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Ranbaxy Laboratories Ltd

Calmpose 2mg Suspension 60ml

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    Introduction About CALMPOSE 2MG SUSPENSION

    CALMPOSE 2MG SUSPENSION contains Diazepam which belongs to the group of medicines called Benzodiazepines. CALMPOSE 2MG SUSPENSION is used in adults for short term (14 days) management of severe anxiety occurring with or without insomnia (sleeping difficulty) or other mental disorder, muscle spasms, cerebral palsy (condition causing muscle rigidity), epilepsy, to relieve the symptoms of acute alcohol withdrawal, to control muscle spasm due to tetanus.

    CALMPOSE 2MG SUSPENSION is used in children above 6 months of age for management of night terrors or sleep walking, muscle spasms due to tetanus (nervous system disease caused by bacteria toxin), for management of tension and irritability caused due to cerebral palsy. It is also used in both adults and children before surgery helps patient to relax and sleep.

    Avoid alcohol, grapefruit juice, caffeinated drinks while taking CALMPOSE 2MG SUSPENSION as it may lead to unwanted effects.

    CALMPOSE 2MG SUSPENSION is not recommended for use in patients suffering from severe breathing problems, severe liver disease, phobia, chronic psychosis, hyperkinesis (excessive restlessness), myasthenia gravis, severe liver disease, sleep apnoea, unmanageed depression with or without anxiety. Consult your doctor before taking.

    CALMPOSE 2MG SUSPENSION should be used with caution in patients suffering from alcoholism and drug abuse, kidney problems, personality disorder, epilepsy, self-harming thoughts and arteriosclerosis. Consult your doctor before taking.

    CALMPOSE 2MG SUSPENSION is not recommended for use in pregnant women or planning a pregnancy. CALMPOSE 2MG SUSPENSION is not recommended for use in breast feeding women as it may pass through breast milk. Consult your doctor before taking.

    CALMPOSE 2MG SUSPENSION is not recommended for use in children below 6 months of age as its safety is not established. Consult your doctor before giving CALMPOSE 2MG SUSPENSION to your child.

    CALMPOSE 2MG SUSPENSION should be used with caution in elderly patients as it may cause sedation, drowsiness, confusion and have effects on muscles causing falls and injuries. Consult your doctor before taking.

    The most common side effects of taking CALMPOSE 2MG SUSPENSION are drowsiness, confusion, ataxia (uncoordinated muscle movements) tremor, fatigue, withdrawal symptoms. Consult your doctor in case any of side effects worsens.

    Uses Of CALMPOSE 2MG SUSPENSION

    It is used for the following conditions:

    • short term management for severe anxiety occurring with or without insomnia or other mental disorder
    • muscle spasms, cerebral palsy
    • epilepsy   
    • symptoms of acute alcohol withdrawal symptoms
    • muscle spasm due to tetanus (in adults and children)
    • night terrors, sleep walking, manages tension and irritability caused due to cerebral palsy (in children)

    CALMPOSE 2MG SUSPENSION is also used in both adults and children before surgery help patient to relax and sleep.

    How CALMPOSE 2MG SUSPENSION Works

    CALMPOSE 2MG SUSPENSION belongs benzodiazepine which works by binding to specific receptors in brain and enhancing the activity of an inhibitory neurotransmitter (a chemical in brain) GABA which in result suppress the abnormal and excessive activity of neurons in brain.

    How to use CALMPOSE 2MG SUSPENSION

    Take CALMPOSE 2MG SUSPENSION as advised by your physician. Shake CALMPOSE 2MG SUSPENSION well before use. Your doctor will decide the exact dose and duration of management for you depending upon your age, body weight and disease condition.

    Side Effects Of CALMPOSE 2MG SUSPENSION

    Common

    • drowsiness, fatigue
    • confusion
    • loss of muscle coordination (ataxia) and other movement disorders, tremor

    Uncommon

    • muscles weakness
    • memory loss
    • difficulty in concentration
    • headache, dizziness
    • nausea, vomiting, constipation, diarrhoea
    • increased salivation
    • slurred speech
    • difficulty in maintaining balance

    Rare

    • behavioural changes (most seen in children and elderly patients)
    • depression, emotional withdrawal
    • dry mouth, increase in appetite
    • gynecomastia (breast enlargement in males)
    • impotence, changes in sexual drive
    • loss of bladder control, lack of ability to urinate
    • heart problems
    • increased mucus secretion in lungs
    • changes in liver enzymes
    • blood disorders which may lead to infections, nose bleeds, sore throat
    • jaundice (yellowish discolouration of skin and whites of eyes)

    Stop taking CALMPOSE 2MG SUSPENSION and consult your doctor immediately in case you experience:

    • symptoms of serious allergic reaction such as swelling of the face, lips, tongue and throat causing difficulty breathing and swallowing, skin rashes, itching, skin redness, fainting, sudden wheezing
    • respiratory depression such as very slow or shallow breathing
    • respiratory arrest (cessation of breathing)

    How To Manage Side Effects

    Nausea or Vomiting:

    Take the medicine, with or just after a meal. Stick to simple meals. Avoid eating oily or spicy food. Contact your doctor if nausea and vomiting worsen.

    Itchy skin:

    Avoid hot showers because hot water can irritate the skin and do not scratch the affected area. Use sunscreen and protective clothing when going outdoors or use unscented moisturizers to soothe and hydrate the skin. Contact your doctor if itching persists.

    Constipation:

    Eat plenty of fibre rich foods such as fresh fruits, vegetables and cereals. Drink plenty of water and exercise regularly. Contact your doctor in case constipation persists.

    Diarrhoea:

    Drink plenty of water or fruit juices to keep you hydrated. Do not take any medicine on your own for managing diarrhoea and contact your doctor if diarrhoea worsen.

    Headache:

    Rest and relax. Drink plenty of water and electrolytes. Apply a pain-relieving balm on the head if needed. Do not consume alcohol and contact your doctor if your headache did not improve.

    Dizziness:

    Try to rest and relax. Get enough sleep. Avoid driving or operate machinery if you feel dizziness. Avoid alcohol consumption as it aggravates dizziness and contact your doctor if dizziness worsens.

    Warning & Precautions

    Pregnancy

    CALMPOSE 2MG SUSPENSION is not recommended for use in pregnant women or planning a pregnancy. Consult your doctor before taking.

    Breastfeeding

    CALMPOSE 2MG SUSPENSION is not recommended for use in breast feeding women as CALMPOSE 2MG SUSPENSION may pass through breast milk. Consult your doctor before taking.

    Driving and Using Machines

    CALMPOSE 2MG SUSPENSION causes sleepiness, forgetfulness, poor coordination, dizziness which can affect your driving ability. Do not drive or operate machines after taking CALMPOSE 2MG SUSPENSION.

    Alcohol

    Do not consume alcohol while taking CALMPOSE 2MG SUSPENSION as it increases the sedative effect of CALMPOSE 2MG SUSPENSION and makes you very sleepy.

    Kidney

    CALMPOSE 2MG SUSPENSION should be used with caution in patients suffering from kidney problems. Consult your doctor before taking.

    Liver

    CALMPOSE 2MG SUSPENSION is not recommended for use in patients suffering from severe liver disease. Consult your doctor before taking.

    Allergy

    Do not take CALMPOSE 2MG SUSPENSION if you are allergic to Diazepam, other benzodiazepines or other ingredients of this medicine.

    Lungs

    CALMPOSE 2MG SUSPENSION is not recommended for use in patients with severe breathing problems, including slow and/or shallow breathing. Consult your doctor before taking

    Others

    CALMPOSE 2MG SUSPENSION is not recommended for use if you have:

    • phobia or obsessional states, chronic psychosis, hyperkinesis  
    • myasthenia gravis (muscle weakness)
    • sleep apnoea
    • unmanageed depression with or without anxiety

    Before taking CALMPOSE 2MG SUSPENSION inform your doctor if you have:

    • personality disorder
    • epilepsy  
    • self-harming thoughts
    • arteriosclerosis (poor blood supply to brain)
    • hypoalbuminemia (low levels of blood protein called albumin)
    • depression
    • porphyria (a rare blood disorder)
    • hereditary fructose intolerance (HFI)

    Use in pediatrics:

    CALMPOSE 2MG SUSPENSION is not recommended for use in children below 6 months of age as its safety is not yet established. Consult your doctor before taking.

    Use in geriatrics:

    CALMPOSE 2MG SUSPENSION should be used with caution in elderly patients as it may cause sedation, drowsiness, confusion and have effects on muscles causing falls and injuries. Consult your doctor before taking.

    Interactions

    A. Drug-Drug interactions:

    Before taking CALMPOSE 2MG SUSPENSION, inform your doctor if you are taking any of the following medicine:

    • sodium oxybate, modafinil (used for management of narcolepsy)
    • fluvoxamine, fluoxetine, isocarboxazid, amitriptyline (medicines used for management of depression)
    • clozapine, olanzapine, fluphenazine, zuclopenthixol, haloperidol, methotrimeprazine (medicine used for management of mental disorders)
    • cetirizine, chlorpheniramine (medicine used for management of allergies)
    • halothane, isoflurane (medicines used during surgeries)
    • alprazolam, chlordiazepoxide (medicine used for management of anxiety)
    • zolpidem, zopiclone (medicine used for management of sleep disorders)
    • erythromycin, clarithromycin (medicines used for management of bacterial infections)
    • suxamethonium, tubocurarine (medicine used for muscle relaxation)
    • morphine, methadone and buprenorphine (medicine used as strong painkillers)
    • phenobarbital (medicine used for management of epilepsy and mental disorders)
    • furosemide, chlorothiazide, diltiazem, verapamil (medicines used for management of high blood pressure)
    • isosorbide mononitrate (medicines used in heart patients)
    • magnesium carbonate, magnesium hydroxide (medicines used for management of acidity)
    • disulfiram (medicine used to manage alcohol addiction)
    • phenytoin, carbamazepine, sodium valproate (medicines used in management of epilepsy)
    • theophylline (medicine used to manage asthma and other breathing disorders)
    • cimetidine, omeprazole or esomeprazole (medicines used for management of acidity)
    • rifampicin, isoniazid (medicine used for management of tuberculosis)
    • St John’s wort (herbal medicine used for management of mental illness)
    • amprenavir, atazanavir, ritonavir, delavirdine, efavirenz, indinavir, nelfinavir, zidovudine or saquinavir (medicines used for management of viral infections)
    • fluconazole, itraconazole, ketoconazole or voriconazole (medicines used for management of fungal infections)
    • oral contraceptives (medicines used to manage pregnancy)
    • cisapride (medicine used for management of stomach problems)
    • betamethasone, dexamethasone (medicines used to manage inflammation)
    • levodopa (medicine used to manage Parkinson’s disease)
    • ketamine (medicine used during surgeries)
    • nabilone (medicine used to manage nausea and vomiting)
    • doxazosin and beta blockers such as propranolol, metoprolol (medicine used to manage high blood pressure) and moxonidine (medicine used to manage mild to moderate high blood pressure)
    • valproic acid (medicine used to manage fits and mental disorders)
    • idelalisib (used to manage cancer)

    B. Drug food interaction:

    Avoid consuming grapefruit juice as it may increase CALMPOSE 2MG SUSPENSION levels in blood. Do not consuming caffeinated drinks while taking CALMPOSE 2MG SUSPENSION as it may reduce the effect of CALMPOSE 2MG SUSPENSION.

    Overdosage:

    In case you or anybody else accidentally takes too much of CALMPOSE 2MG SUSPENSION consult the doctor immediately or visit the nearby hospital. Symptoms of overdosage of CALMPOSE 2MG SUSPENSION are ataxia, drowsiness, clumsiness and loss of coordination, feeling sleepy or deep sleep, speech problems, low blood pressure, irregular or slow heartbeat, uncontrolled eye movement, muscle weakness or paradoxical excitation.

    Synopsis

    Drug :   Diazepam
    Pharmacological Category :   Benzodiazepines
    Therapeutic Indication :   Severe anxiety, Muscle spasms, Seizures, Epilepsy, Alcohol withdrawal symptoms, night terrors or sleep walking
    Dosage Forms :   Tablet, Capsule, Syrup, Suspension, Solution, Suppositories, Injection

    More Information

    • Keep CALMPOSE 2MG SUSPENSION out of reach of children
    • Store CALMPOSE 2MG SUSPENSION below 25°C

    FAQs About CALMPOSE 2MG SUSPENSION

    What are uses of CALMPOSE 2MG SUSPENSION?

    CALMPOSE 2MG SUSPENSION is used in adults for short term (14 days) management of severe anxiety occurring with or without insomnia (sleeping difficulty) or other mental disorder, muscle spasms, cerebral palsy (condition causing muscle rigidity), epilepsy, to relieve the symptoms of acute alcohol withdrawal, to control muscle spasm due to tetanus.

    Is CALMPOSE 2MG SUSPENSION safe for children?

    CALMPOSE 2MG SUSPENSION is not recommended for use in children below 6 months of age as its safety is not yet established. Consult your doctor before taking.

    Does CALMPOSE 2MG SUSPENSION make you sleepy?

    Yes, CALMPOSE 2MG SUSPENSION make you feel sleepy. Avoid alcohol consumption while taking this medicine as it makes you very sleepy and do not drive or operate any machines.

    Does CALMPOSE 2MG SUSPENSION calm you down?

    CALMPOSE 2MG SUSPENSION improves the effect of a chemical in the brain called gamma-aminobutyric acid (GABA), a chemical whose transmission across nerves in the brain is known to produce a calming effect.

    What are the side effects of taking CALMPOSE 2MG SUSPENSION?

    The most common side effects of taking CALMPOSE 2MG SUSPENSION are drowsiness, confusion, ataxia (loss of coordination of muscle movements), tremor, fatigue, withdrawal symptoms. Consult your doctor in case any of side effects worsens.

    Who should not take CALMPOSE 2MG SUSPENSION?

    CALMPOSE 2MG SUSPENSION is not recommended for use in patients suffering from severe breathing problems, severe liver disease, phobia, chronic psychosis, hyperkinesis (excessive restlessness), myasthenia gravis (muscle weakness), severe liver disease, sleep apnoea (severe breathing difficulty during sleep), unmanageed depression with or without anxiety, allergic history to diazepam, other benzodiazepines. Consult your doctor before taking.

    References

    1. KD Tripathi. Drugs Acting on Central Nervous System. Essentials of Medical Pharmacology. 7th edition.2013. Page-418.

    2. Jaberpreet S. Dhaliwal, Alan Rosani, Abdolreza Saadabadi. Diazepam. National Centre for Biotechnology. NLM. National Institute of Health. Statpearls. May 2022. [Accessed on 10th September 2022] https://www.ncbi.nlm.nih.gov/books/NBK537022/#article-20488.s6

    3. Accord. Electronic Medicines Compendium. [Revised in April 2021] [Accessed on 10th September 2022] https://www.medicines.org.uk/emc/product/5783/smpc

    Author Details

    Written By Dr. Janet.C - Pharm.D
    Reviewed For Accuracy By Dr. Aravindan Balachandran - MBBS, MD (Psychiatry)
    Last updated on 11 Nov 2022 | 11:49 PM(IST)
    Lab updated