Nitrazepam belongs to the class of medications called benzodiazepines. It is utilized for short-term treatments for sleeping problems (insomnia), including difficulty drifting off to sleep, frequent awakenings throughout the night, and early-morning awakening. It is also accustomed to manage myoclonic seizures. It works by scaling down the nerves in the brain (the nerves inside the body).
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This medication might be available under multiple brandnames and/or in numerous variations. Any specific manufacturer of this medication will not be available in all the forms or approved for each of the conditions discussed here. As well, some forms on this medication might not be employed for all of the conditions discussed here.
Your doctor could possibly have suggested this medication for conditions aside from those classified by these drug information articles. If you have not discussed this together with your doctor or are certainly not sure your reason for taking prescription drugs, speak with your doctor. Do not stop taking this medication without talking to your doctor.
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Do not give this medication to anyone else, even though they've got the same symptoms while you do. It might be harmful for those to look at this medication if their doctor hasn't prescribed it.
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The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at night.
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Seniors could possibly be prone to experience unwanted effects of this medication and really should begin with 2.5 mg taken at bed time.
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The lowest effective dose must be used. It is essential that the dose be individualized in your specific has to avoid excessive drowsiness in the daytime time or motor impairment.
This medicine is normally useful for a short period of energy or as an "as required" medication. As it might be habit-forming, the therapy period should be as short as you can and never usually more than 7 to 10 consecutive days. If you need prescription drugs for longer than 2-3 weeks, consult a medical expert for the re-evaluation with this medication.
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When taken for management of myoclonic seizures, the dose relies primarily on weight. The dose for the children (up to 30 kg of body mass) ranges from 0.3 mg per kilogram of body mass to 1 mg per kilogram of body mass daily in 3 divided doses. Your doctor will calculate an appropriate dose.
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Many things could affect the dose of medication that the person needs, including body weight, other health concerns, as well as other medications. If your physician has recommended a dose different from the methods listed here, don't affect the method that you adopt the medication without conferring with your doctor.
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Nitrazepam could be habit-forming when taken for long periods of your time. It will not be appropriate for individuals who have previous alcohol or abusing drugs.
If you are taking prescription drugs regularly for any long period of your energy (several month), do not stop using medication without speaking together with your doctor. A gradual lowering of dose is suggested when stopping medicines to avoid withdrawal effects.
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It is very important to adopt this medication exactly as prescribed by your medical professional. Do not take medicines inside a larger amount or to get a longer period of your energy than prescribed by your physician. If you miss a scheduled dose, get it as soon as is possible and continue using your regular schedule. If you take nitrazepam for sleeping, do not go if you will struggle to obtain a full night's sleep (approximately 8 hours or higher). This medication can make people disoriented, uncoordinated and not able to concentrate clearly until they have worn off. If you can remember the missed dose through the daytime, skip the missed dose and continue using your regular dosing schedule. Do not take a double dose to generate up for a missed one. If you aren't sure what to do after missing a dose, contact your medical professional or pharmacist for advice.
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Store prescription drugs at room temperature, prevent leakages from light and moisture, and keep it of reach of youngsters.
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Do not dump medications in wastewater (e.g. along the sink or inside toilet) or perhaps household garbage. Ask your friendly phamacist how to dispose of medications which might be no longer needed or have expired.
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Many medications can cause negative effects. A side effect is an unwanted reply to a drugs if it is used normal doses. Side effects can be mild or severe, temporary or permanent. The unwanted side effects further down usually are not seen by everyone who takes prescription drugs. If you might be worried about unwanted effects, discuss the potential risks and benefits on this medication together with your doctor.
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The following side effects are already reported by at the very least 1% of men and women taking medicines. Many of these side effects might be managed, and a few might go away independently as time passes.
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Contact your physician should you experience these unwanted side effects plus they are severe or bothersome. Your pharmacist could 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 could result in serious problems in the event you tend not to check along with your doctor or seek medical help.
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Check along with your doctor as soon as possible if any of the following side effects occur:
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Stop taking the medication and seek immediate medical help if any in the following occur:
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Some people may feel negative effects besides those listed. Check together with your doctor in case you notice any symptom that worries you while you're taking this medication.
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Do not take nitrazepam in case you:
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There may be an interaction between nitrazepam and these things:
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Before you start using a drugs, be sure to inform your doctor of the health conditions or allergies you might have, any medications you're taking, whether you're pregnant or breast-feeding, and then for any other significant information about your overall health. These factors may affect the method that you should use prescription drugs.
Asthma and also other respiratory conditions: Nitrazepam could potentially cause increased breathing difficulty for individuals through an acute asthma attack, or individuals with chronic obstructive pulmonary disease (chronic bronchitis, emphysema) and other issues that affect breathing. If you have asthma or some other breathing disorder, discuss together with your doctor how prescription drugs may affect your medical problem, how your problem may get a new dosing and effectiveness of this medication, and whether any special monitoring is required.
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Behavioural and mood changes: This medication might cause mood and psychiatric changes, including aggressiveness, confusion, anxiety, restlessness and memory lapses. Tell a medical expert as soon as you possibly can in the event you notice any unusual changes in your behaviour.
Complex sleep-related behaviours: There happen to be reports of complex sleep-related behaviours that have occurred while using the nitrazepam and also other similar medications to take care of difficulty sleeping. People taking nitrazepam have been reported to talk, walk, cook, eat, and drive as they definitely were not fully awake, and failed to remember performing these things afterwards. If you experience similar events, or notice them inside a member of the family who is taking this medication, contact a medical expert as soon as possible.
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Dependence and withdrawal: Physical dependence (a necessity to adopt regular doses to prevent physical symptoms) has been connected with benzodiazepines for example nitrazepam. Severe withdrawal symptoms might be experienced in the event the dose is quite a bit 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 might help prevent or decrease these withdrawal symptoms.
A temporary condition called rebound insomnia, the place that the symptoms that triggered treatment with nitrazepam revisit worse than before, may occur on withdrawal in the medication. It might be combined with other reactions including mood changes or anxiety.
Depression: This medication could make some signs of depression worse. If you have depression or previous depression, discuss together with your doctor how prescription drugs may affect your medical problem, how your condition may customize the dosing and effectiveness with this medication, and whether any special monitoring is necessary. If you experience the signs of depression like poor concentration, alterations in weight, modifications in sleep, decreased fascination with activities, contact your physician as soon as you possibly can. If you experience feelings of wanting to harm yourself, or notice this in a very relative who 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 including driving or operating machinery until you have determined how this medication affects you. Drinking alcohol can improve the drowsiness effects and may be prevented.
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Kidney function: If you have reduced kidney function or kidney disease, discuss using your doctor how medicines may affect your problem, how your condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is necessary.
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Liver function: People with reduced liver function or liver disease may feel a stronger effect in the medication than would normally occur. If you have reduced liver function or liver disease, discuss using your doctor how prescription drugs may affect your medical problem, how your medical problem may affect the dosing and effectiveness on this medication, and whether any special monitoring should be used.
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Pregnancy: Nitrazepam, like other benzodiazepines, might cause trouble for an unborn baby if the mother takes it when pregnant. This medication really should not be used during pregnancy unless the huge benefits outweigh the risks. If you get pregnant while taking this medication, contact your medical professional immediately.
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Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and so are taking nitrazepam, it may affect 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 are not established for the children and adolescents below 18 yrs . old.
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Seniors: Seniors are very likely to experience sedation and decreased coordination when taking nitrazepam. The lowest effective dose of the medication should be used for the shortest possible length of time.
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