Bromazepam

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Benzodiazepine medication


Bromazepam
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Bromazepam is a benzodiazepine medication primarily used for the treatment of anxiety and insomnia. It is known for its calming effects and is often prescribed to alleviate symptoms of anxiety disorders. Bromazepam is marketed under various brand names, including Lexotan and Lexotanil.

Pharmacology

Bromazepam works by enhancing the effect of the neurotransmitter gamma-aminobutyric acid (GABA) at the GABA_A receptor, which results in sedative, anxiolytic, muscle relaxant, and anticonvulsant properties. This action helps to calm the nervous system and reduce anxiety.

Medical uses

Bromazepam is primarily prescribed for the short-term relief of severe anxiety, which can be disabling or subjecting the individual to extreme distress. It is also used in the treatment of insomnia associated with anxiety. Due to its potential for dependence, it is generally recommended for short-term use.

Side effects

Common side effects of bromazepam include drowsiness, dizziness, and fatigue. In some cases, it may cause confusion, ataxia, and impaired coordination. Long-term use can lead to tolerance and dependence, and abrupt discontinuation may result in withdrawal symptoms.

Synthesis

Bromazepam synthesis

Bromazepam is synthesized through a series of chemical reactions starting from 2-amino-5-bromobenzophenone. The synthesis involves the formation of a diazepine ring, which is characteristic of benzodiazepines.

Brand names

Bromazepam is marketed under several brand names, including:

  • Lexotan
  • Lexotanil
Lexotan packaging
Lexotanil 6 mg tablets

Legal status

Bromazepam is classified as a controlled substance in many countries due to its potential for abuse and dependence. Its legal status varies, and it is available by prescription only in most regions.

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Contributors: Prab R. Tumpati, MD