild. True, Phenibut, like any tranquilizer, reduces the reaction rate. Therefore, the instructions indicate that for the duration of treatment it is recommended either to refrain from potentially dangerous activities that require a quick psychomotor reaction. Or draw up a medication regimen taking into account this feature.

One contraindication is pregnancy. Use with caution in patients who have suffered serious traumatic brain injury, suffering from liver failure.

Price - 850 rubles per pack (20 pieces), country of origin - Latvia.

• compatibility with neuroleptics;
• minimum contraindications;
• suitable for children.

• price.

Atarax

Based on a derivative of diphenylmethane with a pronounced sedative, moderate antihistamine effect, prolongs sleep, improves memory and concentration.

It is indicated for neurosis, accompanied by an increased level of anxiety, insomnia. Quickly relieves itching with hives, eczema. Does not cause addiction, withdrawal syndrome upon discontinuation.

Contraindications:

• dementia,
• arrhythmia (in history), or taking medications that can cause it;
• chronic constipation;
• pregnancy.

With caution, Atarax is prescribed to elderly patients (individual dosage adjustment is necessary), people diagnosed with increased intraocular pressure.

Reviews are good. Users note almost instant action, reduced nervousness and improved sleep. Atarax also copes with panic attacks at once. As for drowsiness - everything is individual. Someone notes that after taking it during the day, it makes you sleepy, but the effect disappears after 20 minutes. Someone feels sleepy throughout the day even from half the prescribed dosage. So here everything is individual, depends on the characteristics of the organism. In general - a good tranquilizer, not addictive, at an adequate price.

Price - 125 rubles, country of origin - Belgium.

• affordable cost;
• copes with panic attacks, eliminates obsessive states;
• increases the duration of sleep, without unpleasant consequences.

• there are no special ones.

As a result, we get that it is not difficult to find a replacement for Phenazepam. There are affordable, budget options that are in no way inferior to him in terms of efficiency.The main thing is not to take them uncontrollably in every stressful situation (over-the-counter Afobazol will perfectly cope with neurosis associated with troubles at work), and for depression, do not rely only on drug treatment.