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Etizest 0.5 Mg (Etizolam)

Medically reviewed by Sanjay Gangani, B.Pharm, CMO & Pharmacist

Active Ingredient Etizolam
Indication Anxiety and Insomnia
Manufacturer Consern Pharma P Ltd
Strength:- 0.5mg
Packaging 10 Tablets in Strip

What is Etizest 0.5 mg?

  • Etizest 0.5 is a prescription tablet containing 0.5 mg of etizolam.

  • It is listed as made by Consern Pharma Limited.

  • Etizest 0.5 mg is a thienodiazepine, a close relative of the benzodiazepines.

  • It has calming, sleep-inducing and muscle-relaxing effects.

  • Short-term treatment of anxiety.

  • Short-term treatment of insomnia.

  • Etizest ER 1.5 Mg is sometimes used for anxiety with depressive symptoms.

  • It is not itself an antidepressant.

  • It is approved for medical use in Japan, Italy and India.

  • It is not approved for medical use in the United States.

  • The United Kingdom classes it as a Class C controlled drug.

  • A United Nations schedule also covers it.

How Etizolam Works (Mechanism of Action)

  • The brain uses a chemical messenger called GABA.

  • GABA calms excessive activity in nerve cells.

  • Etizolam attaches to a site on the GABA receptor.

  • That increases GABA’s calming effect on the brain.

  • It is absorbed fairly rapidly after swallowing.

  • Peak blood levels occur within 30 minutes to 2 hours.

  • Its half-life averages about 3.4 hours.

  • Its main active breakdown product lasts about 8.2 hours.

  • It is broken down by the liver and removed by the kidneys.

  • Blood levels fall faster than with longer-acting relatives.

  • That can make withdrawal come on more sharply.

  • Withdrawal typically begins 24 to 48 hours after the last dose.

Dosage Information

Published sources differ. Follow only your prescription.

SituationFigures Given in SourcesTimingKey Note
Typical dose, general0.5 mg to 1 mg twice dailyAs prescribedThis strength is the lower figure
Usual daily maximumUp to 2 mg daily in divided dosesAs prescribedFrom a drug information sheet
Psychosomatic conditions0.5 mg three times dailyAs prescribedFrom a hospital reference page
Anxiety with depression1 mg three times dailyAs prescribedAbove this tablet strength
Older adultsNo more than 1.5 mg dailyAs prescribedLower doses are advised
Intended treatment lengthTwo to four weeksIncluding the taperLonger use raises dependence risk
Stopping treatmentA gradual taperAs the doctor directsNever stop abruptly
Doses of 4 mg or moreNot a treatment doseNot applicableLinked to memory loss

Why this page does not give a single dose:

  • No approved Indian label for Etifine was retrieved.

  • The figures above come from different sources and differ.

  • The right dose depends on the condition and the person.

  • A Etizest 0.25 tablet is at the lower end of the typical range.

  • Only the prescribing doctor can set the correct dose.

Dependence, Tolerance and Withdrawal

What the sources report:

  • There are several published reports of etizolam abuse.

  • Physical dependence has been observed in humans.

  • Long-term use can reduce how well the medicine works.

  • That can lead to tolerance, dependence and addiction.

  • It is named as an emerging substance of abuse.

  • It has appeared increasingly in toxicology samples.

  • It has featured in drug-driving cases.

Withdrawal symptoms reported:

  • Anxiety returning more strongly than before.

  • Insomnia and rebound sleeplessness.

  • Headache, dizziness and ringing in the ears.

  • Nausea, vomiting and loss of appetite.

  • Tremor, weakness and heavy sweating.

  • Irritability and heightened sensitivity to light and sound.

  • Palpitations, a fast heart rate and low blood pressure on standing.

  • Seizures, which can be dangerous.

  • A rare severe reaction has been reported after abrupt stopping.

What this means in practice:

  • Withdrawal usually starts 24 to 48 hours after the last dose.

  • Acute withdrawal commonly lasts two to four weeks.

  • Some people report symptoms lasting far longer.

  • A gradual taper under medical supervision is recommended.

  • Never stop this medicine suddenly on your own.

Precautions

Tell Your Doctor Before Use If You Have:

  • Any history of drug or alcohol dependence.

  • epression, or any thoughts of harming yourself.

  • Any history of mental illness.

  • Breathing problems, including sleep apnoea or lung disease.

  • Liver or kidney problems.

  • Muscle weakness conditions such as myasthenia gravis.

  • Glaucoma.

  • A history of seizures.

  • Pregnancy, plans for pregnancy, or breastfeeding.

  • All other medicines you take.

Medicines and Substances to Avoid

  • Alcohol, which greatly increases sedation.

  • Opioid painkillers, which can cause dangerous drowsiness.

  • Other sedatives, sleeping tablets and tranquillisers.

  • Antipsychotic medicines.

  • Fluvoxamine, an antidepressant.

  • Antifungals such as itraconazole.

  • Carbamazepine, used for epilepsy.

  • Some blood pressure medicines.

Daily Life While Taking It

  • Do not drive until you know how it affects you.

  • It can impair coordination, alertness and reaction time.

  • Do not operate machinery while affected.

  • Avoid alcohol entirely during treatment.

  • Store it securely and never share it with anyone.

  • Sharing a controlled medicine is unlawful.

Before-Use Checklist

  • Do you hold a valid prescription for this exact strength?

  • Has your doctor told you how long to take it?

  • Do you understand it is habit-forming?

  • Do you know never to stop it suddenly?

  • Have you told your doctor about any past dependence?

  • Do you take any opioid, sedative or alcohol?

  • Do you know not to drive until you know its effect?

  • Do you have a follow-up appointment arranged?

Side Effects

Effects reported in the sources consulted:

Side EffectCategoryWhat It Feels LikeWhat to Do
Drowsiness and sedationCommonFeeling sleepy or slowedDo not drive; report if severe
Impaired coordinationCommonClumsiness, unsteadinessTake care with stairs and falls
Muscle weaknessCommonReduced strengthReport to your doctor
HeadacheCommonHead painReport if persistent
Dizziness or faintingCommonLight-headedness, blackoutsSit or lie down; report it
ConfusionCommonMuddled thinkingReport to your doctor
Slurred speechCommonDifficulty speaking clearlyReport to your doctor
Depression or low moodCommonFeeling persistently lowContact your doctor promptly
Change in sex driveCommonReduced or altered libidoDiscuss with your doctor
TremorCommonShakingReport to your doctor
Visual disturbanceCommonBlurred or altered visionReport to your doctor
Breathing suppressionSeriousSlow or shallow breathingEmergency – seek care
Memory gapsSeriousNot recalling periods of timeTell your doctor
Eyelid spasmsWith long-term useTwitching of the eyelidsReport to your doctor
Raised prolactin levelsReportedBreast changes, cycle changesReport to your doctor
DependenceSeriousNeeding it to functionDiscuss a taper plan

A finding from an addiction medicine unit:

  • An Italian hospital reviewed 1,293 patients over 17 years.

  • It identified eleven people using etizolam at high doses.

  • All of them had first been prescribed it for medical reasons.

  • Those reasons were anxiety, insomnia, or both.

  • One person using 15 mg daily showed memory and planning deficits.

  • Prescribed use is how high-dose dependence typically began.

Warning Signs – Seek Medical Help

Seek urgent medical care if you or someone else has

  • Slow, shallow or difficult breathing.

  • Extreme drowsiness that cannot be roused.

  • Blue lips or fingertips.

  • A seizure.

  • Collapse or loss of consciousness.

  • Any of these after combining it with alcohol or an opioid.

Contact your doctor promptly if:

  • You feel unable to function without the medicine.

  • You need more of it than before for the same effect.

  • Your mood becomes low or you have distressing thoughts.

  • You have gaps in your memory.

  • You have run out and cannot get a repeat prescription.

  • Running out suddenly can trigger withdrawal.

  • Withdrawal from this medicine can include seizures.

  • Tell a doctor rather than stopping unsupervised.

Storage and Disposal

  • Store below 30°C in a cool, dry place.

  • Keep the tablets in their strip until use.

  • Store them securely, out of reach of children.

  • Never share this medicine with anyone else.

  • Do not keep leftover tablets for future use.

  • Check the expiry date before use.

  • Return unused tablets to a pharmacy take-back scheme.

Sanjay Gangani

Sanjay Gangani

B.Pharm, CMO & Pharmacist

Licensed pharmacist (B.Pharm) with 12+ years in clinical pharmacy and patient care. Reviews every article for evidence-based accuracy before it is published on ACTIZA Store.

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