During the first week of treatment recommended dose of 5 mg / day, which is then increased to 10 mg / day. Depending on the individual response of the patient the dose may be increased to a maximum of -. 20 mg / day
maximum therapeutic effect is achieved after about 3 months after starting treatment. The therapy lasts several months.

Social anxiety disorder (social phobia)
is usually given 10 mg once daily. The weakening of symptoms usually anavar for sale occurs within 2-4 weeks after starting treatment. Depending on the individual response of the patient the dose may subsequently be reduced to 5 mg / day. or increased to the maximum -. 20 mg / day
Since social anxiety disorder is a disease with a chronic course, the minimum recommended duration of the therapeutic course is 12 weeks. In order to prevent recurrence of the disease the drug is administered for 6 months or longer, depending on the individual patient response.

Generalised anxiety disorder
The recommended initial dose – 10 mg once daily. Depending on the individual response of the patient the dose may be increased to a maximum of – 20 mg / day. Allowed long-term use of the drug (6 months and longer) at a dose of 20 mg / day.

Obsessive-compulsive disorder
is usually given 10 mg once daily. Depending on the anavar for sale individual response of the patient the dose may subsequently be increased to a maximum of -. 20 mg / day
As obsessive-compulsive disorder is a disease with a chronic course of treatment should be long enough to provide complete relief of symptoms, and last at least six months. Recommended treatment is not less than 1 year to prevent relapses.

Elderly patients (over 65)
is recommended to use half the usual recommended dose (ie, a total of 5 mg / day) and a lower maximum dose (10 mg / day).

Reduced renal function
Mild to moderate renal impairment dose adjustment is required. Patients with severe renal impairment  should be administered with caution Tsipraleks.

Reduced liver function
If mild to moderate hepatic impairment the recommended initial dose for the first two weeks of treatment is 5 mg / day. Depending on the individual response of the patient the dose may be increased to 10 mg / day. In severe hepatic impairment caution should be exercised when titrated doses.

Decreased activity of the cytochrome anavar for sale
For patients with weak activity isoenzyme  recommended starting dose for the first two weeks of treatment was 5 mg / day.
Depending on the individual response of the patient the dose may be increased to 10 mg / day.

Discontinuation of treatment
When discontinuing treatment Tsipraleksom dose should be gradually reduced over 1-2 weeks to avoid the syndrome of “cancellation”.

SIDE EFFECT

Side effects most often occur in the first or second week of treatment and then usually become less intense and occur less frequently with continued therapy. On the part of the psyche: decreased libido, anorgasmia (in women). From the nervous system: insomnia or drowsiness, dizziness; less often observed violation of taste sensations and sleep disturbance. Respiratory system: sinusitis, yawning. From the digestive system: nausea, diarrhea, and constipation. For the skin: increased sweating.

Reproductive system: impotence, abnormal ejaculation. On the part of the body as a whole: fatigue, pyrexia.Metabolic and nutrition disorders: decreased appetite. When receiving drugs belonging to the class of SSRIs, including Tsipraleksa are also possible: Metabolic and nutritional disorders: hyponatremia, inadequate secretion of antidiuretic hormone anavar for sale. On the part of the psyche: hallucinations, delusions, confusion, agitation, anxiety, depersonalization , panic attacks, irritability. nervous system: seizures, tremor, movement disorders, serotonin syndrome .