Nitrazepam is among the class of medications called benzodiazepines. It is employed for short-term treatment of sleeping problems (insomnia), such as difficulty drifting off to sleep, frequent awakenings during the night, and early-morning awakening. It is also used to manage myoclonic seizures. It works by reducing the nerves inside brain (the nervous system).
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This medication could possibly be available under multiple manufacturers and/or in a number of different forms. Any specific brand name with this medication may not be available in every one of the forms or approved for each of the conditions discussed here. As well, some forms of the medication will not be used by each of the conditions discussed here.
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Your doctor could have suggested medicines for conditions aside from those indexed by these drug information articles. If you have not discussed this together with your doctor or are certainly not sure why you are taking this medication, confer with your doctor. Do not stop taking medicines without talking to your doctor.
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Do not give medicines to anyone else, even though they've got a similar symptoms as you do. It could be harmful for people to look at this medication if their doctor have not prescribed it.
The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at night.
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Seniors might be very likely to experience negative effects with this medication and should focus on 2.5 mg taken at bed time.
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The lowest effective dose needs to 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.
This medication is normally useful for a short period of time or as an "as required" medication. As it may be habit-forming, treatments period should be as short as is possible and not usually longer than 7 to 10 consecutive days. If you need this medication for more than two to three weeks, consult your doctor for a re-evaluation of this medication.
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When taken for treating myoclonic seizures, the dose is reliant primarily on bodyweight. The dose for the children (up to 30 kg of body weight) ranges from 0.3 mg per kilogram of bodyweight to 1 mg per kilogram of bodyweight daily in 3 divided doses. Your doctor will calculate a proper dose.
Many things can affect the dose of medication which a person needs, such as bodyweight, other medical conditions, and other medications. If your medical professional has recommended a dose not the same as those listed here, do not customize the way that you take the medication without talking to your doctor.
Nitrazepam could possibly be habit-forming when taken for too long periods of your time. It will not be appropriate for folks who have a history of alcohol or alcohol abuse.
If you've been taking this medication regularly for a long period of time (more than one month), do not stop utilizing the medication without speaking using your doctor. A gradual decrease in dose is mandatory when stopping prescription drugs in order to avoid withdrawal effects.
It is vital to take prescription drugs the same manner prescribed by your doctor. Do not take prescription drugs in the larger amount or for the longer period of energy than prescribed by a medical expert. If you miss a scheduled dose, go as soon as you can and continue using your regular schedule. If you are taking nitrazepam for sleeping, do not go if you'll be unable to have a full night's sleep (approximately 8 hours or maybe more). This medication would make people disoriented, uncoordinated and not able to concentrate clearly until it has worn off. If you recall 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 generate up for the missed one. If you aren't sure how to handle it after missing a dose, contact your medical professional or pharmacist for advice.
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Store prescription drugs at room temperature, protect it from light and moisture, and it of reach of children.
Do not eliminate medications in wastewater (e.g. around the sink or in the toilet) or in household garbage. Ask the pharmacist the best way to get rid of medications which are will no longer needed or have expired.
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Many medications can cause unwanted effects. A side effect is definitely an unwanted response to a drugs if it is used normal doses. Side effects may be mild or severe, temporary or permanent. The side effects listed below aren't seen by everyone who takes prescription drugs. If you are worried about side effects, discuss the potential for loss and benefits of this medication with your doctor.
The following side effects have been reported by at the very least 1% of people taking medicines. Many of these side effects could be managed, and several might have to go away independently as time passes.
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Contact a medical expert if you experience these unwanted effects and they are generally severe or bothersome. Your pharmacist could be able to give you advice on managing unwanted effects.
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Although a lot of the negative effects listed below don't happen very often, they might lead to serious problems if you don't check 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 unwanted side effects occur:
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Stop taking the medication and seek immediate medical attention if any with the following occur:
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Some people may experience negative effects apart from those listed. Check with your doctor if you notice any symptom that worries you while you take medicines.
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Do not take nitrazepam in the event you:
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There may be an interaction between nitrazepam and any of these:
Before you set about using a medicine, be sure you inform your doctor of any health concerns or allergies you could have, any medications you adopt, whether you happen to be pregnant or breast-feeding, as well as any other significant information about your quality of life. These factors may affect the method that you should use medicines.
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Asthma and also other respiratory conditions: Nitrazepam could potentially cause increased breathing difficulty for people owning an acute asthma attack, or those that have chronic obstructive pulmonary disease (chronic bronchitis, emphysema) or other issues that affect breathing. If you have asthma or some other breathing disorder, discuss using your doctor how this medication may affect your medical problem, how your medical condition may customize the dosing and effectiveness of the medication, and whether any special monitoring is needed.
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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 physician as soon as possible should you notice any unusual alterations in your behaviour.
Complex sleep-related behaviours: There happen to be reports of complex sleep-related behaviours that have occurred while using nitrazepam along with other similar medications to take care of difficulty sleeping. People taking nitrazepam happen to be reported to speak, walk, cook, eat, and drive since they weren't fully awake, and didn't remember performing these things afterwards. If you experience similar events, or notice them inside a loved one who is taking prescription drugs, contact your doctor as soon as you can.
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Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) may be associated with benzodiazepines including nitrazepam. Severe withdrawal symptoms could be experienced if your 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 location where the symptoms that triggered treatment with nitrazepam keep coming back worse than before, may occur on withdrawal of the medication. It might be accompanied by other reactions including mood changes or anxiety.
Depression: This medication can make some signs of depression worse. If you have depression or a medical history of depression, discuss using your doctor how prescription drugs may affect your condition, how your condition may affect the dosing and effectiveness with this medication, and whether any special monitoring is necessary. If you experience signs of depression such as poor concentration, alterations in weight, modifications in sleep, decreased fascination with activities, contact a medical expert as soon as you can. If you experience feelings of wanting to harm yourself, or notice this in a very family member that's taking this medication, 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 for example driving or operating machinery til you have determined how medicines affects you. Drinking alcohol can raise the drowsiness effects and really should be ignored.
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Kidney function: If you have reduced kidney function or kidney disease, discuss with your doctor how medicines may affect your condition, how your medical problem may affect the dosing and effectiveness on this medication, and whether any special monitoring is needed.
Liver function: People with reduced liver function or liver disease may experience a stronger effect from the medication than would normally occur. If you have reduced liver function or liver disease, discuss along with your doctor how medicines may affect your condition, how your medical problem may modify the dosing and effectiveness of the medication, and whether any special monitoring is needed.
Pregnancy: Nitrazepam, like other benzodiazepines, can cause problems for an baby when the mother takes it during pregnancy. This medication really should not be used when pregnant unless the huge benefits outweigh the potential risks. If you become pregnant while taking this medication, contact a medical expert immediately.
Breast-feeding: This medication passes into breast milk. If you are a breast-feeding mother and so are taking nitrazepam, it might affect your child. Talk to your physician 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 more likely to experience sedation and decreased coordination when taking nitrazepam. The lowest effective dose of the medication needs to be useful for the shortest possible length of energy.
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