Stresam (etifoxine) functions as a non-benzodiazepine anxiolytic medication that reduces anxiety by enhancing GABA neurotransmitter activity in the brain without causing significant sedation or drowsiness.
Stresam operates through a dual mechanism of action, binding to a different site on the GABA receptor complex than benzodiazepines and modulating neurosteroid levels in the brain, particularly allopregnanolone synthesis.
Stresam presents a lower risk of dependence and withdrawal symptoms compared to traditional benzodiazepines, making Stresam suitable for longer-term anxiety treatment while maintaining cognitive clarity and allowing patients to function normally in daily activities.
Table of Contents
What is Stresam?
Stresam (also known as etifoxine) is a non-benzodiazepine anxiolytic medication that works by enhancing GABA neurotransmitter activity in the brain, which reduces tension and anxiety while promoting peripheral nerve healing and creating a calming effect on the nervous system.
The active ingredient in Stresam is etifoxine, also known by its chemical name diethyl-etifoxine. It functions not only as an anxiolytic but also has the properties of an anticonvulsant drug, which can help in controlling seizures, although its primary use is in the treatment of anxiety.
The medication works by enhancing the action of GABA, a neurotransmitter in the brain that promotes calmness. This increased action of GABA leads to reduced anxiety and tension in patients. Stresam is distinct from traditional anxiolytic drugs in that it does not belong to the benzodiazepine class, which is commonly associated with a higher risk of dependence and side effects.
It’s important to note that Stresam contains lactose, so if you have lactose intolerance or other related conditions you should consult your doctor provider before using this medication.
Additionally, Stresam is metabolized into several compounds, including an active metabolite that contributes to its anxiolytic effects. This metabolite is part of the process that helps to alleviate symptoms of anxiety in patients.
In summary, its unique compound diethyl-etifoxine, offers anxiolytic activity with the added benefit of anticonvulsant properties, making it a versatile medicine for those experiencing social anxiety disorder and tension.
Pros:
- Stresam effectively reduces symptoms of anxiety without causing significant sedation or drowsiness that typically accompanies other anxiolytic medications
- Stresam presents a lower risk of dependence and withdrawal symptoms compared to benzodiazepines, making it suitable for longer-term use
- Stresam provides fast-acting relief, typically beginning to work within 2-3 hours after intake
- Stresam maintains cognitive clarity while alleviating anxiety, allowing patients to function normally in daily activities
Cons:
- Not suitable for those younger than 18 years old
- Not suitable for those with lactose intolerance
Mechanism of Action
Stresam operates through a dual mechanism of action, primarily used for the treatment of stress and anxiety. Its active substance, etifoxine, facilitates its anxiolytic effects in a manner distinct from traditional benzodiazepines.
The primary mechanism of Stresam involves modulating the GABA (gamma-aminobutyric acid) system, a key neurotransmitter in the brain responsible for inhibiting nerve transmission and reducing neuronal excitability. This modulation results in a calming effect on the central nervous system, alleviating symptoms of stress and anxiety.
Stresam (etifoxine) has a unique mechanism of action that involves the modulation of neurosteroid levels in the brain, specifically impacting the synthesis of allopregnanolone. Allopregnanolone is a neurosteroid derived from progesterone, known for its potent effects on the GABA-A receptors, like benzodiazepines.
However, unlike benzodiazepines, which bind directly to the GABA receptor, Stresam binds to a different site on the receptor complex, enhancing the natural effects of GABA without the significant sedative effects often associated with benzodiazepines.(1) Stresam is thought to interact with the β2 or β3 subunits of the GABA-A receptor. This interaction facilitates an increase in GABA-induced chloride ion flow, which contributes to its anxiolytic effects that reduce anxiety levels.
In addition to its interaction with the GABA system, one metabolite of Stresam (etifoxine) is etifoxine’s hydroxyethyl derivative. When Stresam is ingested, it undergoes metabolism in the liver, where it is transformed into several metabolites.
This hydroxyethyl derivative is one of the primary metabolites formed during this process and is also excreted in urine in an unchanged form. This allows for a lower risk of dependency and withdrawal symptoms.
In summary, Stresam’s mechanism of action, through its dual modulation of the GABA system and its metabolism into several active metabolites, makes it an effective treatment for anxiety and stress, with a safety profile that is generally considered favorable compared to traditional benzodiazepines. However, monitoring for potential hypersensitivity reactions is crucial for safe use.
What Does Stresam Feel Like?
The effects of Stresam are typically described as subtle yet effective. Unlike benzodiazepines that can cause noticeable sedation, patients generally report:
- A gradual reduction in anxiety and tension without feeling “drugged” or overly sedated
- Improved ability to focus and think clearly as anxiety decreases
- Natural-feeling calmness without cognitive impairment
- Maintained alertness and ability to perform daily tasks
- Relief from physical symptoms of anxiety like muscle tension
The onset of effects is usually felt within 2-3 hours after taking a dose, with the calming effects lasting throughout the day when taken as prescribed.
Nootropic Benefits of Stresam
Stresam, known for its efficacy in the treatment of anxiety disorders, offers several nootropic benefits due to its unique mechanism of action. Primarily used by patients with anxiety, Stresam, containing the active ingredient etifoxine, functions differently from traditional anxiolytics like lorazepam.
It acts as a positive allosteric modulator at specific receptor sites and influences the translocator protein, impacting cognitive functions positively. These effects, observed in both in vitro and in vivo studies, suggest that Stresam can aid in cognitive enhancement while managing anxiety disorders.
Here is an overview of Stresam’s nootropic benefits.
1. Enhanced Cognitive Function
Patients with anxiety who are using Stresam to treat stress disorders often experience an improvement in cognitive functions. Anxiety can significantly impair concentration and memory, and by alleviating these symptoms, Stresam helps restore these cognitive abilities.(2)
2. Increased Efficacy in Anxiety Management
The effects of etifoxine, the active ingredient in Stresam, are notable in the management of various anxiety disorders. Its effectiveness in reducing anxiety symptoms helps patients to focus better and engage more efficiently in daily tasks. Etifoxine binds to the GABAgenic binding site and promotes a calm feeling for those showing signs of anxiety.(3)
3. Positive Impact on Adjustment Disorders
For those suffering from adjustment disorders with anxiety, Stresam can be particularly beneficial. It helps in modulating the response to stress, leading to improved coping mechanisms and better overall mental clarity.
4. Modulation of Translocator Protein
Stresam acts as a modulator of the translocator protein, which plays a role in the synthesis of neurosteroids that are crucial for brain function. This modulation can lead to improved neurological health, neuroprotection, and improved cognitive performance.(4)
5. Reduced Risk of Withdrawal Symptoms
Unlike lorazepam and other benzodiazepines, taking Stresam does not pose a high risk of dependency or withdrawal syndrome over time.(5) This makes it a safer option for long-term use, particularly important for patients requiring ongoing treatment for anxiety disorders.
Uses of Stresam
Stresam (Etifoxine) is a medicene with a duel mechanism of action that allows for multiple uses. Here’s a list of the key uses of stresam:
- Treatment of Anxiety Disorders: Primarily used to reduce symptoms in patients with anxiety.
- Anxiolytic Action: Acts as an anti-anxiety medication without the sedative effects common in other anxiolytics.
- Modulation of GABAergic System: Works by enhancing the action of GABA, a neurotransmitter that helps control feelings of anxiety.
- Peripheral Nerve Healing: Unique among anxiolytics for its role in promoting nerve health.
Patient Experiences and Reviews
Clinical studies and patient feedback indicate that Stresam is generally well-received by users. Common reports from patients include:
- Effective anxiety relief without significant drowsiness
- Improved ability to handle stressful situations
- Better sleep quality without next-day grogginess
- Minimal side effects compared to other anxiety medications
- Maintained mental clarity while experiencing anxiety relief
However, individual experiences may vary, and some patients may require dose adjustments to achieve optimal benefits. As with any medication, results should be monitored and discussed with your healthcare provider.
Where to Buy Stresam
Stresam is available in 50mg capsules that modulate GABAergic systems and influence neurosteroid activity within the central nervous system, with product information and purchasing options available through x.com, our recommended online retailer that ships high-quality, third-party-tested Stresam directly to your location.
Stresam Dosage
The usual dosage of the drug Stresam depends on the severity of the anxiety disorder and the patient’s overall health condition. It’s important for patients to follow the recommended dosage and consult with their doctor for any adjustments or if they experience any adverse effects.
The standard Stresam dosage is 50 mg taken three times daily, which physicians may increase to 100 mg three times daily for patients with more severe anxiety symptoms or those who don’t respond adequately to the standard dose.
Remember to take your dose of stresam during the day so that it can be felt when you need it most. This is especially important when stresam is used to treat anxiety disorders.
In case of a missed dose, the general rule for most medications is to take the missed dose as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and resume your regular dosing schedule.
Stresam Side Effects and Safety
While Stresam is generally well-tolerated by most patients, potential side effects can include allergic reactions manifesting as skin rashes or hives, mild gastrointestinal discomfort, and in very rare cases, severe hypersensitivity reactions such as Stevens-Johnson syndrome or liver function abnormalities that require immediate medical attention.
Safety Note: While first taking the drug, the concentration of the active substance and its metabolites in the blood plays a crucial role in its efficacy. However, it’s important to be aware of potential hypersensitivity reactions, such as urticaria (hives), vasculitis (inflammation of the blood vessels), Erythema (red rash on the skin), and in rare cases, severe reactions like Stevens-Johnson syndrome. This is especially the case for individuals with pre-existing conditions like galactosemia.
Additionally, it’s recommended to not ingest alcohol into your gastrointestinal system during your days of taking Stresam. This could lead to reduced kidney function and liver problems.
Withdrawal Symptoms
While Stresam has a lower risk of withdrawal symptoms compared to benzodiazepines, some patients may experience mild withdrawal effects when discontinuing use, particularly after long-term treatment. Common withdrawal symptoms may include:
- Mild anxiety or restlessness
- Sleep disturbances
- Temporary increase in stress sensitivity
- Mild headaches
- Irritability
These symptoms are generally mild and short-lived compared to benzodiazepine withdrawal. To minimize withdrawal effects, work with your healthcare provider who may recommend gradually reducing the dose rather than stopping abruptly.
Summary
Stresam (Etifoxine) is an effective anxiolytic medication praised for its ability to reduce symptoms of anxiety without the sedative side effects commonly associated with other anti-anxiety drugs. It works by modulating the GABAergic system, enhancing the action of GABA, a key neurotransmitter in anxiety control. Unique among anxiolytics, Stresam also promotes peripheral nerve healing.
Typically prescribed in 50mg capsules, it is well-tolerated with a low risk of dependency, a significant advantage over traditional benzodiazepines.
However, it’s important to use Stresam under medical supervision to manage dosages and monitor any potential side effects.
Remember to consult with your doctor before you use stresam in order make the most out of this stress and anxiety treatment option.
FAQs
How long does Stresam take to work?
The effects of Stresam can be noticed within 2-3 hours after intake. However, for full therapeutic effects, consistent use over several days to weeks may be required.
What is the elimination half-life of Stresam?
The elimination half-life is about 6 hours. This means it takes around 6 hours for half of the drug’s concentration in the blood to be expelled from the body. The maximum concentration of the drug is usually out the body within 12 hours and is mainly excreted in the urine as metabolites.
Should you cycle Stresam?
There’s no specific requirement to cycle Stresam. However, it should not be used for a prolonged period without medical supervision. Always consult a healthcare provider for guidance.
Can I stack Stresam with other nootropics?
Stresam can potentially be combined with other nootropics. However, it’s important to consult with a healthcare provider to avoid adverse interactions.
How should I store Stresam?
Stresam should be stored at room temperature, away from heat and moisture. Always keep it out of the reach of children and pets.
- do Rego, Jean Luc et al. “The non-benzodiazepine anxiolytic drug etifoxine causes a rapid, receptor-independent stimulation of neurosteroid biosynthesis.” PloS one vol. 10,3 e0120473. 18 Mar. 2015, doi:10.1371/journal.pone.0120473↩
- Choi, Yun Mi, and Kyung Hoon Kim. “Etifoxine for pain patients with anxiety.” The Korean journal of pain vol. 28,1 (2015): 4-10. doi:10.3344/kjp.2015.28.1.4↩
- Nuss, Philippe. “Anxiety disorders and GABA neurotransmission: a disturbance of modulation.” Neuropsychiatric disease and treatment vol. 11 165-75. 17 Jan. 2015, doi:10.2147/NDT.S58841↩
- Nuss, Philippe et al. “An update on the anxiolytic and neuroprotective properties of etifoxine: from brain GABA modulation to a whole-body mode of action.” Neuropsychiatric disease and treatment vol. 15 1781-1795. 3 Jul. 2019, doi:10.2147/NDT.S200568↩
- Nguyen, N et al. “Efficacy of etifoxine compared to lorazepam monotherapy in the treatment of patients with adjustment disorders with anxiety: a double-blind controlled study in general practice.” Human psychopharmacology vol. 21,3 (2006): 139-49. doi:10.1002/hup.757↩