Anxon 25mg Tablet: Complete Guide to Uses, Side Effects, Dosage, and Safety
When to Call Your Doctor IMMEDIATELY
- Slow, shallow, or irregular breathing
- Extreme drowsiness or difficulty waking up
- Confusion, disorientation, or hallucinations
- Severe skin rash, blistering, or peeling
- Yellowing of the skin or eyes (jaundice)
- Unusual bruising or bleeding
- Seizures, especially after stopping the medicine suddenly
- Thoughts of self-harm or suicide
- Severe abdominal pain or persistent vomiting
- Inability to pass urine
If experiencing severe symptoms, call emergency services immediately.
What is peaceoxide 25mg tablet used for?
This medicine contains chlordiazepoxide 25 mg, a benzodiazepine used for short-term relief of severe anxiety, alcohol withdrawal, and muscle spasms. It works by enhancing the calming effect of GABA in the brain. It can cause drowsiness and dependence, so it should be used only under medical supervision and for the shortest possible time.
- Generic Name: Chlordiazepoxide (25mg)
- Manufacturer: D D Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 peaceoxide 25mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोरडायजेपॉक्साइड 25 मिलीग्राम की गोली है, जो बेंजोडायजेपीन वर्ग की दवा है। इसका उपयोग मुख्य रूप से गंभीर चिंता (एंग्जायटी) के अल्पकालिक उपचार, शराब छोड़ने के लक्षणों (अल्कोहल विड्रॉल), मांसपेशियों में ऐंठन, और सर्जरी से पहले होने वाली घबराहट को कम करने के लिए किया जाता है। यह दिमाग में गाबा नामक रसायन की क्रिया को बढ़ाकर शांति और आराम का अनुभव कराती है। यह दवा केवल डॉक्टर के पर्चे पर ही लेनी चाहिए और लंबे समय तक नहीं लेनी चाहिए, क्योंकि इसकी आदत पड़ सकती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, कमजोरी, मांसपेशियों में ढीलापन, मुँह सूखना, धुंधली दृष्टि, जी मिचलाना और कब्ज शामिल हैं। कुछ लोगों में भ्रम, याददाश्त में कमी, मनोदशा में बदलाव, बेचैनी या मतिभ्रम जैसे गंभीर लक्षण भी हो सकते हैं। बहुत कम मामलों में त्वचा पर गंभीर दाने, पीलिया, खून की बीमारी या सांस लेने में गंभीर कठिनाई हो सकती है। अगर आपको सांस लेने में तकलीफ, अत्यधिक नींद, त्वचा या आँखों का पीला पड़ना, या असामान्य रक्तस्राव दिखे, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, अपनी मर्जी से मात्रा न बढ़ाएँ। इस दवा के साथ शराब बिल्कुल न पिएँ, क्योंकि इससे गंभीर नींद और सांस की समस्या हो सकती है। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन चलाने या मशीन चलाने से बचें। अगर आप कई हफ्तों से यह दवा ले रहे हैं, तो अचानक बंद न करें, क्योंकि इससे गंभीर विड्रॉल लक्षण हो सकते हैं। डॉक्टर की सलाह से ही धीरे-धीरे मात्रा कम करें। गर्भवती महिलाएँ, स्तनपान कराने वाली महिलाएँ और बुजुर्ग इस दवा का उपयोग डॉक्टर की सलाह के बिना न करें। इस दवा को बच्चों से दूर और सुरक्षित स्थान पर रखें।
💊 peaceoxide 25mg tablet Uses & Benefits
- [{"condition":"Severe anxiety","description":"This medicine is used for the short-term relief of severe anxiety that is causing significant distress or interfering with daily life.
- It is usually prescribed when other non-medicine treatments have not worked well enough.","evidence":"Well-established"},{"condition":"Alcohol withdrawal syndrome","description":"This medicine helps control symptoms such as tremors, agitation, sweating, and seizures during alcohol withdrawal.
- It is commonly used in a supervised medical setting with a tapering dose schedule.","evidence":"Well-established"},{"condition":"Muscle spasm","description":"This medicine is sometimes prescribed to relieve muscle spasms and stiffness caused by certain neurological or musculoskeletal conditions, thanks to its muscle-relaxing properties.","evidence":"Moderate"},{"condition":"Preoperative anxiety","description":"This medicine may be given before surgery or certain medical procedures to reduce anxiety and help the patient relax.","evidence":"Moderate"},{"condition":"Insomnia related to anxiety","description":"This medicine is occasionally used for short-term sleep problems that are clearly linked to anxiety, but it is not a first-choice sleep medicine.","evidence":"Limited"}]
Off-label uses: [{"condition":"Irritable bowel syndrome","description":"This medicine is sometimes prescribed off-label to reduce anxiety-related gut symptoms in irritable bowel syndrome, but evidence is limited.","evidence":"Limited"},{"condition":"Tension headache","description":"This medicine may be used off-label for tension headaches linked to muscle tension and anxiety, but it is not a standard treatment.","evidence":"Limited"}]
Primary treatment for: Anxiety disorders
Also treats: Alcohol withdrawal syndrome, Muscle spasm, Preoperative anxiety, Insomnia related to anxiety
📋 Drug Information
| Generic Name(s) | Chlordiazepoxide (25mg) |
| Brand Name | peaceoxide 25mg tablet |
| Manufacturer | D D Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Benzodiazepines |
| Route of Administration | Oral |
| Storage | Store this medicine at room temperature between 15°C and 30°C (59°F to 86°F). Keep it away from direct sunlight, moisture, and heat. Do not store it in the bathroom or near the kitchen sink. Keep the tablets in their original container with the lid tightly closed. Keep this medicine out of the reach of children and pets. Do not use it after the expiry date printed on the pack. |
| Shelf Life | The shelf life of this medicine is typically 24 to 36 months from the date of manufacture, depending on the manufacturer's specifications. Always check the expiry date on the packaging before use. Do not use the medicine if it is past its expiry date. |
| WHO Guideline | Not established from the available information. Benzodiazepines like chlordiazepoxide are generally recommended for short-term use only. For specific guidance, refer to your national or local treatment guidelines. |
| ICMR Guideline | Not established from the available information. Please consult the Indian Council of Medical Research (ICMR) guidelines or your doctor for specific recommendations. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by binding to specific sites on the GABA-A receptor in the brain. GABA is the main calming chemical messenger of the nervous system. When chlordiazepoxide binds to the GABA-A receptor, it makes GABA more effective at opening a channel that allows chloride ions to enter nerve cells. This makes the nerve cells less excitable and slows down excessive electrical activity in the brain. The result is reduced anxiety, relaxation of muscles, drowsiness, and protection against certain types of seizures. Because the effect is additive to the body's own calming system, the medicine does not directly activate the receptor on its own but rather enhances the natural GABA signal.
Mechanism Steps
💡 How to Take peaceoxide 25mg tablet
Strength: This medicine is available as an immediate-release tablet containing 25 mg of chlordiazepoxide. It is manufactured by A N Pharmacia. The tablet is intended for oral administration.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine for anxiety is 5 mg to 25 mg taken 3 to 4 times a day, but the exact dose depends on the condition being treated, your age, your response to treatment, and your liver and kidney function. For alcohol withdrawal, the dose and schedule are usually determined by a doctor in a supervised setting and may be tapered over several days. For muscle spasm, doses may range from 5 mg to 25 mg taken 3 to 4 times daily. The maximum recommended adult dose is generally 100 mg per day, but this can vary. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not adjust your dose without consulting your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is generally not recommended for children under 6 years of age. For children above 6 years, the dose is determined by the doctor based on the child's weight and condition, and it is usually given in divided doses. Never give this medicine to a child without a doctor's prescription. |
| Elderly Dosage | Elderly patients are more sensitive to the effects of this medicine and are at higher risk of drowsiness, confusion, unsteadiness, and falls. The starting dose should be lower, usually 5 mg 2 to 4 times a day, and increased only if needed and tolerated. The maximum daily dose in elderly patients should be kept as low as possible. Regular review by a doctor is important to assess the ongoing need for this medicine and to monitor for side effects. Dose must be individualized by a qualified clinician based on age, renal and hepatic function, and other medicines being taken. |
| Renal Impairment | In patients with mild to moderate kidney disease, no specific dose adjustment may be needed, but caution is advised. In severe kidney disease, the elimination of this medicine and its active metabolites may be prolonged, increasing the risk of side effects. The dose should be reduced and the patient monitored closely. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | In patients with mild to moderate liver disease, the dose should be reduced and the patient monitored closely for side effects. In severe liver disease, this medicine is contraindicated. The liver metabolizes this medicine, and impaired liver function can lead to accumulation of the medicine and its active metabolites, increasing the risk of sedation, confusion, and other side effects. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum recommended adult daily dose is generally 100 mg per day, but this may vary depending on the indication and the patient's response. In elderly patients and those with liver or kidney disease, the maximum daily dose should be lower. Dose must be individualized by a qualified clinician. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of peaceoxide 25mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Opioid painkillers | Major | |
| Alcohol | Major | |
| Other benzodiazepines | Major | |
| MAO inhibitors | Major | |
| Clozapine | Major | |
| Antidepressants | Moderate | |
| Antipsychotics | Moderate | |
| Antihistamines | Moderate | |
| Muscle relaxants | Moderate | |
| Cimetidine | Moderate |
🚨 Major Interactions
- Opioid painkillers (e.g., morphine, codeine, tramadol)
- Alcohol
- Other benzodiazepines and sedative-hypnotics
- MAO inhibitors (e.g., phenelzine, tranylcypromine)
- Clozapine
⚡ Moderate Interactions
- Antidepressants (e.g., fluoxetine, sertraline)
- Antipsychotics (e.g., haloperidol, risperidone)
- Antihistamines (e.g., diphenhydramine, chlorpheniramine)
- Muscle relaxants (e.g., baclofen, cyclobenzaprine)
- Cimetidine
- Oral contraceptives
- Rifampicin
🍷 Alcohol Interaction
Alcohol should be completely avoided while taking this medicine. Both alcohol and chlordiazepoxide depress the central nervous system, and combining them can cause severe drowsiness, dangerously slow breathing, loss of consciousness, and even death. Alcohol can also worsen the side effects of this medicine, such as dizziness and unsteadiness, and increase the risk of falls and accidents. If you have consumed alcohol, do not take this medicine until you have discussed it with your doctor.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to chlordiazepoxide or other benzodiazepines","Severe liver disease","Myasthenia gravis","Severe respiratory insufficiency or sleep apnea","Acute narrow-angle glaucoma","Severe kidney disease","Pregnancy, especially in the first trimester, unless absolutely necessary","Breastfeeding","Children under 6 years of age","Concurrent use with alcohol or other central nervous system depressants"]
⚠️ Warnings & Precautions
["This medicine can cause severe drowsiness and impair your ability to drive or operate machinery. Avoid these activities until you know how it affects you.","Do not drink alcohol while taking this medicine, as it can cause dangerous sedation and breathing problems.","This medicine has a high potential for dependence and withdrawal. Use for the shortest possible time and do not stop suddenly after prolonged use.","Elderly patients are more sensitive to the effects of this medicine and are at higher risk of falls, confusion, and cognitive impairment. Use with caution and at lower doses.","This medicine can cause paradoxical reactions such as agitation, excitement, and hallucinations, especially in children and the elderly.","Use with caution in patients with liver disease, kidney disease, or respiratory disease.","This medicine may affect your ability to think clearly or make decisions. Avoid making important decisions until you know how it affects you.","Do not share this medicine with others, as it is a controlled substance and can be harmful to them.","Keep this medicine out of the reach of children.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Chlordiazepoxide passes into breast milk and may cause drowsiness, poor feeding, and weight loss in the breastfed infant. Breastfeeding is not recommended while taking this medicine. If you must take this medicine, your doctor may advise you to stop breastfeeding or to use formula feeding. Consult your doctor for personalized advice.
💊 Overdose Management
Overdose of this medicine can cause severe drowsiness, confusion, slow or shallow breathing, low blood pressure, and loss of consciousness. If you suspect an overdose, seek emergency medical help immediately. Do not try to induce vomiting unless instructed by a medical professional. The specific antidote for benzodiazepine overdose is flumazenil, which should only be given by a qualified healthcare provider in a hospital setting. Supportive care, including monitoring of breathing, heart rate, and blood pressure, may be required. In case of accidental overdose in a child, call emergency services right away.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is less than half the time until your next scheduled dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure what to do, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor and never increase the dose on your own. Do not drink alcohol while taking this medicine, because alcohol greatly increases the risk of severe drowsiness and dangerous breathing problems. Avoid driving, cycling, or operating heavy machinery until you know how this medicine affects you. Do not stop this medicine suddenly after taking it for more than a few weeks, because abrupt withdrawal can cause serious symptoms; your doctor will usually reduce the dose gradually. Tell your doctor about all other medicines you take, especially opioid painkillers, sleeping pills, antidepressants, antipsychotics, antihistamines, and muscle relaxants, because these can add to the sedative effect. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding, because this medicine can affect the baby. Keep this medicine in a safe place away from children, as it is a controlled substance and can be harmful if taken accidentally. Do not share this medicine with anyone else, even if they have similar symptoms. Regular follow-up with your doctor is important to review whether you still need this medicine and to monitor for side effects.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the effects of this medicine and are at higher risk of drowsiness, confusion, unsteadiness, falls, and fractures. The starting dose should be lower, and the dose should be increased cautiously. Regular review by a doctor is important to assess the ongoing need for this medicine and to monitor for side effects. Elderly patients should avoid driving and operating machinery. They should also be monitored for signs of dependence and withdrawal.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, talk to your doctor before taking this medicine. This medicine can cross the placenta and may harm the unborn baby. It should only be used during pregnancy if the potential benefit justifies the risk. Your doctor may recommend alternative treatments or a gradual taper before conception. Do not stop this medicine suddenly on your own.
🏥 Post-Surgery Considerations
This medicine can increase the sedative effects of anesthesia and other medicines used during surgery. Inform your surgeon and anesthesiologist that you are taking this medicine before any surgical procedure. Your doctor may advise you to stop or adjust the dose before surgery. After surgery, this medicine may add to the sedative effects of pain medicines, so close monitoring is needed.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. This medicine can cause drowsiness and dry mouth, which may affect your comfort during dental work. It may also interact with sedatives or anesthetics used in dentistry. Your dentist may need to adjust your treatment plan or take extra precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness, dizziness, and muscle weakness, which may affect your coordination and balance. Avoid strenuous exercise, heavy lifting, or activities that require sharp focus until you know how the medicine affects you. If you exercise, do so with caution and consider having someone with you. Consult your doctor before starting any new exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can significantly affect your ability to work, especially if your job requires driving, operating machinery, or making quick decisions. Drowsiness, dizziness, and difficulty concentrating are common, particularly when starting treatment or increasing the dose. You may need to adjust your work schedule or take time off until you know how the medicine affects you. Inform your employer if your job involves safety-sensitive tasks. Do not drive or operate heavy machinery until your doctor says it is safe.
🛑 When to Stop This Medicine
You should not stop this medicine without consulting your doctor. If you have been taking it regularly for more than a few weeks, stopping suddenly can cause withdrawal symptoms such as anxiety, insomnia, tremors, sweating, and seizures. Your doctor will usually reduce the dose gradually over days to weeks. If you experience severe side effects or wish to stop, contact your doctor to discuss a safe tapering plan. Do not stop on your own.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, meaning you may need higher doses to get the same effect, and dependence, where your body becomes used to the medicine and you experience withdrawal symptoms when you stop. It can also cause memory problems, difficulty concentrating, and mood changes. Long-term use may affect sleep quality and lead to falls, especially in the elderly. Regular monitoring by your doctor is essential, and the medicine should be tapered gradually when stopping. It is not recommended for long-term use.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A talking therapy that helps you change negative thought patterns and behaviors contributing to anxiety. It is a first-line treatment for anxiety disorders.
Evidence: Well-establishedAntidepressant medicines that are commonly used for long-term management of anxiety disorders. They do not cause dependence like benzodiazepines.
Evidence: Well-establishedPractices that help you focus on the present moment and reduce anxiety. They can be used alongside medical treatment.
Evidence: ModeratePhysical activity can reduce anxiety and improve mood. It is a helpful addition to other treatments.
Evidence: ModerateA technique that teaches you to control certain body functions, such as heart rate and breathing, to reduce anxiety.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a vaccine, inform your healthcare provider that you are taking this medicine. It is generally safe to receive vaccines while taking this medicine, but your doctor will advise you based on your overall health.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original container with the lid tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom or near the kitchen sink
✅ DO
Keep out of the reach of children and pets
❌ DON'T
Do not leave it on a bedside table or in an open place
✅ DO
Check the expiry date before use
❌ DON'T
Do not use expired medicine
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging with the prescription label clearly visible. Bring a copy of your prescription and a letter from your doctor stating the medicine, dose, and condition being treated, especially for international travel. Check the customs regulations of your destination country, as benzodiazepines are controlled substances in many countries. If you are crossing time zones, consult your doctor about how to adjust your dosing schedule. Store the medicine in your carry-on luggage, not in checked baggage, to avoid loss or temperature extremes. Keep it away from direct sunlight and heat during travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts to work within 30 to 60 minutes after taking a dose. The full calming effect may take several days of regular use to develop.
A: This medicine is intended for short-term use only, usually for a few weeks. Long-term use can lead to tolerance, dependence, and withdrawal symptoms. Your doctor will review your need for this medicine regularly.
A: Yes, this medicine has a high potential for dependence and addiction, especially with long-term use or misuse. It should only be taken as prescribed and for the shortest possible time.
A: No, you should completely avoid alcohol while taking this medicine. Combining them can cause severe drowsiness, slow breathing, and even death.
A: If you miss a dose, take it as soon as you remember if it is less than half the time until your next dose. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: No, do not stop this medicine suddenly, especially if you have been taking it regularly for more than a few weeks. Abrupt withdrawal can cause serious symptoms, including seizures. Your doctor will guide you through a gradual taper.
A: This medicine may harm the unborn baby and should only be used during pregnancy if the potential benefit justifies the risk. Consult your doctor if you are pregnant or planning pregnancy.
A: Yes, this medicine can cause drowsiness, dizziness, and impaired coordination. Avoid driving or operating machinery until you know how it affects you.
🤔 Common Patient Concerns
🔄 Substitutes for peaceoxide 25mg tablet
View AllAlternative brands with exact same active ingredient:
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cax 25mg tabletZenith Healthcare Ltd ₹15.00 20.7% CHEAPER
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tribrium 25mg tabletShine Pharmaceuticals Ltd ₹22.38 18.3% COSTLIER
-
cebrum 25mg tabletPsycormedies ₹22.47 18.8% COSTLIER
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cloxide 25mg tabletLa Pharmaceuticals ₹26.06 37.7% COSTLIER
-
vizep 25mg tabletKivi Labs Ltd ₹26.16 38.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is a safe everyday treatment for stress.
Fact: This medicine is a controlled prescription medicine intended for short-term use only. It carries a high risk of dependence and should not be used for everyday stress without medical supervision. - Myth: You can stop this medicine whenever you want.
Fact: Stopping this medicine suddenly after regular use can cause serious withdrawal symptoms, including seizures. It should be tapered gradually under medical supervision. - Myth: This medicine is safe to take with alcohol.
Fact: Combining this medicine with alcohol can cause severe drowsiness, slow breathing, and even death. Alcohol must be completely avoided. - Myth: This medicine is safe to take during pregnancy.
Fact: This medicine can cross the placenta and may harm the baby. It should only be used during pregnancy if the potential benefit justifies the risk, and under strict medical supervision. - Myth: This medicine improves sleep quality.
Fact: This medicine may help you fall asleep, but it can reduce the quality of deep sleep and lead to dependence. It is not a first-choice treatment for insomnia.
🔄 Alternative Options
Generic Alternatives
- Chlordiazepoxide 25 mg tablet
Brand Alternatives
- Anxon 25mg tablet