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A panic attack is an irrational, uncontrollable, intense, tantalizing panic attack accompanied by various somatic, psychological symptoms generic valium price, with cognitive and behavioral effects. In modern medicine buy valium online, a panic attack is also described by the terms: "vegetative crisis", "sympathoadrenal crisis", "vegetovascular dystonia with a crisis course", "neurocirculatory dystonia", "cardioneurosis", which reflects a variety of manifestations of disorders in the autonomic nervous system diazepam online. Panic disorder is introduced in ICD-10 (code F41.0).

To develop a strategy for how to get rid of panic attacks, the degree valium 10mg of severity of panic disorder is assessed on a scale (Zang scale for self-assessment of anxiety). Attacks of panic attack can arise as a result of a real cause (a dangerous situation for a person life) diazepam for sale online, so they can valium prescription be contrived (formed under the influence of the work of the subconscious). In the absence of timely, adequate, comprehensive treatment valium prescription, panic attacks can lead to a chronic disorder or develop into more serious mental problems valium online overnight. With appropriate therapy, panic attacks are amenable to successful treatment. It is possible to significantly reduce or completely valium for sale eliminate the symptoms of the ailment, allowing the patient to regain control over mental activity order valium online and lead a full life.

Panic Attacks: Symptoms

The symptoms of a panic attack in most cases are clearly buy valium online pronounced physical character, symptomatically similar to a heart attack, so many are inclined to assume that they have a heart pathology. However, even the strongest vegetative manifestations during a panic attack are a consequence of impairment of the functions of the nervous system and the brain. A panic attack is characterized by an attack of panic fear generic valium pills (phobic anxiety) valium 10mg, accompanied by a feeling of internal tension, manifested diazepam price by a variety of somatic (bodily) symptoms:

  • Tachycardia (an increase in the number of cardiac contractions);
  • Hyperhidrosis (increased sweating);
  • Chills, muscle tremor;
  • Tides (instantaneous sensations of heat);
  • Physiological or dystonic tremor;
  • Dispno (shortness of breath, shortness of breath, sensation of lack of air);
  • Asphyxiation (suffocation);
  • Irradiation of pain in the left side of the chest;
  • Abdominal pain syndrome (abdominal pain);
  • Stool disorders (diarrhea, constipation);
  • Nausea, urge to vomit;
  • Increased urination;
  • Feeling of a coma, foreign body in the throat;
  • Paresthesia (sensation of numbness, tingling in the limbs);
  • Dysbasia (gait disturbance);
  • Impairment of hearing and / or vision valium online overnight;
  • Dizziness, pre-occlusive condition;
  • Increased blood pressure buy diazepam online fast delivery.

Also panic attack in most cases is accompanied buy valium online no prescription by psychological symptoms, cognitive and behavioral disorders:

  • Derealization (sensation of unreality, indistinctness, alienation of the surrounding reality);
  • Depersonalization (alienation from valium online pharmacy one own mental processes);
  • Disorientation (lack of ability to think clearly), confusion;
  • Obsessive fear of going insane, fear of schizophrenia valium for sale, fear of stopping to control one actions (details about fear);
  • Thanatophobia (fear of death);
  • Insomnia (insomnia), intermittent sleep, nightmarish dreams;

International non-proprietary name: Diazepam for sale cheap price.

Product: tablets.

Description: white or almost white tablets, flat-cylindrical, with a facet and a risk on one side.

Auxiliary substances: lactose monohydrate, povidone K-25, calcium stearate, potato starch. Pharmacotherapeutic group: Anxiolytic agents. Benzodiazepine derivatives generic valium.

Pharmacological properties

Active substance buy diazepam online belongs to the group of drugs benzodiazepine series (tranquilizer), which have anxiolytic, sedative, miorelaxing, and also anticonvulsant properties. The mechanism of action of diazepam is due to the stimulation of benzodiazepine receptors, which leads to an intensification of the inhibitory effect of γ-aminobutyric acid (GABA), which is the main inhibitory neurotransmitter buy valium online over the counter of the brain.

Pharmacokinetics

Suction. After ingestion, diazepam for sale is rapidly and completely absorbed from the gastrointestinal tract: the maximum diazepam content in the blood plasma is reached within 30-90 minutes. With intramuscular injection, there is also complete absorption, but not always faster than the oral route of administration. Distribution. Diazepam and its metabolites are highly associated with plasma proteins (diazepam 10mg tablets - 98%). Diazepam and its metabolites are able to penetrate through blood-brain and placental barriers. These substances are also found in breast milk in concentrations corresponding to 10-20% (diazepam valium prescription ) valium 10mg over the counter and 10-30% (diazepam cost) of their concentrations in the mother plasma order valium online. The volume of distribution in the equilibrium state is 0.8-1.0 l / kg. Half-life is up to 3 hours.

Metabolism. Diazepam is metabolized to pharmacologically active nordiazepam (T ½β = 96 hours), hydroxydiazepam and oxazepam. Oxidative metabolism of diazepam depends buy valium online on CYP3A isoenzymes and CYP2C19. Oxazepam and temazepam can be additionally conjugated with glucuronic acid. Excretion. The elimination is biphasic and consists of an initial phase of distribution with a half-life period of up to 3 hours and a terminal elimination phase (T ½ to 48 hours). It is excreted mainly by the kidneys (about 70%) mainly in the form of conjugated or free metabolites. Kidney clearance of the drug is 20-30 ml / min. Pharmacokinetics in special groups of patients. Half-life can be increased valium 10mg price in newborns, elderly people and patients with liver disease.

With renal failure, the half-life of diazepam 10mg tablets remains unchanged. With repeated use, there is a significant accumulation of diazepam and its active metabolite buy diazepam online generic valium. It is recommended to check the need for dose reduction after a week of treatment with generic diazepam for sale.

Indications for use

Symptomatic treatment of anxiety, anxiety and tension in mental and hereditary diseases and transient situational mental disorders. As an auxiliary for the treatment of anxiety in organic mental disorders. Anxiety can be manifested in the form of anxiety, restless behavior and / or in the form of functional vegetative or motor symptoms (heart palpitations, sweating, insomnia, tremors, anxiety, etc.).

As an aid to facilitate reflex spasm of muscles at the site of injury (trauma, inflammation), to treat spastic conditions with spinal injury and supraspinal order valium online interneurons, to relieve cerebral spasms and paraplegia, as well as athetosis and rigidity. Alcohol abstinence syndrome: anxiety cheap valium for sale internet valium for sale, tension, agitation, tremor, transient reactive states.

Dosing and Administration

The tablet can be divided into two equal parts, to facilitate dosing. Adults. Inside. To achieve maximum effect, the dosage should be selected individually. The usual daily dosages given below meet the needs of most patients, however, some patients may require higher doses. In such cases, the dose should be increased cautiously, to avoid side effects valium 10mg over the counter. A single dose should not exceed 10 mg. The time of taking the drug depends on the individual characteristics of the patient valium price cheap. With multiple admission a large dose is recommended in the evening buy valium online. Anxiety disorders and anxiety symptoms decrease: 2.5-10 mg 2-4 times a day.

Spasms of skeletal muscles: 2.5-10 mg 3-4 times a day.

Alcohol abstinnet syndrome: 10 mg 3-4 times a day in the first 24 hours, followed by a decrease to 5 mg 3-4 times a day as needed. Elderly patients or weakened patients. Treatment no rx order valium online should begin with half the usual dose for adults (2.5 mg 1-2 times a day) and, if necessary, gradually increase, based on tolerability. These patients should be examined before starting treatment with the drug and undergo regular medical supervision. It is recommended to re-examine a week after starting the drug. To prevent an overdose, reduce the dose or increase the interval generic valium between taking the drug.

Children. From 5 to 7 years: 2.5 mg 3-4 times a day. From 7 years and older: 5 mg each. The maximum daily dose is 10 mg. Treatment should be as short as possible. With prolonged treatment valium no prescription with valium for sale, the patient condition should be monitored. The duration of treatment should not exceed 2-3 months. Longer treatment should be prescribed after a second assessment of the patient condition. It is necessary to warn the patient about the time-limited intake of the drug, how to gradually reduce the dose and the withdrawal syndrome, especially valium prescription when taken in high doses.

Side effects

The most common side effects are fatigue, drowsiness and muscle valium 5mg price weakness, which, as a rule, depend on the dose. These effects occur mainly at the beginning of treatment and usually disappear with further administration of diazepam 10mg tablets . From the nervous system: ataxia, dysarthria, slurred speech, headache, tremor, dizziness. Anterograde amnesia can occur in therapeutic doses, with the risk increasing with increasing doses. Amnesia can be accompanied by inadequate behavior. Mental disorders: when taking diazepam for sale otc, there have been reports of paradoxical reactions, such as anxiety, agitation, irritability, aggressiveness, delirium, anger, nightmares, hallucinations, psychoses, behavioral abnormalities and other negative behavioral manifestations. In such cases, the drug should be discontinued. The probability of occurrence of the described effects is higher in children and elderly people with valium 10mg without prescription.

Confusion, emotional impoverishment diazepam for sale 10mg, decreased attention, depression buy valium online, increased or decreased libido. Long-term oral administration (even in therapeutic doses of valium for sale) can lead to the development of physical dependence: discontinuation of treatment can cause withdrawal syndrome or withdrawal syndrome. From the musculoskeletal system: muscle weakness. In patients taking buy diazepam online, a greater incidence of falls and fractures is reported. The risk increases with the simultaneous use of sedatives (including alcoholic beverages) and in the elderly. On the part of the digestive system: nausea, pain in the abdomen, dry mouth or increased salivation (salivation), diarrhea, constipation and other gastrointestinal disorders.

On the part of the organs of vision: blurred vision, double vision. From the side of blood vessels: hypotension, circulatory disturbance generic valium. Laboratory tests: irregular pulse, very rarely an increase in transaminases, an increase in alkaline phosphatase. From the genitourinary system: urinary incontinence purchase over the counter, urinary retention. Allergic reactions: skin rash. From the organs of hearing: dizziness.

From the cardiovascular system: heart buy diazepam 10mg bulk failure, including cardiac arrest. On the part of the respiratory system: respiratory depression, including respiratory arrest. From the liver and biliary tract: very rarely jaundice valium price over the counter.

Contraindications

Hypersensitivity to buy diazepam online, coma, shock, acute alcohol intoxication with impaired vital functions, acute intoxication with drugs that have an inhibitory effect on the central nervous system (including narcotic analgesics and hypnotic drugs), myasthenia gravis, occlusive glaucoma (acute attack Or predisposition); Severe chronic obstructive pulmonary disease (danger of progression of the degree of respiratory failure), acute respiratory failure, pregnancy (especially I trimester), lactation. It is not recommended for the initial treatment of psychotic disorders. It is not used to treat depression or anxiety with depression valium 10mg, since such patients are at risk of suicide.

Cautious: Epilepsy or epileptic seizures buy valium online without prescription in the history (initiation of treatment with diazepam or its abrupt withdrawal may accelerate the development of seizures or epileptic status), absence of symptoms or Lennox-Gastaut syndrome (with iv introduction contributes to the development of tonic epileptic status), hepatic and / or renal Cerebral and spinal ataxia, hyperkinesis, history of drug dependence, propensity to abuse psychoactive drugs, organic brain diseases , Hypoproteinemia, nocturnal apnea (respiratory arrest) (established or suspected), advanced age.

Overdose

Symptoms: drowsiness, confusion, paradoxical agitation, decreased reflexes, areflexia, deafness, decreased reaction to painful stimulation, deep sleep, dysarthria, ataxia, visual impairment (nystagmus), tremor, bradycardia, dyspnea or shortness of breath, apnea, Depression of blood pressure, collapse, oppression of cardiac and respiratory activity, coma. Respiratory disorders are more serious in patients with respiratory insufficiency.

Treatment: gastric lavage, forced diuresis, activated charcoal. Symptomatic therapy (maintenance of breathing and blood pressure), ventilation. Flumazenil is used as a specific antagonist (in hospital settings). Hemodialysis is ineffective. The benzodiazepine antagonist flumazenil is not indicated by epilepsy patients who received benzodiazepine treatment. In such patients, antagonistic action against benzodiazepines can trigger the development of epileptic seizures. Overdose rarely ends in death.

Precautionary measures

In the process of treatment, patients are strictly prohibited from drinking ethanol. With concomitant administration with ethanol and other drugs that depress the central nervous system, such effects as severe sedation, clinically significant respiratory and / or cardiovascular depression are possible. Very carefully, the drug should be used in patients who have a history of drug use. With renal / hepatic insufficiency and long-term treatment, control of the picture of peripheral blood and "liver" enzymes is necessary. The risk of forming drug dependence increases with the use of large doses, a significant duration of treatment, in patients who previously abused ethanol or drugs.

To reduce the risk of dependence, benzodiazepines should be administered only after careful consideration of the indications. Without special instructions should not be buy valium online used for a long time. After repeated use of the drug for a long time, there may be an addiction to the drug and a decrease in its therapeutic effect. It is unacceptable to severely discontinue treatment due to the risk of withdrawal (headache, myalgia, anxiety, tension, confusion, irritability, in severe cases - derealization, depersonalization, buy valium online cheap price hyperacus, photophobia, tactile hypersensitivity, paresthesia in the extremities, hallucinations and epileptic Seizures), but due to the slow half-life of diazepam, its manifestation is much weaker than in other benzodiazepines valium cost. In case of symptoms of drug withdrawal, patients should be carefully observed by a doctor. When patients develop such unusual valium pills reactions as increased aggressiveness, acute excitations, anxiety, irritability, delirium, outbursts of anger, anxiety, a sense valium 10mg pills otc of fear, thoughts of suicide, hallucinations, increased muscle cramps, difficult sleep, superficial sleep, nightmares, psychosis And other behavioral disorders, treatment should be discontinued.

Benzodiazepines can lead to anterograde amnesia. Anterograde amnesia can develop in therapeutic doses, the risk increases in higher doses. The initiation of treatment with diazepam or its abrupt withdrawal in epileptic patients or with epileptic seizures in an anamnesis can accelerate the development of seizures or epileptic status. With caution, the drug is used in patients with known cardiorespiratory insufficiency. Patients with rare hereditary problems of galactose intolerance, Lapp-lactose deficiency or glucose-galactose malabsorption should not take the drug valium 10mg.

The elderly. In elderly and debilitated persons, it is recommended valium without prescription to use the lowest effective doses of the drug (2.5 mg 1-2 times a day), in order to avoid the development of ataxia or excessive sedation. If necessary, in case of good tolerability, the dose may be increased. Children. Children, especially at a young age, are very sensitive to the CNS depressing action of benzodiazepines. Newborns are not recommended to prescribe drugs buy valium online containing benzyl alcohol - it is possible to develop a lethal toxic syndrome, manifested by metabolic acidosis, CNS depression, difficulty breathing, kidney failure, lower blood pressure and, possibly valium 5mg pill , epileptic seizures, as well as intracranial hemorrhages.

Pregnancy and lactation. During pregnancy apply only in exceptional cases and only for "vital" indications. Has a toxic effect on the fetus and increases the risk of congenital malformations when applied in the first trimester of pregnancy. Admission of therapeutic doses in later periods of pregnancy can cause depression of the newborn central nervous system, hypotension, respiratory failure, hypothermia. Continuous use during pregnancy can lead to physical dependence - a syndrome of "cancellation" in a newborn is possible. If the drug is used during labor and delivery of valium 10mg, then you should be extra careful, since high doses can lead to heart rhythm disturbances in the child, as well as cause hypotension, hypothermia, respiratory depression. Diazepam buy valium online and its metabolites are absorbed into breast milk. Breastfeeding during treatment with the drug should be discontinued.

Influence on the ability to drive vehicles and other potentially dangerous mechanisms where to buy valium. During the treatment period, care must buy valium cheap be taken when driving vehicles and engaging in other potentially dangerous activities that require increased attention and speed of psychomotor reactions due to the development of side effects of the drug. In addition, the patient should be warned about the dangerous combination of alcohol and diazepam.

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