Tofisopam
About Tofisopam
Tofisopam is an oral prescription medicine primarily used to treat various forms of anxiety, depression, and associated physical symptoms. It helps manage emotional distress and autonomic nervous system symptoms, such as sweating or a racing heart, that are triggered by mental strain. This medicine is designed to help you regain mental calmness and stability so you can manage your daily routine more comfortably.
To get the best results, you must take Tofisopam consistently and exactly as prescribed by your doctor. It can be taken with or without food, but keeping your daily routine uniform helps maintain stable levels of the medicine in your body. Simple lifestyle adjustments, such as practising deep-breathing exercises and reducing your daily intake of caffeine, can also support your progress.
While taking Tofisopam, you might experience mild side effects like a dry mouth, mild headache, or nausea. These symptoms are usually temporary, but if you notice severe allergic reactions or signs of liver damage, you should consult your doctor immediately.
Talk to your doctor before starting Tofisopam if you have a history of breathing difficulties, severe lung conditions, or muscle weakness. Do not take this if you have had a severe allergic reaction to this medicine or similar medications in the past.
This medicine can interact with other substances, including alcohol and medications that affect your central nervous system or liver enzymes. If you are pregnant, planning to become pregnant, breastfeeding, or are an elderly individual, always consult your healthcare provider before taking this medicine.
Uses of Tofisopam
Medicinal Benefits
Tofisopam helps relieve symptoms of anxiety, making it easier to stay calm and manage everyday situations with greater confidence. It can reduce feelings of nervousness, tension, and worry while helping many people stay active and alert throughout the day.
Benefits may include:
- Helps relieve anxiety, nervousness, and emotional tension.
- Helps improve mood and reduce feelings of sadness in people with depression.
- Reduces physical symptoms of anxiety such as restlessness and feeling on edge.
- Improves focus and the ability to carry out daily activities more comfortably.
- Supports emotional well-being by promoting a greater sense of calm.
- Promotes better social, work, and everyday functioning by easing anxiety symptoms.
- Provides effective anxiety relief with a lower risk of dependence than many traditional benzodiazepines when used as prescribed.
Directions for Use
- Take Tofisopam by mouth exactly as directed by your doctor.
- Swallow the tablet whole with a full glass of water. Do not crush, chew, or break the tablet, as this can affect how the medicine is absorbed in your body.
- You can take this medicine with or without food. However, if it upsets your stomach, taking it with a meal can help.
- Always follow your doctor's exact instructions regarding how often and how long to take this medication.
Storage
Side Effects of Tofisopam
Common Side Effects (Usually mild):
- Dry mouth
- Nausea or mild stomach discomfort
- Headache
- Mild skin rash or itching
Serious Side Effects (Call a doctor right away):
- Signs of an allergic reaction, such as swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe agitation, restlessness, or unusual mood changes
- Yellowing of the eyes or skin (signs of liver damage)
- Severe dizziness or fainting
Medicines Containing this Salt
View AllDrug Warnings
- Check your alertness: Before driving, riding a bike, or operating machinery, see how this medicine affects you. Although Tofisopam is less likely to cause drowsiness than many anti-anxiety medicines, it can affect some people differently.
- Avoid alcohol: Do not drink alcohol while taking this medicine. Alcohol may increase side effects or cause unexpected reactions.
- Tell your doctor about breathing problems: Inform your doctor if you have severe lung disease or difficulty breathing before starting this medicine. They will decide if it is safe for you.
- Do not stop the medicine suddenly: Continue taking this medicine exactly as prescribed, even if you start feeling better. Speak with your doctor before stopping it, as they will advise you on the safest way to discontinue treatment.
- Share your medicine list: Tell your doctor about all the medicines, supplements, and herbal products you are taking. This is especially important for medicines that affect the brain or liver, as they may interact with Tofisopam.
- Discuss certain health conditions: Tell your doctor if you have severe liver disease or acute narrow-angle glaucoma before taking this medicine. Tofisopam may not be suitable for people with these conditions.
- Attend follow-up appointments: Keep your scheduled doctor visits so your treatment can be reviewed. Your doctor will check how well the medicine is working, monitor for side effects, and adjust your dose if needed.
- Report ongoing or worsening symptoms: Contact your doctor if your anxiety does not improve within a few weeks, gets worse, or if side effects become troublesome. Your treatment may need to be reviewed or adjusted.
Drug Interactions
Drug-Drug Interaction:
- Central Nervous System Depressants (e.g., zolpidem, alprazolam, morphine, tramadol): Taking these medicines alongside Tofisopam may increase the risk of drowsiness, dizziness, and coordination problems.
- Liver Enzyme Inhibitors (e.g., ketoconazole, erythromycin): These medicines may slow the breakdown of Tofisopam, increasing its levels in the body and the risk of side effects.
Drug-Food Interaction:
Alcohol: Avoid alcohol, as it can modify the effects of Tofisopam and worsen your symptoms or cause unexpected side effects.
Drug-Disease Interaction:
- Myasthenia Gravis: Use with caution, as neuromuscular conditions may be affected by medications acting on the nervous system.
- Severe Respiratory Insufficiency: Do not take this if you have severe breathing problems, as it may worsen respiratory function.
- Liver or Kidney Disease: If you have liver or kidney issues, your body may process Tofisopam more slowly, requiring careful monitoring by your doctor.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionYou are recommended not to consume alcohol along with Tofisopam to avoid unpleasant side-effects like drowsiness, dizziness, or sleepiness. It may also lead to a life-threatening condition like coma if taken with excessive alcohol.
Pregnancy
unsafeTofisopam is a Category D risk pregnancy drug that is considered unsafe for pregnant women. Tofisopam can have some harmful effects on the baby (fetus), so your doctor will weigh the benefits and any potential risks before prescribing it to you.
Breast Feeding
unsafeTofisopam passes into the breast milk and may cause some degree of sedation in the baby. So, keep your doctor informed if you're planning to breastfeed while on this medication.
Driving
unsafeTofisopam usually causes dizziness, drowsiness, and visual disturbances, which may affect their ability to drive or operate machinery. So, do not drive or operate heavy machinery if you feel sleepy or dizzy after taking Tofisopam. Tell your doctor if you get these types of side effects.
Liver
cautionTofisopam to be taken with caution, especially if you have a history of Liver diseases/conditions. The dose may have to be adjusted by your doctor.
Kidney
cautionTofisopam to be taken with caution, especially if you have a history of Kidney diseases/conditions. The dose may have to be adjusted by your doctor.
Children
unsafeIt is unknown whether Tofisopam is safe or effective in treating conditions like panic disorder in children younger than 18 years old. So, your doctor will decide whether Tofisopam can be given to children less than 18 years of age or not.
Habit Forming
Diet & Lifestyle Advise
- Limit caffeine intake: Avoid or reduce drinks and foods containing caffeine, as they may worsen anxiety symptoms and reduce the calming benefits of Tofisopam.
- Practice relaxation techniques: Include activities such as deep breathing, yoga, or progressive muscle relaxation in your daily routine to help manage stress and support emotional well-being.
- Maintain a regular sleep schedule: Go to bed and wake up at the same time each day to support your nervous system and help reduce anxiety over time.
- Avoid alcohol: Do not drink alcohol while taking this medicine, as it may interact with the medication, worsen anxiety, or increase the risk of unwanted side effects.
Special Advise
- Tofisopam causes drowsiness. Avoid doing activities that require your complete focus and attention, like driving when on this drug.
- An abrupt stoppage of Tofisopam can lead to significant withdrawal symptoms. Always discuss decreasing the dosage with your doctor before completely stopping its usage.
- Avoid consuming alcohol while on this medication, as it can lead to dangerous side effects.
- Tofisopam is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor about changing/replacing the medicine with safer alternatives in such situations.
- To avoid getting addicted to Tofisopam, take it only in prescribed quantities and only as directed by your doctor. Do not self-medicate.
Patients Concern
Disease/Condition Glossary
Depression: Depression is considered a serious mental disorder that can lead to worsening of the condition if not treated. It is a mood disorder that mainly affects a person's daily life. It leads to feelings of sadness, anger, or loss that affect the quality of life. It can lead to low productivity at work.
Anxiety: High levels of anxiety can cause panic attacks, with intense feelings of nervousness, fear, and sudden onset of sweating, hyperventilation, fast heartbeat, and flushing of the skin. Anxiety disorders are different from feelings of anxiety and feeling nervous, which involve excessive anxiety, fear, or worry. Fear can arise due to anxiety and emotional response to an immediate threat related to more staying to fight or leaving to escape danger. Fear before getting ready for the surgery is also a part of the short-term anxiety. Anxiety disorders can affect an individual’s job performance, school work, and personal relationships.
FAQs
Tofisopam is used to treat depression and associated anxiety with depression.
Tofisopam contains Tofisopam (benzodiazepine), which is used to treat anxiety. Tofisopam works by increasing the action of a chemical messenger GABA, which suppresses the excessive and abnormal activity of nerve cells in the brain.
Do not abruptly stop taking Tofisopam as it might lead to nausea, aggressive behavior, anxiety, confusion. Inform your doctor if you feel better, and accordingly, the dose will be adjusted.
Tofisopam is generally not recommended for elderly patients as it is known to reduce muscle tone and increase the risk of falls. So, if a doctor prescribes it, only then take it.
Yes, Tofisopam may cause mental or physical dependence if used for a prolonged time. Therefore, take Tofisopam only in dose and duration as advised by your doctor.
If you have taken a double dose or overdose of Tofisopam, you need immediate medical help either by calling a doctor or going to the nearest hospital or clinic.
Caffeine is a stimulant that may reduce the calming effects of tofisopam. So, it is advisable to avoid the intake of caffeinated beverages like coffee, tea, and cola, or chocolate that contain caffeine.
Tofisopam may cause common side effects, such as loss of appetite, dryness in the mouth, nausea, insomnia (difficulty in sleeping), and headache. Most of these side effects of Tofisopam do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
Yes, Tofisopam has a very high potential for habit formation, so it should only be taken in the dose and duration prescribed by your doctor. Do not stop taking Tofisopam abruptly, as this may lead to withdrawal symptoms such as nausea, aggression, anxiety, and confusion. Inform your doctor if you notice any unusual symptoms, as your dosage may need to be adjusted accordingly.
Tofisopam should be used cautiously in elderly patients due to their potential to reduce muscle tone, which may increase the risk of falls and related injuries. It is generally not recommended unless prescribed by a doctor who can carefully assess the benefits and risks for the individual patient.
Unlike traditional anti-anxiety medications, Tofisopam does not typically cause significant drowsiness or sleepiness because of how it works in the brain. However, individual reactions can vary, so talk to your doctor if you feel unusually tired.
No, you should avoid drinking alcohol while taking Tofisopam, as it can interact unpredictably and cause unwanted side effects or worsen your anxiety.
Although Tofisopam does not usually cause sedation, you should see how it affects you before driving or operating heavy machinery. Talk to your doctor if you experience any dizziness.
Dry mouth is a common, mild side effect. Sucking on sugarless hard candy, chewing sugarless gum, or drinking plenty of water can help relieve this. If it persists, talk to your doctor or pharmacist.

