Nitrazepam is one of the class of medications called benzodiazepines. It is utilized for short-term treatment of sleeping problems (insomnia), for example difficulty drifting off to sleep, frequent awakenings throughout the night, and early-morning awakening. It is also utilized to manage myoclonic seizures. It works by slowing the nerves within the brain (the central nervous system).
This medication could be available under multiple brandnames and/or in several many forms. Any specific brand name of the medication will not be for sale in every one of the forms or approved for each of the conditions discussed here. As well, some forms on this medication is probably not used by each of the conditions discussed here.
Your doctor could have suggested this medication for conditions aside from those placed in these drug information articles. If you have not discussed this along with your doctor or are certainly not sure why you are taking medicines, speak to your doctor. Do not stop taking prescription drugs without talking to your physician.
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Do not give medicines to other people, even though they've a similar symptoms when you do. It can be harmful for those to look at this medication if their doctor has not yet prescribed it.
The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at bedtime.
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Seniors could possibly be prone to experience negative effects of the medication and should start with 2.5 mg taken at bedtime.
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The lowest effective dose must be used. It is vital that the dose be individualized for your specific has to avoid excessive drowsiness throughout the day time or motor impairment.
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This medicine is normally used for a short period of time or being an "as required" medication. As it may be habit-forming, the treatment period must be as short as you possibly can and not usually over 7 to 10 consecutive days. If you need prescription drugs for longer than two or three weeks, consult your physician for the re-evaluation of this medication.
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When taken for treating myoclonic seizures, the dose is based mainly on bodyweight. The dose for youngsters (approximately 30 kg of weight) ranges from 0.3 mg per kilogram of body mass to 1 mg per kilogram of body weight daily in 3 divided doses. Your doctor will calculate a proper dose.
Many things could affect the dose of medication which a person needs, for example body mass, other medical ailments, and other medications. If your medical professional has recommended a dose not the same as the methods listed here, tend not to affect the method that you adopt the medication without talking to your physician.
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Nitrazepam may be habit-forming when taken for too long periods of time. It is probably not appropriate for people who have previous alcohol or abusing drugs.
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If you have been taking this medication regularly for a long period of energy (several month), do not stop utilizing the medication without speaking using your doctor. A gradual decrease in dose is recommended when stopping medicines to prevent withdrawal effects.
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It is very important to take prescription drugs exactly as prescribed by your doctor. Do not take prescription drugs in a very larger amount or to get a longer period of your time than prescribed by your doctor. If you miss a scheduled dose, go on it as soon as possible and continue together with your regular schedule. If you are taking nitrazepam for sleeping, do not take it for a moment struggle to get yourself a full night's sleep (approximately 8 hours or more). This medication would make people disoriented, uncoordinated and unable to concentrate clearly until they have worn off. If you remember fondly the missed dose throughout the daytime, skip the missed dose and continue using your regular dosing schedule. Do not take a double dose to generate up to get a missed one. If you usually are not sure what direction to go after missing a dose, contact your doctor or pharmacist for advice.
Store medicines at room temperature, protect it from punctures from light and moisture, and keep it out of reach of children.
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Do not get rid of medications in wastewater (e.g. on the sink or inside the toilet) or in household garbage. Ask the pharmacist how to eliminate medications which are no longer needed or have expired.
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Many medications could cause side effects. A side effect is definitely an unwanted reaction to a medication when it's taken in normal doses. Side effects might be mild or severe, temporary or permanent. The unwanted side effects the following aren't gone through by everyone who takes medicines. If you're worried about side effects, discuss the potential risks and benefits of the medication with your doctor.
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The following negative effects are actually reported by at least 1% of folks taking this medication. Many of these unwanted side effects may be managed, and some may go away independently with time.
Contact a medical expert if you experience these unwanted effects plus they are severe or bothersome. Your pharmacist could possibly be able to help you on managing unwanted effects.
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Although the majority of the negative effects listed below don't happen often, they might cause serious problems in case you usually do not check with your doctor or seek medical help.
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Check together with your doctor as soon as is possible if the following unwanted side effects occur:
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Stop using the medication and seek immediate medical attention if any of the following occur:
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Some people can experience negative effects besides those listed. Check with your doctor if you notice any symptom that worries you while you take medicines.
Do not take nitrazepam in the event you:
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There may be an interaction between nitrazepam and any of these:
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Before you start using a medication, be sure to inform your medical professional of any health concerns or allergies you could have, any medications you are taking, whether you happen to be pregnant or breast-feeding, and any other significant details of your wellbeing. These factors may affect the way you should use medicines.
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Asthma along with other respiratory conditions: Nitrazepam could potentially cause increased breathing difficulty for those having an acute asthma attack, or those with chronic obstructive pulmonary disease (chronic bronchitis, emphysema) or any other conditions that affect breathing. If you have asthma or some other breathing disorder, discuss along with your doctor how medicines may affect your medical condition, how your medical condition may get a new dosing and effectiveness of the medication, and whether any special monitoring is required.
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Behavioural and mood changes: This medication could potentially cause mood and psychiatric changes, including aggressiveness, confusion, anxiety, restlessness and memory lapses. Tell your physician as soon as you can in case you notice any unusual adjustments to your behaviour.
Complex sleep-related behaviours: There are actually reports of complex sleep-related behaviours which may have occurred while using nitrazepam and also other similar medications to help remedy difficulty sleeping. People taking nitrazepam have been reported to dicuss, walk, cook, eat, and drive when they just weren't fully awake, and did not remember doing these things afterwards. If you experience similar events, or notice them inside a member of the family who is taking this medication, contact your doctor as soon as is possible.
Dependence and withdrawal: Physical dependence (a necessity to take regular doses in order to avoid physical symptoms) may be related to benzodiazepines including nitrazepam. Severe withdrawal symptoms could be experienced when the dose is quite a bit reduced or suddenly discontinued. These symptoms include seizures, irritability, nervousness, sleep problems, agitation, tremors, diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms.
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A temporary condition called rebound insomnia, the place that the symptoms that led to treatment with nitrazepam revisit worse than before, may occur on withdrawal of the medication. It might be combined with other reactions including mood changes or anxiety.
Depression: This medication may make some the signs of depression worse. If you have depression or a medical history of depression, discuss with your doctor how this medication may affect your problem, how your medical problem may get a new dosing and effectiveness of this medication, and whether any special monitoring is necessary. If you experience the signs of depression like poor concentration, adjustments to weight, alterations in sleep, decreased interest in activities, contact your doctor as soon as is possible. If you experience feelings of planning to harm yourself, or notice this inside a loved one who's taking medicines, seek medical help immediately.
Drowsiness/reduced alertness: Nitrazepam causes drowsiness and sedation. Avoid activities requiring mental alertness, judgment, and physical coordination for example driving or operating machinery til you have determined how medicines affects you. Drinking alcohol can increase the drowsiness effects and will be ignored.
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Kidney function: If you have reduced kidney function or kidney disease, discuss together with your doctor how prescription drugs may affect your medical condition, how your medical condition may affect the dosing and effectiveness on this medication, and whether any special monitoring is required.
Liver function: People with reduced liver function or liver disease may go through a stronger effect from the medication than would normally occur. If you have reduced liver function or liver disease, discuss using your doctor how medicines may affect your medical problem, how your medical problem may customize the dosing and effectiveness of this medication, and whether any special monitoring is needed.
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Pregnancy: Nitrazepam, like other benzodiazepines, may cause problems for an unborn baby in the event the mother takes it in pregnancy. This medication really should not be used during pregnancy unless the advantages outweigh the hazards. If you conceive while taking this medication, contact your physician immediately.
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Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and therefore are taking nitrazepam, it may well affect your baby. Talk to a medical expert about whether you should keep breast-feeding.
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Children: The safety and effectiveness of nitrazepam for sleep difficulties have not been established for kids and adolescents under 18 years of age.
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Seniors: Seniors are prone to experience sedation and decreased coordination when taking nitrazepam. The lowest effective dose of this medication should be employed for the shortest possible length of your energy.
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