The drug is used femara in a variety of neurotic, psychotic neurosis, psychopathy and other conditions involving anxiety, fear, increased irritability, tension, emotional lability. When reactive psychosis, hypochondriacal-senestopaticheskom syndrome (including resistant to the action of other tranquilizers), autonomic dysfunction and sleep disorders, for the prevention of states of fear and emotional stress.
As an anticonvulsant medication used to treat patients with temporal and myoclonic epilepsy.
In neurological practice Phenazepamum used for the treatment of hyperkinetic and tics, muscle rigidity, autonomic lability.

Contraindications:
Hypersensitivity (including to other. Benzodiazepines), coma, shock, myasthenia gravis, angle-closure glaucoma (acute onset or predisposition), severe chronic obstructive pulmonary disease (may increase respiratory failure), acute respiratory failure, pregnancy (especially I trimester ), the period of breast-feeding, age and 18 years {safety and effectiveness are not determined). Be wary – hepatic and / or renal failure, cerebral and spinal ataxia, hyperkinesis, a tendency to abuse of psychotropic drugs, organic brain disease (possible paradoxical reactions) , hypoproteinemia, old age, depression (see. “Special instructions”).

Dosing and Administration
The drug is prescribed inside.
A single dose is usually fenazepama 0,0005-0,001 g (0.5-1 mg), and sleep disorders 0,00025-0,0005 g (0.25-0.5 mg) 20-30 minutes before bedtime.
for the treatment of neurotic, psychotic, and psihopatopodobnyh initial dose is 0,0005-0,001 g (0,5-1mg) 2-3 times a day. After 2-4 days based on efficacy and tolerability the dose may be increased to 0,004-0,006 grams per day (4-6 mg), morning and afternoon dose is 0,0005-0,001 g, 0.0025 for the night, with the pronounced agitation, fear, anxiety, treatment is initiated femara with a dose of 0.003 g (3 mg) per day, rapidly increasing the dose to produce a therapeutic effect. In the treatment of epilepsy the dose is 0,002-0,01 g (2.10 mg) per day. For the treatment of alcohol withdrawal in a dose of phenazepam 0,0025-0,005 administered (2.5-5 mg) per day.
In practice, when the neurological diseases with increased muscle tone drug prescribed by 0,002-0,003 (2-3 mg) once or twice a day.
The average daily dose of phenazepam 0,0015-0,005 g (1.5-5 mg), it is divided into 2 doses or 3, usually 0.5-1.0 mg in the morning and afternoon and up to 2.5 mg night. The maximum daily dose of 0.01 g (10 mg).
In order to avoid the development of drug dependence, at course treatment duration of application fenazepama, like other benzodiazepines is 2 weeks. But in some cases the duration of treatment can be increased up to 2 months.
In case of cancellation of the drug reduce the dose gradually.

Side effect On the part of the femara nervous system : at the beginning of treatment (particularly in elderly patients) -sonlivost, fatigue, dizziness, impaired concentration, ataxia, disorientation, mental retardation and motor reactions, confusion; rarely – headache, euphoria, depression, tremors, memory loss, poor coordination of movements (particularly at high doses), depressed mood, dystonic extrapyramidal reactions (uncontrolled movements, including eye), asthenia, myasthenia gravis, dysarthria; very rarely – paradoxical reaction (aggressive outbursts, agitation, anxiety, suicidal tendencies, muscle spasms, hallucinations, anxiety, sleep disturbance). From the side of hematopoiesis : leukopenia, neutropenia, agranulocytosis (chills, pyrexia, sore throat, unusual tiredness or weakness), anemia, thrombocytopenia.From the digestive system : dry mouth or salivation, heartburn, nausea, vomiting, loss of appetite, diarrhea or spurs; abnormal liver function, increased activity of “liver” transaminases and alkaline phosphatase, jaundice. From the urogenital system : urinary incontinence, urinary retention, renal dysfunction, decreased or increased libido, dysmenorrhea. Allergic reactions : skin rash, itching. Effects on the fetus : teratogenicity (especially the I trimester), central nervous system depression, respiratory failure and suppression of sucking reflex in infants whose mothers used the drug. Other : addiction, drug dependency; reduction of blood pressure (BP); rarely – blurred femara vision (diplopia), weight loss, tachycardia. With a sharp decrease in dose or cessation of reception – syndrome “cancel” (sleep disorders, dysphoric reactions, spasm of smooth muscles of internal organs and skeletal muscles, depersonalization, increased sweating, depression, nausea, vomiting, tremors, disorders of perception, including hyperacusis , paresthesia, photophobia, tachycardia, convulsions, rarely – psychotic reactions).