Nitrazepam belongs to the class of medications called benzodiazepines. It is used for short-term treatments for sleeping problems (insomnia), such as difficulty dropping 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 possibly be available under multiple brand names and/or in several many forms. Any specific name of this medication may not be for sale in every one of the forms or approved for all the conditions discussed here. As well, some forms of the medication is probably not useful for each of the conditions discussed here.
Your doctor might have suggested this medication for conditions apart from those placed in these drug information articles. If you have not discussed this with your doctor or aren't sure why you are taking medicines, confer with your doctor. Do not stop taking medicines without conferring with your doctor.
Do not give prescription drugs to someone else, regardless of whether they've got the same symptoms because you do. It might be harmful for those to consider medicines if their doctor hasn't prescribed it.
The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at bedtime.
Seniors could be more likely to experience unwanted side effects on this medication and should commence with 2.5 mg taken at bedtime.
The lowest effective dose ought to be used. It is very important that the dose be individualized for a specific has to avoid excessive drowsiness during the day time or motor impairment.
This medication is normally used for a short period of energy or just as one "as required" medication. As it could possibly be habit-forming, the procedure period needs to be as short as is possible and not usually over 7 to 10 consecutive days. If you need this medication for longer than two or three weeks, consult your doctor for a re-evaluation of the medication.
When taken for treatments for myoclonic seizures, the dose is reliant totally on body weight. The dose for the children (up to 30 kg of body weight) ranges from 0.3 mg per kilogram of body weight to 1 mg per kilogram of body weight daily in 3 divided doses. Your doctor will calculate a suitable dose.
Many things can impact the dose of medication a person needs, for example body weight, other medical ailments, and also other medications. If a medical expert has recommended a dose distinctive from the people listed here, do not change the manner in which you take the medication without talking to a medical expert.
Nitrazepam could be habit-forming when taken for long periods of your energy. It will not be appropriate for folks who have a history of alcohol or substance abuse.
If you are taking medicines regularly to get a long period of your energy (several month), usually do not stop using the medication without speaking using your doctor. A gradual decline in dose is mandatory when stopping prescription drugs in order to avoid withdrawal effects.
It is essential to take medicines exactly as prescribed by your doctor. Do not take this medication in the larger amount or for a longer period of your time than prescribed by your doctor. If you miss a scheduled dose, take it as soon as is possible and continue using your regular schedule. If you take nitrazepam for sleeping, do not take it if you will not be able to obtain a full night's sleep (approximately 8 hours or more). This medication can make people disoriented, uncoordinated and unable to concentrate clearly until it has worn off. If you can remember the missed dose through the daytime, skip the missed dose and continue together with your regular dosing schedule. Do not take a double dose to produce up to get a missed one. If you aren't sure what to do after missing a dose, contact your medical professional or pharmacist for advice.
Store this medication at room temperature, protect it from punctures from light and moisture, and keep it out of reach of kids.
Do not dump medications in wastewater (e.g. down the sink or inside toilet) or even in household garbage. Ask your friendly phamacist the best way to eliminate medications which can be will no longer needed or have expired.
Many medications may cause unwanted side effects. A side effect can be an unwanted reply to a medicine when it is consumed normal doses. Side effects may be mild or severe, temporary or permanent. The negative effects the following usually are not experienced by everyone who takes this medication. If you happen to be concerned with negative effects, discuss the hazards and benefits of the medication with your doctor.
The following unwanted effects are already reported by no less than 1% of folks taking prescription drugs. Many of these negative effects could be managed, and some may go away independently as time passes.
Contact your physician if you experience these negative effects and they are severe or bothersome. Your pharmacist may be able to help you on managing unwanted side effects.
Although most of the unwanted side effects down the page don't happen often, they could cause serious problems in the event you do not check together with your doctor or seek medical attention.
Check together with your doctor as soon as possible if these things unwanted effects occur:
Stop using medication and seek immediate medical help if any in the following occur:
Some people may go through unwanted side effects other than those listed. Check together with your doctor in case you notice any symptom that worries you while you are taking prescription drugs.
Do not take nitrazepam in case you:
There may be an interaction between nitrazepam and the following:
Before you start using a medicine, make sure to inform your doctor from a health concerns or allergies you could have, any medications you adopt, whether you might be pregnant or breast-feeding, and then any other significant information about your health. These factors may affect the way you should use prescription drugs.
Asthma and other respiratory conditions: Nitrazepam could potentially cause increased breathing difficulty for people using an acute asthma attack, or those that have chronic obstructive pulmonary disease (chronic bronchitis, emphysema) and other problems that affect breathing. If you have asthma or another breathing disorder, discuss with your doctor how this medication may affect your medical condition, how your condition may modify the dosing and effectiveness with this medication, and whether any special monitoring is required.
Behavioural and mood changes: This medication could cause mood and psychiatric changes, including aggressiveness, confusion, anxiety, restlessness and memory lapses. Tell a medical expert as soon as possible in case you notice any unusual alterations in your behaviour.
Complex sleep-related behaviours: There are already reports of complex sleep-related behaviours who have occurred when using nitrazepam and also other similar medications to deal with difficulty sleeping. People taking nitrazepam have been reported to speak, walk, cook, eat, and drive while they weren't fully awake, and did not remember performing these things afterwards. If you experience similar events, or notice them in a member of the family who is taking medicines, contact a medical expert as soon as possible.
Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) has become connected with benzodiazepines for example nitrazepam. Severe withdrawal symptoms may be experienced if your dose is significantly reduced or suddenly discontinued. These symptoms include seizures, irritability, nervousness, insomnia issues, agitation, tremors, diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision may help prevent or decrease these withdrawal symptoms.
A temporary condition called rebound insomnia, in which the symptoms that resulted in treatment with nitrazepam return worse than before, may occur on withdrawal from the medication. It may be together with other reactions including mood changes or anxiety.
Depression: This medication can make some signs of depression worse. If you have depression or a history of depression, discuss together with your doctor how medicines may affect your problem, how your condition may affect the dosing and effectiveness of the medication, and whether any special monitoring should be used. If you experience signs and symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, contact your physician as soon as you possibly can. If you experience feelings of planning to harm yourself, or notice this in a very loved one that is taking prescription drugs, 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 in anticipation of having determined how prescription drugs affects you. Drinking alcohol can increase the drowsiness effects and may be ignored.
Kidney function: If you have reduced kidney function or kidney disease, discuss using your doctor how this medication may affect your condition, how your medical condition may affect the dosing and effectiveness with this medication, and whether any special monitoring should be used.
Liver function: People with reduced liver function or liver disease may go through a stronger effect through the medication than would normally occur. If you have reduced liver function or liver disease, discuss along with your doctor how prescription drugs may affect your medical problem, how your condition may get a new dosing and effectiveness of the medication, and whether any special monitoring is required.
Pregnancy: Nitrazepam, like other benzodiazepines, can cause trouble for an unborn baby when the mother takes it when pregnant. This medication mustn't be used when pregnant unless the rewards outweigh the potential risks. If you become pregnant while taking medicines, contact your physician immediately.
Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and therefore are taking nitrazepam, it could affect your child. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of nitrazepam for sleep difficulties haven't been established for kids and adolescents less than 18 yrs . old.
Seniors: Seniors are very likely to experience sedation and decreased coordination when taking nitrazepam. The lowest effective dose with this medication should be employed for the shortest possible length of energy.
Airmail: 2-3 business weeks
EMS: 3-8 business days
Airmail: 2-3 weeks, EMS: 3-8 business days.