Nitrazepam is probably the class of medications called benzodiazepines. It is used for short-term treatments for sleeping problems (insomnia), for example difficulty dropping off to sleep, frequent awakenings at night time, and early-morning awakening. It is also used to manage myoclonic seizures. It works by slowing down the nerves inside the brain (the central nervous system).
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This medication could possibly be available under multiple brand names and/or in several variations. Any specific brand name with this medication is probably not obtainable in all the forms or approved for all the conditions discussed here. As well, some forms with this medication may not be used by all of the conditions discussed here.
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Your doctor could have suggested this medication for conditions apart from those placed in these drug information articles. If you have not discussed this along with your doctor or aren't sure your purpose in taking prescription drugs, get hold of your doctor. Do not stop taking prescription drugs without consulting a medical expert.
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Do not give medicines to someone else, even though they have the same symptoms as you do. It may be harmful for individuals to take prescription drugs if their doctor has not yet prescribed it.
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The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at bedtime.
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Seniors might be more likely to experience unwanted side effects on this medication and really should start with 2.5 mg taken at bedtime.
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The lowest effective dose needs to be used. It is important that the dose be individualized in your specific has to avoid excessive drowsiness throughout the day time or motor impairment.
This medication is normally employed for a short period of your time or being an "as required" medication. As it could be habit-forming, treatments period ought to be as short as you possibly can and not usually longer than 7 to 10 consecutive days. If you need this medication for over 2-3 weeks, consult your doctor for a re-evaluation with this medication.
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When taken for management of myoclonic seizures, the dose is situated primarily on body mass. The dose for kids (as much as 30 kg of bodyweight) ranges from 0.3 mg per kilogram of bodyweight to 1 mg per kilogram of body mass daily in 3 divided doses. Your doctor will calculate a proper dose.
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Many things could affect the dose of medication a person needs, including weight, other medical ailments, and also other medications. If a medical expert has recommended a dose different from the methods listed here, tend not to affect the method in which you take the medication without consulting your physician.
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Nitrazepam may be habit-forming when taken for too long periods of time. It may not be appropriate for individuals who have a history of alcohol or drug abuse.
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If you're taking medicines regularly for a long period of energy (multiple month), tend not to stop using medication without speaking with your doctor. A gradual reduction in dose is suggested when stopping medicines to stop withdrawal effects.
It is essential to adopt prescription drugs just as prescribed by your medical professional. Do not take medicines in a very larger amount or to get a longer period of time than prescribed by your physician. If you miss a scheduled dose, get it as soon as possible and continue along with your regular schedule. If you take nitrazepam for sleeping, do not go for a moment not be able to obtain a full night's sleep (approximately 8 hours or even more). This medication can make people disoriented, uncoordinated and not able to concentrate clearly until it's worn off. If you can remember the missed dose during the daytime, skip the missed dose and continue together with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact a medical expert or pharmacist for advice.
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Store prescription drugs at room temperature, protect it from punctures from light and moisture, and make it out of reach of youngsters.
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Do not dump medications in wastewater (e.g. down the sink or inside the toilet) or perhaps in household garbage. Ask your friendly phamacist how you can dump medications that are will no longer needed or have expired.
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Many medications could cause side effects. A side effect can be an unwanted a reaction to a medicine if it is used normal doses. Side effects may be mild or severe, temporary or permanent. The unwanted effects listed below aren't seen by everyone who takes prescription drugs. If you happen to be interested in unwanted effects, discuss the potential risks and benefits on this medication together with your doctor.
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The following negative effects are already reported by a minimum of 1% of individuals taking prescription drugs. Many of these unwanted side effects might be managed, and some might go away automatically as time passes.
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Contact a medical expert in case you experience these side effects and they're severe or bothersome. Your pharmacist might be able to counsel you on managing side effects.
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Although almost all of the unwanted effects listed below don't happen very often, they could bring about serious problems in the event you tend not to check using your doctor or seek medical assistance.
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Stop using the medication and seek immediate medical help if any of the following occur:
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Some people may feel unwanted side effects other than those listed. Check along with your doctor in case you notice any symptom that worries you while you adopt this medication.
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Do not take nitrazepam in the event you:
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There could be an interaction between nitrazepam and the following:
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Before you commence using a medication, be sure to inform a medical expert of the medical conditions or allergies you could possibly have, any medications you're taking, whether you're pregnant or breast-feeding, and then for any other significant facts about your wellbeing. These factors may affect how you should use medicines.
Asthma and other respiratory conditions: Nitrazepam might cause increased breathing difficulty for people 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 another breathing disorder, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness with this medication, and whether any special monitoring is required.
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Behavioural and mood changes: This medication could cause mood and psychiatric changes, including aggressiveness, confusion, anxiety, restlessness and memory lapses. Tell your doctor as soon as is possible should you notice any unusual adjustments to your behaviour.
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Complex sleep-related behaviours: There happen to be reports of complex sleep-related behaviours that have occurred with all the nitrazepam as well as other similar medications to help remedy difficulty sleeping. People taking nitrazepam have been reported to dicuss, walk, cook, eat, and drive since they are not fully awake, and would not remember practicing these things afterwards. If you experience similar events, or notice them in a family member who is taking this medication, contact your physician as soon as is possible.
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Dependence and withdrawal: Physical dependence (a desire to take regular doses to prevent physical symptoms) has been linked to benzodiazepines like nitrazepam. Severe withdrawal symptoms may be experienced in the event the dose is really a lot reduced or suddenly discontinued. These symptoms include seizures, irritability, nervousness, problems with sleep, 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.
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A temporary condition called rebound insomnia, the place that the symptoms that generated treatment with nitrazepam return worse than before, may occur on withdrawal from the medication. It may be accompanied by other reactions including mood changes or anxiety.
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Depression: This medication could make some symptoms of depression worse. If you have depression or a medical history of depression, discuss along with your doctor how this medication may affect your medical condition, how your condition may get a new dosing and effectiveness of this medication, and whether any special monitoring is required. If you experience the signs of depression such as poor concentration, changes in weight, adjustments to sleep, decreased curiosity about activities, contact your doctor as soon as you can. If you experience feelings of attempting to harm yourself, or notice this in the family member that's taking medicines, seek medical help immediately.
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Drowsiness/reduced alertness: Nitrazepam causes drowsiness and sedation. Avoid activities requiring mental alertness, judgment, and physical coordination such as driving or operating machinery til you have determined how prescription drugs affects you. Drinking alcohol can boost the drowsiness effects and should be ignored.
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Kidney function: If you have reduced kidney function or kidney disease, discuss along with 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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Liver function: People with reduced liver function or liver disease can experience a stronger effect in the medication than would normally occur. If you have reduced liver function or liver disease, discuss together with your doctor how medicines may affect your medical condition, how your condition may get a new dosing and effectiveness on this medication, and whether any special monitoring is necessary.
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Pregnancy: Nitrazepam, like other benzodiazepines, could cause problems for an developing fetus if the mother takes it in pregnancy. This medication mustn't be used while pregnant unless the benefits outweigh the hazards. If you get pregnant while taking medicines, contact a medical expert immediately.
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Breast-feeding: This medication passes into breast milk. If you happen to be a breast-feeding mother and therefore are taking nitrazepam, it could affect baby. Talk to a medical expert about whether you should continue breast-feeding.
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Children: The safety and effectiveness of nitrazepam for sleep difficulties have not been established for children and adolescents below 18 years of age.
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Seniors: Seniors are very likely to experience sedation and decreased coordination when taking nitrazepam. The lowest effective dose of this medication should be used for the shortest possible length of energy.
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