Phenazepam as a narcotic - effect on the body

1. General information
2. Historical facts
3. Effect on the body
4. How to recognize a drug addict
5. Tests for Phenazepam
6. How long does it stay in the body?
7. How long do drug addicts live?
8. Analogs
9. How to speed up elimination at home
10. Detoxification in hospital
11. Perdose
    How to recognize and what to do
12. Rehabilitation
13. Coding
14. Why you can’t undergo rehabilitation at home or on an outpatient basis
15. Resocialization and work with codependents
16. How to quit on your own

Attention! Drug use causes irreparable harm to health and poses a danger to life!

General information

The drug phenazepam is a typical tranquilizer. It is used to normalize sleep, combat anxiety, and relieve convulsive syndrome in epilepsy. Fenozepam is available in injection form or in tablets. All central effects of the drug are achieved through stimulation of benzodiazepine receptors.

The effect of the drug extends to the reticular formation, nonspecific centers of the thalamus and the amygdala complex. The muscle relaxant effect is based on the ability to block spinal reflexes. The tranquilizer is well absorbed through the gastrointestinal tract, after which it is metabolized in the liver and excreted by the kidneys.

Phenazepam is available without a prescription. Doctors sometimes prescribe it to improve sleep, relieve anxiety during performances or in extreme situations. The first aid kit always contains Phenazepam in injection form to relieve seizures in epilepsy or damage to the central nervous system.

All drugs from the benzoidazepine group cause sleep lasting up to 6-8 hours. But the longer the sleep, the stronger the drowsiness, fatigue and depression will be during the next day after taking the drug.

Taken from: Pharmacology, tenth edition by D.A. Kharkevich

The drug is not considered a drug, but addiction can develop from it. In addition, with each subsequent dose, to achieve the desired effect, it is necessary to increase the dose. If you increase the dosage without consulting a doctor, this will lead to acute drug poisoning with possible death.

Drug Phenazepam

The effect of phenazepam is similar to intoxication with alcoholic drinks, so former alcoholics often switch to this drug. However, they do not think that this tranquilizer has an extremely negative effect on the nervous system and irreversible mental illness.

When you first take a psychoactive substance, a feeling of relaxation comes, relaxes the muscles, so the addict can feel lightness and serenity. The drug greatly slows down the functioning of the nervous system, so the person becomes inhibited, all reflexes are dulled, and problems arise with the perception of sounds and visual images.

What is Phenazepam?

Phenazepam is a powerful tranquilizer with a very crude effect, which has a lot of side effects and leads to the formation of severe addiction. In the mid-20th century, it was used to treat insomnia, anxiety, and as an anticonvulsant for epilepsy. It is produced in tablets or injections for intramuscular administration. The therapeutic effects of the drug are due to the effect of the active substance on benzodiazepine receptors.

The stimulating effect of the substance penetrates the reticular formation, nonspecific centers of the thalamus and the amygdala complex. The sedative effect is achieved by blocking spinal reflexes. The active substance is distributed throughout the body through the gastrointestinal tract, processed in the liver and excreted by the urinary system.

HOW TO MOTIVATE A DEPENDENT FOR TREATMENT

Composition of Phenazepam

The active component of phenazepam is bromodihydrochlorophenylbenzodiazepine .

This active substance blocks the work of many receptors and inhibits the activity of neural connections. Due to this, anti-anxiety, sedative and anticonvulsant effects are achieved. The drug has multiple contraindications and can cause addiction.

Photo of the drug: what it looks like

Effect of Phenazepam: narcotic effect

Pharmacy addicts regularly use the drug to achieve a feeling of euphoria and tranquility, but obtaining a sedative is not easy (a prescription from your doctor is required). This effect on the body is due to the fact that the active substance belongs to the group of benzodiazepines. After entering the blood, it slows down polysynaptic spinal reflexes and also minimizes the excitability of subcortical brain structures. Because of this, attacks of anxiety and aggression are reduced. But the active substance is highly addictive because it works like a drug:

Lifts your mood and eliminates anxiety. A person feels liberated and forgets about all troubles.

There is a general inhibition of all processes in the brain, so the reaction to external stimuli decreases.

The muscles relax, which leads to the elimination of physical tension. A person feels so light, as if he has returned to childhood.

Duration of action of Phenazepam

The duration of action of a tranquilizer on the body depends on the individual characteristics, form and dosage taken. If you follow medical recommendations, the sedative effect will last for 3-6 hours. A person begins to feel the effect of the tablets 15-20 minutes after taking the drug.

When Phenazepam is combined with other sedatives, alcohol and drugs, the effect of the drug is greatly enhanced and its duration increases. Even smoking has an effect on the drug, so doctors recommend limiting tobacco during treatment. All these experiments have an extremely negative impact on the functioning of the nervous system and brain, leading to mental disorders and even death in case of overdose.

Why is the drug in demand among drug addicts?

Daily use of narcotic substances depletes not only the body's reserve forces, but also the wallet. Drug addicts spend all their money buying drugs. But with constant use, they cause psychological, chemical and physiological dependence. People increase their dosage but still experience nausea, headaches, joint pain, depression and insomnia.

Side effects of Phenazepam: why it’s dangerous

You can identify a pharmacy drug addict by 5 signs:

• Unsteadiness of gait is observed. It seems as if a person is floating in space.
• There is no reaction to light. The pupils are greatly dilated. The eyes become red and itchy due to dryness.
• The epidermis acquires a bluish tint and turns pale.
• Emotional swings are very frequent. An unreasonable smile appears, which is replaced by aggression and hysteria.
• Bad breath appears due to the fact that the function of the gastrointestinal tract is disrupted and a thick layer of plaque forms on the tongue.

If a neurologist or psychotherapist has prescribed Phenazepam for you, then take it strictly according to the instructions and familiarize yourself with all the side effects and contraindications in advance. Do not increase the duration of use and dosage, because the drug is addictive and negatively affects brain function.

IMPORTANT: it is not advisable for addicted people who are in remission to take Phenazepam, since due to addiction they can take the tranquilizer in handfuls.

Dependent people tend to take tranquilizers in large quantities and mix the use of Phenazepam with alcohol or drugs.

After undergoing treatment and a rehabilitation program for addicts , a person can recover and start a new life.

Historical facts

The drug was invented in the 1970s. The developers who received the state order for the new medicine were the scientific directors of the departments of pharmacology from the Odessa Institute of Physics and Chemistry. After successful research and launch of the drug on the market, the group of voters received the USSR State Prize.

The peak use of the drug came at the end of the 80s, when facts of abuse of barbiturates were published and proven. Phenazepam and its analogues have become alternative drugs with similar effects but fewer adverse reactions.

Effect on the body

After the drug binds to benzodiazepine receptors and the reticular formation, the patient becomes calm and anxiety is eliminated. Then drowsiness appears, smoothly turning into sleep. In addition, the effect of the drug on limbic structures, reflex connections and the thalamus leads to the fact that the drug has the following effects:

• reduces feelings of fear;
• relieves irritability;
• increases emotional lability;
• reduces the manifestation of phobias;
• relieves alcohol and drug withdrawal syndrome;
• relieves muscle spasms;
• prevents nervous tics.

But you should be careful when using Phenazepam. It has a pronounced toxic effect on the liver and heart. If this tranquilizer is abused, the following disorders may occur:

• increased drowsiness, feeling tired;
• nausea and vomiting;
• dizziness;
• fast fatiguability;
• hematopoietic disorders (leukopenia, thrombopenia);
• urinary retention or incontinence;
• epileptic seizures;
• visual impairment;
• depression;
• constipation or diarrhea;
• increased activity of liver enzymes, jaundice;
• dysmenorrhea;
• hallucinations.

To achieve a narcotic effect, Phenazepam is not used in isolation. More often it is combined with other drugs to enhance the result. When the pharmaceutical dose is increased by 2-4 times, the patient's condition becomes the same as with alcohol intoxication or an overdose of barbiturates. But the negative effects and disruption of internal organs are tens of times stronger.

At the moment, benzodiazepanes are the most adequate means to combat insomnia, which is caused by emotional tension, stress, anxiety and worry.

Taken from: Pharmacology, tenth edition by D.A. Kharkevich

Adverse reactions

Phenazepam may cause side effects. They occur more often at the beginning of treatment and can take the form of:

• fatigue;
• drowsiness;
• dizziness;
• impaired ability to concentrate;
• unsteady gait;
• slower reactions;
• confusion;
• depressed.

It may also cause side effects on the hematopoietic, digestive and genitourinary systems. Consequently, a person may encounter:

• anemia;
• thrombocytopenia;
• leukopenia;
• dry mouth;
• heartburn;
• decreased appetite;
• stool abnormalities;
• jaundice;
• urinary incontinence/urinary retention;
• decreased libido.

Sudden withdrawal increases the excitability of the central nervous system, which leads to irritability, nervousness, smooth muscle spasms, insomnia, tremor, and depression.

How to recognize a drug addict

As with any addiction, a drug addict can be in two states: the effects of the drug and the state of withdrawal. In the first case, the patient will be sleepy, lethargic, and answer questions slowly. A person can sleep for a long time. Drug addicts under the influence of Phenazepam react inadequately to external stimuli, they have an increased pain threshold, impaired breathing and a slow heartbeat.

The picture resembles intoxication with alcohol, but there is no smell or bottles of alcohol. But near such a drug addict you can find various packages of medicines and empty packages of pills.

In the case of withdrawal, the opposite is true. The peculiarity of taking tranquilizers is that they cannot be abruptly stopped. If a drug addict runs out of a new dose of medication, he will suffer from insomnia and his general condition will be anxious. Nervous tics will appear, the addict will move into the aggressive phase. When searching for a dose, such a person can deceive those closest to him, sometimes even hit them.

It is difficult to reliably recognize that a person is dependent on tranquilizers. Therefore, the best way to determine drug addiction is testing. Only in this way can you either confirm or eliminate your suspicions.

Tests for Phenazepam

You can check for the presence of benzodiazepines in the body using a conventional rapid test. The cost of these tests is from 40 to 100 rubles. Urine is tested at home; blood testing is carried out only in laboratories.

Please note that the effect of phenazepam is similar to other narcotic substances, therefore, in parallel with the test for benzodiazepines, a rapid test is carried out using a tablet for 10 drugs. This allows you to quickly check traces of narcotic substances and, if necessary, request laboratory confirmation.

Laboratory confirmation must be done if a person committed an offense under the influence of a drug. The results of rapid tests have no legal force.

To study biomaterials of a drug addict, methods of enzyme immunoassay, gas chromatography-mass spectrometry or gas-liquid spectrometry are used. These methods are written down in the relevant decrees, and can be used in court as a confirmed diagnostic method.

Phenazepam is quickly eliminated from the body through the kidneys, so it is important to know how much time has passed since the last use of the drug.

Please note that there is no specific test for Phenazepam. There is a test for benzodiazepines. If the patient took any drug from the benzodiazepine group (including Phenazepam), the result will be positive.

Contraindications

Phenazepam has the following contraindications:

• myasthenia gravis;
• coma;
• shocking;
• angle-closure glaucoma;
• alcohol/drug poisoning;
• acute respiratory failure;
• severe depression;
• first trimester of pregnancy;
• lactation;
• under 18 years of age;
• intolerance to ingredients.

In conclusion, phenazepam is not used to treat high blood pressure. It can only be used if the increase in blood pressure occurs due to psychological factors. However, it should be taken with caution and strictly follow the doctor's instructions.

How long does it stay in the body?

The rate of elimination from the body depends on the ability of the liver to process the components of the drug. On average, tranquilizers are eliminated in 3-5 days. But the exact period depends on both the period of use and the age of the addict.

It is necessary to consider whether it was taken together with other drugs or alcohol. All this slows down the functioning of internal organs and leads to a slower elimination of the drug from the body.

Phenazepam is excreted through the kidneys, so the best method is to test your urine. Metabolites of the drug can be found in urine within 3-4 days. In the blood - 12-18 hours. There are no other data on hair or saliva testing for Phenazepam.

Get help now

Do any of your relatives or friends have an addiction? Have you tried in every possible way to help, but as a result the person still returned to his past life?

You are not the first to encounter this problem, and we can help you.

We guarantee anonymity, we will persuade you to undergo treatment, and we will help you choose a center.

Call us

+7

or

Call me

Composition and pharmacological properties

The active substance is bromodihydrochlorophenylbenzodiazepine. Phenazepam has the following properties:

1. Anxiolytic (anxiolytic). It suppresses the activity of the area of ​​the brain that is responsible for emotions. This eliminates the feeling of fear and anxiety.
2. Calming. The central nervous system is stabilized by suppressing emotional disorders. The person becomes calm, less susceptible to external factors.
3. Hypnotic. Taking the drug inhibits brain activity, facilitating the process of falling asleep and reducing the frequency of night awakenings.
4. Muscle relaxant. It suppresses the activity of nerve cells responsible for maintaining muscle tone.
5. Anticonvulsant. Cramps are uncontrollable painful muscle contractions. They can occur with a variety of medical conditions, including high blood pressure. By suppressing nerve cells, seizure activity stops and the risk of further seizures is reduced.

Taking phenazepam is recommended for people with:

• mental states accompanied by increased anxiety, feelings of restlessness, unstable emotionality, irritability;
• psychiatric trauma;
• Vascular dystonia;
• hypochondriacal-senestopathic syndrome;
• increased muscle tone;
• sleep disturbance;
• nervous tics.

The effect of taking the drug is observed within 40-50 minutes. The maximum effect occurs after 1.5-2 hours. Its elimination from the body takes a long time (about a week). With prolonged use it causes drowsiness, lethargy and delayed reactions.

How long do drug addicts live?

Life expectancy with tranquilizer abuse reaches 3-4 years. But the higher the dose and the more often it is taken, the fewer years the addict has to live. In pharmaceutical doses, the drug does not affect internal organs and the nervous system. If you systematically exceed the permissible limit, irreversible changes will occur in the cerebral cortex. Liver cirrhosis with chronic liver failure may develop.

Phenazepam damages the kidneys, causing chronic kidney disease (CKD or kidney failure). When decompensation occurs in the functioning of the kidneys and liver, a person dies, even if assistance is started.

Phenazepam poisoning

Drug addicts who take tranquilizers live on average no more than 3-4 years. As the dosage increases, the allotted time is greatly reduced. With constant exposure to large dosages of the drug on the cerebral cortex, irreversible changes occur in it. Therefore, many phenazepam drug addicts end up in psychiatric clinics and remain incapacitated for the rest of their lives.

Poisoning of liver cells by metabolites formed when using the drug leads to the death of entire sections of the organ. Cirrhosis of the liver often develops with pronounced liver failure.

The drug also leads to kidney disease, causing kidney failure. With decompensation in the work of these two organs, death occurs, which even timely medical care cannot prevent.

Weakness from use

The drug has a strong depressant effect on the nervous system, leading to insomnia, drowsiness, fatigue, weakness and dizziness, severe headaches, weakened attention and memory, confusion, problems with coordination and orientation in space, convulsions and sudden mood swings. With prolonged use, hallucinations occur and a coma may occur.

Reduces blood pressure

The drug slows down all processes in the body, leading to a decrease in blood pressure and slower blood flow. This “sedative” effect leads to metabolic processes being disrupted, cells begin to starve, and blood vessels narrow.

Pregnancy and phenazepam

Treatment with phenazepam is strictly prohibited for pregnant and lactating women, since the active substance easily penetrates the placenta and breast milk and leads to destruction of the baby’s nervous system and brain. Even in cases of extreme necessity (epileptic seizures, psychosis), doctors choose analogues with a milder effect, for example, clonazepam or fluoxetine. In a desperate situation, when a woman’s life depends on the drug, it is used, but it is recommended to terminate the pregnancy.

In the course of ongoing research, it was scientifically proven that the drug provokes the development of congenital anomalies, such as cleft palate and cerebral palsy. Stillbirths and miscarriages are possible.

Analogs

In terms of their effect on the body, barbiturates are analogues of benzodiazepines. They act similarly on the central nervous system and have the same effect on internal organs.

In terms of chemical composition, all drugs from the benzodiazepine group are analogues of Phenazepam, for example:

• Fezanef;
• Phenorelaxan;
• Elzepam;
• Gidazepam;
• Clobazam;
• Lorazepam.

Among drugs, opiates cause similar effects. They also inhibit processes in the central nervous system, but the mechanism for the development of these effects is different.

How to speed up elimination at home

Breeding at home can be hazardous to health. During the rapid release of the drug and its metabolites, rebound syndrome may occur. This means that all inhibitory effects that the drug had will be suppressed by antagonistic mediators. That is, if Phenazepam relaxes the muscles, then if it is abruptly discontinued, cramps may begin. The same applies to sleep and other functions that are affected by tranquilizers.

It is better to limit withdrawal at home to 3-4 procedures and carry it out only in case of an overdose caused by a desire to get drug intoxicated or during a suicide attempt. In other cases, if there are no symptoms of overdose, there is no need to accelerate the elimination of the drug.

Algorithm of actions:

• Rinse the stomach. You can do this by drinking plenty of water, up to two liters of water, and then mechanically induce vomiting (press the root of the tongue with two fingers). This procedure must be repeated 2-3 times. They are effective in the first hour and a half after taking the tablets.
• Take sorbents. It is recommended to take one tablet of activated carbon per 10 kilograms of body weight. You can do more, there will be no harm from the sorbents.
• Drink plenty of fluids to speed up kidney function. This technique is called forced diuresis. Due to heavy drinking, the fluid that is excreted by the kidneys will “pull back” some of the drug metabolites.

If after these procedures lethargy remains and the person is inhibited, you can brew him strong coffee. Caffeine stimulates the nervous system and “unblocks” some of the nerve synapses that inhibit the reaction.

It is better to speed up the elimination of the drug in a hospital setting. Then it is possible to monitor the patient’s general condition and carry out specific therapy with antidotes. In addition, in cases of life-threatening symptoms, emergency medical care can be provided.

Indications for taking phenazepam

• Neuroses.
• Personality disorders.
• Reactive states (adaptation disorders).
• Anxiety disorders:
• Obsessiveness.
• Senestopathies
• Insomnia, early awakenings.
• Withdrawal syndrome (withdrawal state) with physical dependence on alcohol, drugs and other psychoactive substances.
• Epilepsy
• Increased muscle tone in neurological diseases.
• Premedication before induction of anesthesia.

You can read detailed instructions here

The drug can be taken orally, intramuscularly or intravenously. The average daily dose is 4 milligrams. It is recommended to take no more than 10 (in exceptional cases no more than 30) days in a row due to the risk of developing dependence.

Side effects: daytime drowsiness, prolongation of sleep, dizziness, coordination disorders, decreased attentiveness and reaction speed, decreased memory, nausea, heartburn, allergies, development of mental and physical dependence.

Dependence on phenazepam is one of the dangerous complications from uncontrolled use of this drug. First, a mental dependence is formed: an obsessive desire to take it and the feeling of satisfaction when using it. Later - physical dependence: when you stop taking it continuously, the condition worsens sharply, withdrawal syndrome develops - “withdrawal”

This drug is prescribed by a doctor according to special prescriptions (form 148-1/U-88), and is sold in pharmacies upon presentation of this prescription.

Detoxification in hospital

In the hospital, first of all, gastric lavage is performed using a siphon. In this way, you can cleanse the entire stomach without artificially stimulating the vomiting center. After gastric lavage, sorbents (activated carbon, Smecta, white carbon) may be prescribed.

Instead of drinking plenty of fluids in the hospital, infusion therapy with 5% glucose and saline is carried out. This helps remove drug toxins from the liver and kidneys. This way, cleansing occurs faster and symptoms of poisoning or overdose disappear.

The next step is to prescribe specific antidotes to benzodiazepines. These are the following:

• Mesocarb;
• Flumazenil.

Both drugs must be calculated correctly. If the dosage is incorrect, it can only make things worse.

If possible, in a hospital or special rehabilitation clinics, the blood is purified using an “artificial kidney” device, and the patient is sent for hemodialysis. All methods are based on hardware blood purification; they are relevant for detoxification. Although there is evidence that in case of an overdose of Phenazepam, hemodialysis is ineffective.

It has been established that among all drugs from the benzoidazepine group, Phenazepam is one of the best anxiolytics.

Taken from the scientific article: “The effectiveness of phenazepam as part of complex therapy in patients with anxiety-depressive syndromes.” Authors: M.E. Statsenko, O.E. Sporova, O.A. Talker.

Overdose

An overdose of Phenazepam most often occurs for three reasons: an overdose when increasing the dose on your own, when trying to get drug intoxicated, and when attempting suicide.

An overdose always occurs. This is due to the fact that with each subsequent dose of the drug, receptor insensitivity to its active substances occurs. This process is called the development of tolerance. That is, with each subsequent reception the severity of the effects is less, and they end faster.

If help is not provided in time, a person may die from respiratory failure or cardiac arrest.

How to recognize and what to do

In case of an overdose of any drug from the group of tranquilizers, the following symptoms will immediately appear:

• depression and confusion;
• decreased blood pressure;
• slowing and stopping of the heart;
• slowing and stopping breathing;
• nystagmus;
• convulsions or tremors of the limbs;
• decreased response to tendon reflexes.

With such symptoms, a coma develops, and the person dies without treatment. The main help is gastric lavage, taking sorbents and intravenous administration of a specific antidote: flumazenil.

If necessary, artificial respiration and chest compressions must be performed before the ambulance arrives. You need to press on the chest at intervals of 2 times in 1 second. You need to inhale air into the person’s mouth or nose every 30 presses.

Rehabilitation

Considering that physical dependence on Phenazepam practically does not develop, the main task of rehabilitation is the psychological restoration of the individual, programming a new style of behavior, the patient’s adaptation to society and working with codependent people.

In complex addiction therapy, the location where rehabilitation is carried out plays a role. As a rule, at home or with friends, any attempts to quit end with taking the same drugs or other drugs with a similar effect.

Antidepressive therapy is sometimes added to the rehabilitation complex. With the right dosage, this is a good technique that allows you to get rid of the consequences of depletion of your own mediators.

Coding

Coding doesn't work with dependencies. More than 1000 studies have shown that this method has no evidence base and its use is not rational. Therefore, we can conclude that specialists engage in coding solely for personal gain. The best method of treatment is the correct rehabilitation complex. Coding, hypnosis and similar methods do not work.

Why not at home or on an outpatient basis?

With abrupt withdrawal of Phenazepam, rebound syndrome occurs. This means that without the drug, all the processes that were inhibited by the drug will become 3-4 times more intense. This leads to convulsions and even loss of consciousness. Therefore, you need to quit gradually, under the control of tests and after consultation with a specialist.

In an outpatient setting, it is very difficult to monitor whether the patient is complying with the rehabilitation program. At home, there are no barriers or incentives that force you to stop using drugs. In addition, home conditions mean constant contact with possible active drug addicts. If communication is not stopped, the person will not leave on his own.

Another disadvantage of home rehabilitation is the presence of constant conflicts with family members. Conflict situations become reasons for relapse or even switching to harder drugs.

The only option for outpatient treatment is when a person has been using for 1-2 months and the dependence is mild.

Working with codependents and resocialization

Resocialization is a person’s path to a new social life. Without restoration of the social role, a breakdown may occur. Addicted addicts need constant communication, work for distraction and emotional return from friends, colleagues, and family members. This way a person will realize that he has something to live for and limit himself from drugs.

If this is not done, after a short period of time a breakdown may occur due to melancholy or depression. These are frequent cases, and they are dangerous because after the next breakdown it becomes increasingly difficult to achieve remission in addiction.

In order to minimize disruptions, they work with codependent people, that is, loved ones and family members. During such work, codependent people learn how to correctly shape their behavior and how to help the patient quit drug use forever.

Only close people have constant contact with the addict. They should play the role of psychologists with whom the patient can share his experiences without keeping anything to himself. This minimizes the risk of disruption and restores harmonious relationships between family members. Therefore, without working with codependents, rehabilitation is considered incomplete.

How to quit on your own

You really have to want it. If I quit, then immediately without such excuses: starting Monday, tomorrow, the last time, I’ll quit. In the case of drugs, the reservations do not apply. You need to be prepared for withdrawal, during which there will be a strong desire to use the drug, and without use, depression and even suicidal thoughts may appear.

It is necessary to limit contact with anyone who is an active drug addict, even if they are taking other substances or medications. Such people are a constant temptation to relapse. You cannot change one drug for another because you will end up dependent on two drugs.

It is necessary to monitor health indicators, liver and kidney function. Your attending physician will tell you about the regularity of liver tests and creatinine clearance. In any case, treating addiction on your own is difficult and dangerous. If possible, it is always better to consult with specialists in the field of addiction.

What are the consequences of using Phenazepam with alcohol?

Phenazepam can be used as a complex treatment for alcoholism to relieve withdrawal symptoms. A prerequisite for successful treatment is complete abstinence from drinking alcohol. If a person does not follow the doctor’s recommendations and continues to drink alcohol, the following consequences are possible:

• confusion;
• slowing down the respiratory rate;
• development of bradycardia;
• dyspnea;
• feeling of lack of air;
• decreased blood pressure;
• pronounced tremor;
• drowsiness;
• speech disorders;
• lack of coordination of movements;
• very tired.

In the presence of concomitant pathologies and due to an overdose of Phenazepam, the joint use of alcoholic beverages can lead to death.

Alcohol consumption also increases the likelihood and severity of side effects:

• memory and intelligence impairment;
• psychomotor agitation;
• attacks of anger and aggression, increased irritability;
• hallucinations;
• suicidal thoughts;
• severe insomnia;
• severe headaches;
• uncontrollable vomiting;
• liver damage;
• damage to the urinary system.