Dizeral CPM Tablet is a prescription medicine used to treat anxiety disorder. It calms the brain by relaxing the nerve cells. It also blocks the action of certain chemical messengers on the heart and blood vessels.
Dizeral CPM Tablet should be taken on an empty stomach. However, it is advised to take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration advised by your doctor as it has high habit-forming potential. If you miss a dose of this medicine, take it as soon as you remember. Finish the full course of treatment even if you feel better. It is important not to stop taking this medicine suddenly as it may cause withdrawal symptoms. Avoid consuming alcohol while taking this medicine as this may reduce its effectiveness.
Some common side effects of this medicine include confusion, memory impairment, slow heart rate, tiredness, and nightmare. It may also cause dizziness and sleepiness. So, do not drive or do anything that requires mental focus until you know how this medicine affects you. Let your doctor know if you experience increased swelling around your legs or ankles, sudden weight gain or sudden shortness of breath while on the treatment. A well-balanced diet and regular exercise can help you maintain proper weight and reduce extra weight.
Take caution while taking medicine if you are suffering from liver disease. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
Dizeral CPM Tablet stops your brain from releasing the chemicals that make you feel anxious so it can reduce the symptoms of excessive anxiety and worry. It can also reduce feelings of restlessness, tiredness, difficulty concentrating, feeling irritable and sleep problems that often come with Anxiety Disorder. It will therefore help you go about your daily activities more easily and be more productive. Keep taking this medicine even if you feel well. Stopping suddenly can cause serious problems.
Side effects of Dizeral CPM Tablet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Dizeral CPM
Confusion
Memory impairment
Drowsiness
Slow heart rate
Tiredness
Uncoordinated body movements
Nightmares
Cold extremities
How to use Dizeral CPM Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Dizeral CPM Tablet is to be taken on an empty stomach.
How Dizeral CPM Tablet works
Dizeral CPM Tablet is a combination of two medicines: Diazepam and Propranolol. Diazepam is a benzodiazepine. It works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in brain. Propranolol is a beta blocker which blocks the action of certain chemical messengers on the heart and blood vessels. This reduces heart rate, blood pressure, and strain on the heart.
Safety advice
Alcohol
UNSAFE
Do not drink alcohol while you are taking this medicine. Dizeral CPM Tablet may cause excessive drowsiness when taken with alcohol.
Pregnancy
UNSAFE
Dizeral CPM Tablet is highly unsafe during pregnancy. It can cause serious harm to the unborn baby, including birth defects and pregnancy loss. Do not use this medicine if you are pregnant or planning to become pregnant.
Breast feeding
CONSULT YOUR DOCTOR
Dizeral CPM Tablet may be unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby. It should be used only if the expected benefit outweighs the potential risk. Please consult your doctor. Dizeral CPM Tablet should be used for short periods and sleepiness of the baby should be watched. The withdrawal of Dizeral CPM Tablet should be gradual.
Driving
UNSAFE
Dizeral CPM Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Dizeral CPM Tablet may cause visual disturbances, hallucinations, fatigue, mental confusion, dizziness or tiredness. This may affect your driving ability.
Kidney
CAUTION
Dizeral CPM Tablet should be used with caution in patients with kidney disease. Dose adjustment may be needed. Dose adjustment may be required if it is to be given for a long period
Liver
CAUTION
Dizeral CPM Tablet should be used with caution in patients with liver disease. Dose adjustment may be needed. Regular monitoring of blood pressure is advisable for dose adjustment.
What if you forget to take Dizeral CPM Tablet?
If you miss a dose of Dizeral CPM Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine
Quick tips
Dizeral CPM Tablet is used for the treatement of anxiety.
It can take a week or two after starting this treatment before the effect begins to build up, and 4-6 weeks before you feel the full benefit. Do not stop taking it after a week or two, feeling it is not helping.
Do not stop taking Dizeral CPM Tablet unless your doctor tells you to do so. Stopping treatment suddenly can cause problems and your doctor will probably want you to reduce your dose gradually.
Avoid getting up too fast from a sitting or lying position, or you may feel dizzy. Get up slowly and steady yourself to prevent a fall.
If you are due to have an operation or dental treatment, it is important to tell the person carrying out the treatment that you are taking this medicine.
Try to keep your regular appointments with your doctor. This is so your doctor can check on your progress.
Fact Box
Habit Forming
Yes
Therapeutic Class
NEURO CNS
Patient concerns
Mixed anxiety depressive disorder
Dr. Jyoti Kapoor Madan
Psychiatry
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
Depression is a persistent state of sadness that is the result of interaction between one's inner biological and psychological state and gets triggered of with environmental stressors. Reactive depression is in response to a situation like loss, sickness, trauma etc. Endogenous depression occurs without any noticeable environmental stressors. Psychological symptoms include lack of interest, negative thinking, irritability, frustration, feeling demotivated etc. Somatic symptoms like fatigue/ weakness/ lack of sleep/ lack of appetite and other physical symptoms are common. Anxiety is common. In severe cases one may feel helpless and hopeless enough to wish for death or attempt suicide. Treatment includes physical and psychiatric work up following which medicines can be prescribed. In milder cases, psychotherapy or counselling is recommended.
Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.
Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.
Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.
It's normal to feel nervous in some social situations. For example, going on a date or giving a presentation may cause that feeling of butterflies in your stomach. But in social anxiety disorder, also called social phobia, everyday interactions cause significant anxiety, fear, self-consciousness and embarrassment because you fear being scrutinized or judged by others. Social anxiety disorder is a chronic mental health condition, but treatment such as psychological counseling, medication and learning coping skills can help you gain confidence and improve your ability to interact with others. Please see a psychiatrist for evaluation and treatment.
Anxiety is the result of a hyperarousal state of nervous system due to a low threshold for threat perception. In simpler words, it's an ongoing flight or fight response. It can elicit a neuro-hormonal response understood as Flight or Fright reaction kicking in physiological cascade of symptoms ranging from palpitations, tachycardia, breathlessness, increased bowel movement, increase frequency of urination, dizziness, muscle tension or pain, trembling, dizziness, blurring of vision to restlessness, confusion and fainting spells. Chronic stress causes prolonged anxiety response with the consequences of slowed me ration, lack of concentration, headaches, fluctuations in blood pressure and increased wear and tear of body tissues. Identifying your stressors, learning to deal with them, de stressing regularly by doing something that makes one feel good, yoga and meditation are some non pharmacological strategies to deal with it. If the condition is persisting for a long time, it's better to see a psychiatrist.
Dizeral CPM Tablet is used to treat anxiety disorders, especially when the anxiety causes significant physical symptoms. It calms the brain by relaxing the nerve cells, and also blocks the action of certain chemical messengers on the heart and blood vessels.<br>
I get a very fast heartbeat and shaky hands when I am anxious. Will Dizeral CPM Tablet help with that?
Yes, this is one of the primary benefits of Dizeral CPM Tablet. Dizeral CPM Tablet targets, and reduces these uncomfortable physical symptoms of anxiety. Slowing your heart rate and reducing tremors can help you feel more physically in control during anxious moments. However, it is strictly advised to consult a doctor before taking this medicine for the proper dose and duration for safer and desired results.<br>
Will Dizeral CPM Tablet make me drowsy?
Yes, the diazepam component of Dizeral CPM Tablet is known to cause significant drowsiness and sleepiness, and may impair your coordination. It is very important that you do not drive, operate heavy machinery, or perform any tasks that require full mental alertness until you know how this medication affects you.<br>
How quickly will I feel relief after taking Dizeral CPM Tablet?
The exact time Dizeral CPM Tablet takes to relieve anxiety is not known. However, you can expect to feel some of the calming and sedating effects within about 30 to 60 minutes. The effects of slowing your heart rate and reducing shakiness also begin to work quite quickly, often within an hour. This makes it effective for acute episodes of anxiety.<br>
Can I stop taking Dizeral CPM Tablet if I start to feel better?
No, you should never stop taking Dizeral CPM Tablet suddenly, especially if you have been taking it regularly. Abruptly stopping can lead to unpleasant and sometimes severe withdrawal symptoms from the diazepam present in Dizeral CPM Tablet. You must consult your doctor, who will guide you on how to safely and gradually reduce the dose.<br>
Is Dizeral CPM Tablet habit-forming?
Yes, the diazepam in Dizeral CPM Tablet is a benzodiazepine, which has the potential to be habit-forming and can lead to physical and psychological dependence. It is crucial to use this medication only for the short term, and exactly as prescribed by your doctor, to minimize this risk.<br>
Is Dizeral CPM Tablet a long-term solution for my anxiety?
Dizeral CPM Tablet is generally intended for short-term or intermittent use to manage acute anxiety symptoms. For long-term management of anxiety disorders, other treatments like psychotherapy and different types of medication (such as SSRIs) are often preferred due to the dependence risk associated with diazepam present in Dizeral CPM Tablet.<br>
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References
Diazepam. South San Francisco, California: Genentech USA Inc.; 2013. [Accessed 22 Apr. 2019] (online) Available from:
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