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Oxazepam (Oxazepam) - Summary

 
 



OXAZEPAM SUMMARY

Oxazepam is the first of a chemical series of compounds known as the 3-hydroxybenzodiazepinones. A therapeutic agent providing versatility and flexibility in control of common emotional disturbances, this product exerts prompt action in a wide variety of disorders associated with anxiety, tension, agitation, and irritability, and anxiety associated with depression.

Oxazepam is indicated for the management of anxiety disorders or for the short-term relief of the symptoms of anxiety. Anxiety or tension associated with the stress of everyday life usually does not require treatment with an anxiolytic.

Anxiety associated with depression is also responsive to Oxazepam therapy.

This product has been found particularly useful in the management of anxiety, tension, agitation, and irritability in older patients.

Alcoholics with acute tremulousness, inebriation, or with anxiety, associated with alcohol withdrawal are responsive to therapy.

The effectiveness of Oxazepam in long-term use, that is, more than 4 months, has not been assessed by systematic clinical studies. The physician should periodically reassess the usefulness of the drug for the individual patient.


See all Oxazepam indications & dosage >>

NEWS HIGHLIGHTS

Media Articles Related to Oxazepam

Anxiety Levels Highest at Mid Management in Workplace
Source: Medscape Psychiatry & Mental Health Headlines [2015.08.28]
Supervisors, managers show higher prevalence of anxiety compared with either higher- or lower-ranking colleagues.
Medscape Medical News

Majority of false-positive mammograms associated with anxiety, distress
Source: Anxiety / Stress News From Medical News Today [2015.08.26]
Researchers have found that patients who receive false-positive mammogram results are significantly more likely to report negative psychosocial consequences than those who do not.

Music may reduce pain, anxiety after surgery
Source: Anxiety / Stress News From Medical News Today [2015.08.13]
Patients who listened to music before, during or after surgery experienced a reduction in pain and anxiety after the procedure and were less likely to need pain medication.

Depression, stress, anxiety and anger compound risk of cardiovascular disease in RA patients
Source: Anxiety / Stress News From Medical News Today [2015.08.13]
New research reveals that depressive symptoms, stress, anxiety, and anger and lack of social support in patients with rheumatoid arthritis (RA) were linked to atherosclerosis - a build-up of fatty...

Generalized anxiety disorders twice as likely in those with inflammatory bowel disease
Source: Pain / Anesthetics News From Medical News Today [2015.07.30]
Study finds generalized anxiety disorder is much more common among individuals with Crohn's disease or ulcerative colitisPeople who have inflammatory bowel disease (IBD), such as Crohn's disease...

more news >>

Published Studies Related to Oxazepam

Sodium oxybate in the treatment of alcohol withdrawal syndrome: a randomized double-blind comparative study versus oxazepam. The GATE 1 trial. [2014]
AWS... CONCLUSION: SMO is as effective as oxazepam, one of the gold standard BDZs, in

Effects of oxazepam on affective perception, recognition, and event-related potentials. [2011.05]
BACKGROUND: Little is known about how rapid electrocortical responses (event-related potentials; ERPs) to affective pictures are modulated by benzodiazepine agonists. The present study investigated effects of oxazepam (20 mg p.o.) on behavioral measures and ERPs associated with affective picture processing during perception and recognition memory retrieval... CONCLUSIONS: Oxazepam does not selectively influence electrocortical or perceptual indexes of emotional perception or emotional memory. Rather, it blocks memory consolidation independent of valence category. These findings indicate that ERPs can be of use in assessing effects of benzodiazepines on memory-related processes.

Oxazepam does not modulate the behavioral effects of d-amphetamine in humans. [2005.10]
Benzodiazepines, which are gamma-aminobutyric acid-A (GABA(A)) receptor positive modulators, can block the behavioral effects of psychomotor stimulants. In the present study, the ability of oxazepam, which may have less abuse potential compared to some other benzodiazepines, to attenuate the discriminative-stimulus, subject-rated and psychomotor performance effects of d-amphetamine in humans was determined...

Effects of additional oxazepam in long-term users of oxazepam. [2005.02]
Although additional dosages of benzodiazepines in long-term users of benzodiazepines are common, it is unknown whether these additional dosages resort any effect. The effects of an additional 20-mg dosage oxazepam were assessed in a double-blind, balanced-order, crossover randomized study comparing 16 long-term users of oxazepam (patients) with 18 benzodiazepine-naive controls (controls)...

Efficacy and tolerability of valerian extract LI 156 compared with oxazepam in the treatment of non-organic insomnia--a randomized, double-blind, comparative clinical study. [2002.11.25]
Patients aged 18 to 73 years and diagnosed with non-organic insomnia according to ICD-10 (F 51.0) were treated in a multicentre, double-blind, randomised parallel group comparison with either 600 mg/die valerian extract LI 156 (Sedonium) or 10 mg/die oxazepam taken for 6 weeks... During the 6 week treatment phase Valerian extract LI 156 (Sedonium) 600 mg/die showed a comparable efficacy to 10 mg/die oxazepam in the therapy of non-organic insomnia.

more studies >>

Clinical Trials Related to Oxazepam

Comparative Study of Gamma-hydroxy Butyrate Versus Oxazepam in the Treatment of Alcohol Withdrawal Syndrome [Completed]
Benzodiazepines (BDZs) are the gold standard in the treatment of alcohol withdrawal syndrome (AWS). Gamma-Hydroxybutyric acid also known as sodium oxybate (SMO) has been tested as a treatment for AWS with encouraging results. Aim of this phase IV, multicenter randomized double-blind, double dummy study is to evaluate the efficacy of SMO in comparison to oxazepam in the treatment of alcohol withdrawal symptoms (AWS).

Single and Multiple Rising Dose Study of Safety and PK of Metyrapone/Oxazepam Combination (EMB-001) [Recruiting]
This is a study of EMB-001 (a combination of two FDA-approved drugs, metyrapone and oxazepam) in otherwise healthy adults who are regular cigarette smokers. There will be 3 groups of 8 subjects; in each group, 6 subjects will get the drug combination and 2 will get placebo. Neither the subjects nor the study personnel will know who got drug and who got placebo (double-blind). In the first group the drug doses will be low, and they will be increased in the second and third groups. Subjects will receive a single dose on Day 1, followed 24 hours later by the start of doses twice daily for 7 days, and then a final morning dose on the last day. The levels of the drugs in the blood will be assessed by repeated blood draws after the first day and after the end of dosing. Safety will be assessed after the single dose and repeated dosing. Effects of study drug on smoking and craving cigarettes will be assessed at the end of repeated dosing. The hypothesis is that this drug combination will be safe, with relatively few side effects.

The Pharmacokinetics of Zidovudine and Oxazepam Alone and in Combination in the HIV-Infected Patient [Completed]
To determine if a pharmacokinetic (blood level) interaction exists between zidovudine (AZT) and oxazepam in the HIV-infected patient. Benzodiazepines (such as oxazepam) are among the most frequently prescribed class of drugs and are commonly used therapeutically for patients with chronic disease. This study is important because of the potential for toxicity resulting from a reaction between AZT and benzodiazepines and the likelihood of frequent use of the combination of these drugs in patients with HIV infection.

A Placebo-Controlled Study of a Combination of Metyrapone and Oxazepam in Cocaine Addiction [Completed]
Subjects will be randomly assigned to receive either one of the two potential dose combinations of the study medications or placebo over 6 weeks. The study will include twice weekly visits to the research clinic for laboratory studies, safety assessments and urine drug screens. Subjects will also be questioned regarding drug craving and mood symptoms.

Study to Evaluate the Presence of a Hangover Effect in Healthy Adults After Administration of Songha® Night Tablets [Completed]

more trials >>

Reports of Suspected Oxazepam Side Effects

Toxicity TO Various Agents (48)Drug Interaction (23)Confusional State (19)Suicide Attempt (13)Disorientation (11)Overdose (11)Delirium (11)Agitation (10)Fall (10)Medication Error (10)more >>


PATIENT REVIEWS / RATINGS / COMMENTS

Based on a total of 4 ratings/reviews, Oxazepam has an overall score of 6.50. The effectiveness score is 7.50 and the side effect score is 6.50. The scores are on ten point scale: 10 - best, 1 - worst. Below are selected reviews: the highest, the median and the lowest rated.
 

Oxazepam review by 46 year old female patient

  Rating
Overall rating:  
Effectiveness:   Highly Effective
Side effects:   Mild Side Effects
  
Treatment Info
Condition / reason:   Anxiety due to Relationship Stress
Dosage & duration:   10mg twice per day taken only as needed for stress for the period of 6 months irregularly; as needed
Other conditions:   None
Other drugs taken:   None
  
Reported Results
Benefits:   I would get heart palpitations and major stress hours before my ex would come and pick up our daughter for visits; I also had difficulty sleeping if I had to deal with any issues with him; I would take one of these pills, only if I felt I needed and sometimes an hour before he would pick her up, and I would feel much calmer. It was a life saver for me until I got through the emotional upset and was able to detach.
Side effects:   Virtually no side effects, other than very slight drowsiness several hours after taking it...almost not noticeable.
Comments:   I was on a very small dose. And I only took this when I felt I needed it. It was a life saver and kept my body from experiencing intense stress like shaking, heart palpitations, and emotional upset. It did not change my mood. It only controlled the negative physical effect that I was allowing this person to have on me.

 

Oxazepam review by care giver of 85 year old male patient

  Rating
Overall rating:  
Effectiveness:   Ineffective
Side effects:   Extremely Severe Side Effects
  
Treatment Info
Condition / reason:   temporary anxiety
Dosage & duration:   30mg taken daily for the period of 5 years
Other conditions:   none
Other drugs taken:   none
  
Reported Results
Benefits:   My father was put on this drug to fend off temporary, situational anxiety when his wife developed alzheimer's and was not looking after the finances properly. It helped him to sleep better. In the meantime, our family helped them sort out the financial mess his wife had created in her confusion. His anxiety ended but the doctor forgot to take him off the drug at the end of the 4 month period of effectiveness.
Side effects:   After 5 years of taking this drug, my father has developed short term memory loss which has developed to the point he now has an alzheimer's diagnosis for himself. He has no other symptoms of AD, just short term memory loss after 5 years on a drug that is only proven 'effective' for 4 months.
Comments:   Due to a recent mix up at the pharmacy, my father was accidentally withdrawn from the drug and suffered a terrible withdrawal. After 10 days without oxazepam, his memory improved but the doctor put him right back on it. I have since tried to get the doc to take him off. His answer? What's the point at his age. Why not just let him drift away in a foggy twilight. I love my dad and think he deserves better so I'm fighting this situation, but meanwhile my father wakes up each day wondering why he is on an advanced alzheimer's ward when he has no symptoms beyond drug induced short term memory loss.

 

Oxazepam review by care giver of 85 year old male patient

  Rating
Overall rating:  
Effectiveness:   Ineffective
Side effects:   Extremely Severe Side Effects
  
Treatment Info
Condition / reason:   temporary anxiety
Dosage & duration:   30mg taken daily for the period of 5 years
Other conditions:   none
Other drugs taken:   none
  
Reported Results
Benefits:   My father was put on this drug to fend off temporary, situational anxiety when his wife developed alzheimer's and was not looking after the finances properly. It helped him to sleep better. In the meantime, our family helped them sort out the financial mess his wife had created in her confusion. His anxiety ended but the doctor forgot to take him off the drug at the end of the 4 month period of effectiveness.
Side effects:   After 5 years of taking this drug, my father has developed short term memory loss which has developed to the point he now has an alzheimer's diagnosis for himself. He has no other symptoms of AD, just short term memory loss after 5 years on a drug that is only proven 'effective' for 4 months.
Comments:   Due to a recent mix up at the pharmacy, my father was accidentally withdrawn from the drug and suffered a terrible withdrawal. After 10 days without oxazepam, his memory improved but the doctor put him right back on it. I have since tried to get the doc to take him off. His answer? What's the point at his age. Why not just let him drift away in a foggy twilight. I love my dad and think he deserves better so I'm fighting this situation, but meanwhile my father wakes up each day wondering why he is on an advanced alzheimer's ward when he has no symptoms beyond drug induced short term memory loss.

See all Oxazepam reviews / ratings >>

Page last updated: 2015-08-28

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