Lexomil is a type of psychotropic drug used in some cases such as anxiety, stress, insomnia, etc. However, the use of this sleeping pill needs to be considered carefully. Let's explore the important things to note when using Lexomil in the following article
1. What is lexomil?
Lexomil contains the active ingredient Bromazepam in a 6mg dosage and is formulated as a tablet. Bromazepam is a psychotropic drug belonging to the benzodiazepine group. Its mechanism of action is through binding to GABA-A receptors, leading to structural changes that enhance inhibitory nervous system effects.
When used at low doses, the drug selectively affects anxiety, reducing psychological stress and tension. At high doses, Lexomil has sedative and muscle-relaxing effects.
2. Indications and Contraindications of Lexomil
Indications:
Lexomil is indicated for the treatment of the following conditions:
Emotional disorders: Uncontrolled anxiety, stress, and anxiety disorders associated with depression.
Cardiovascular and respiratory function disorders such as pseudo-angina, palpitations, tachycardia, hypertension, shortness of breath, and rapid breathing caused by psychiatric conditions, where organic causes have been ruled out.
Gastrointestinal function disorders, including Irritable Bowel Syndrome (IBS), colitis, upper abdominal pain, spasms, bloating, and frequent diarrhea.
Urinary system disorders, such as bladder irritation, frequent urination, and menstrual pain.
Other mental disorders such as headaches and psychiatric skin diseases.
Indicated for the treatment of insomnia and muscle relaxation at high doses.
Contraindications:
Lexomil should not be used in the following cases:
Patients who are hypersensitive to benzodiazepines.
Patients with alcohol addiction or suspected alcohol dependence or those with drug dependency should not use Lexomil unless under strict supervision.
Severe respiratory failure; severe liver failure, acute or chronic liver disease due to the risk of hepatic encephalopathy.
Myasthenia Gravis, as it may worsen the condition.
Sleep apnea syndrome.
Overdose and Management:
Overdose with Lexomil can cause drowsiness, loss of coordination, heart rhythm disturbances, nystagmus, and can also lead to other signs such as mental disturbances, coma, slurred speech, loss of reflexes, hypotension, respiratory arrest, muscle hypotonia, and in rare cases, even death. Therefore, it is important to carefully follow the dosage prescribed by a doctor. If overdose symptoms occur, immediate medical attention should be sought.
Alcohol should not be consumed while taking this medication as it increases the risk of side effects.
3. Side Effects of High-Dose Lexomil Sleeping Pill
When used for sedation at high doses, Lexomil can cause various side effects, including:
Memory impairment and forgetfulness, which may occur with use, and the risk increases with dosage.
Behavioral disturbances, altered consciousness, irritability, aggressive behavior, anxiety, agitation, nightmares, hallucinations, and psychiatric disorders. These effects are more common in children and elderly people.
Physical and psychological dependence may develop, especially with long-term use, even at therapeutic doses.
Dizziness, headaches, and difficulty coordinating certain movements.
Confusion, mood, and emotional disturbances, a sense of disorientation.
Frequent drowsiness and reduced alertness.
Changes in sexual desire.
Heart failure, including cardiac arrest.
Decreased breathing, increasing the risk of apnea.
Nausea, vomiting, constipation, and diarrhea.
Inability to urinate, double vision.
Muscle weakness, increased risk of falls, and fatigue.
4. Precautions When Using Lexomil
When using Lexomil at high doses, there is a risk of drug dependence:
Benzodiazepines can lead to drug dependence. The risk increases with prolonged use, high doses, or in patients with risk factors. Symptoms of drug dependence often occur when discontinuing the drug abruptly, including symptoms like tremors, restlessness, sleep disturbances, anxiety, headaches, and concentration issues. Other symptoms may include sweating, muscle cramps, abdominal discomfort, and perceptual disturbances. In rare cases, delirium and seizures may occur.
To minimize the risk of dependence, benzodiazepines should only be prescribed after a thorough diagnosis and for the shortest duration possible, as in the case of using it as a sleeping pill, and should not be used for more than 4 weeks. If continued use is necessary, regular check-ups are required. When discontinuing the drug, the dose should be gradually reduced, and the drug should not be stopped suddenly.
The effects of the drug may diminish over time: The effectiveness of Lexomil and other drugs in its class may decrease with repeated use, even at the same dosage, if used for several weeks.
Rebound reactions may occur: This transient syndrome may manifest when discontinuing Lexomil. Insomnia may return, often more severe. This reaction may be accompanied by other symptoms, including mood changes, anxiety, difficulty sleeping, and tension. Therefore, the dose should be gradually reduced when discontinuing the medication.
Precautions and Caution:
Use in pregnant women: This drug is not recommended during pregnancy unless absolutely necessary.
Breastfeeding: Since Bromazepam can pass into breast milk, the use of this drug while breastfeeding is not advised.
Driving and operating machinery: Patients taking the drug for sedation should take it before bedtime and avoid operating machinery or driving for 4 to 6 hours after taking the drug.
Storage:
Store the medication in a cool, dry place and keep it out of reach of children, as it can be harmful if ingested by a child.
These are the key precautions you need to know when using Lexomil. This medication can cause many side effects and should be carefully monitored during use. You should not self-medicate without a doctor's consultation, consideration, and prescription.
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