Nitrazepam is one of the class of medications called benzodiazepines. It is employed for short-term treatments for sleeping problems (insomnia), for example difficulty falling asleep, frequent awakenings throughout the night, and early-morning awakening. It is also employed to manage myoclonic seizures. It works by slowing the nerves inside brain (the neurological system).
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This medication might be available under multiple brand names and/or in numerous various forms. Any specific manufacturer of the medication is probably not available in every one of the forms or approved for all the conditions discussed here. As well, some forms of the medication may not be used by each of the conditions discussed here.
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Your doctor could have suggested this medication for conditions besides those placed in these drug information articles. If you have not discussed this using your doctor or are not sure that are used for taking this medication, get hold of your doctor. Do not stop taking this medication without conferring with your medical professional.
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Do not give prescription drugs to anybody else, regardless of whether they've the same symptoms because you do. It can be harmful for people to take prescription drugs if their doctor have not 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 prone to experience uncomfortable side effects with this medication and really should begin with 2.5 mg taken at night.
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The lowest effective dose ought to be used. It is vital that the dose be individualized for a specific has to avoid excessive drowsiness throughout the day time or motor impairment.
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This drugs are normally employed for a short period of energy or just as one "as required" medication. As it could possibly be habit-forming, the treatment period ought to be as short as is possible and not usually over 7 to 10 consecutive days. If you need medicines for over two to three weeks, consult your physician for any re-evaluation of the medication.
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When taken for treatments for myoclonic seizures, the dose is situated totally on body mass. The dose for children (as much as 30 kg of body weight) ranges from 0.3 mg per kilogram of bodyweight to 1 mg per kilogram of body weight daily in 3 divided doses. Your doctor will calculate a suitable dose.
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Many things can affect the dose of medication that the person needs, for example body weight, other health concerns, and other medications. If your physician has recommended a dose not the same as the people listed here, tend not to alter the method in which you're taking the medication without consulting your physician.
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Nitrazepam could possibly be habit-forming when taken for long periods of energy. It will not be appropriate for people who have a history of alcohol or substance abuse.
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If you have been taking medicines regularly for any long period of your time (more than one month), usually do not stop taking the medication without speaking together with your doctor. A gradual reduction in dose is recommended when stopping medicines in order to avoid withdrawal effects.
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It is important to take medicines exactly as prescribed by your doctor. Do not take medicines in the larger amount or for the longer period of energy than prescribed by your physician. If you miss a scheduled dose, take it as soon as you possibly can and continue together with your regular schedule. If you're taking nitrazepam for sleeping, do not go for a moment not be able to get yourself a full night's sleep (approximately 8 hours or maybe more). This medication tends to make people disoriented, uncoordinated and unable to concentrate clearly until they have worn off. If you recall the missed dose in the daytime, skip the missed dose and continue using your regular dosing schedule. Do not take a double dose to produce up for the missed one. If you usually are not sure how to proceed after missing a dose, contact your doctor or pharmacist for advice.
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Store prescription drugs at room temperature, protect it from light and moisture, and make against each other of reach of children.
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Do not get rid of medications in wastewater (e.g. on the sink or in the toilet) or even in household garbage. Ask your friendly phamacist how you can dispose of medications which are will no longer needed or have expired.
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Many medications may cause unwanted side effects. A side effect can be an unwanted a reaction to a medication if it's drawn in normal doses. Side effects may be mild or severe, temporary or permanent. The unwanted effects down the page aren't experienced by everyone who takes medicines. If you might be concerned about negative effects, discuss the hazards and benefits of this medication along with your doctor.
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The following unwanted effects are already reported by at the very least 1% of men and women taking medicines. Many of these negative effects can be managed, and some may go away on their own after a while.
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Contact your medical professional in case 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 the majority of the unwanted effects further down don't happen very often, they might lead to serious problems should you do not check using your doctor or seek medical assistance.
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Check using your doctor as soon as possible if these things negative effects occur:
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Stop using the medication and seek immediate medical attention if any from the following occur:
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Some people can experience unwanted effects aside from those listed. Check together with your doctor should you notice any symptom that worries you while you take this medication.
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There might be an interaction between nitrazepam and the following:
Before you commence using a medication, be sure to inform your doctor associated with a medical conditions or allergies you may have, any medications you take, whether you are pregnant or breast-feeding, and any other significant details of your overall health. These factors may affect how you should use medicines.
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Asthma and other respiratory conditions: Nitrazepam might cause increased breathing difficulty for people using an acute asthma attack, or individuals with chronic obstructive pulmonary disease (chronic bronchitis, emphysema) or another issues that affect breathing. If you have asthma or other breathing disorder, discuss using your doctor how prescription drugs may affect your problem, how your medical problem may modify the 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 your medical professional as soon as possible in the event you notice any unusual changes in your behaviour.
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Complex sleep-related behaviours: There are already reports of complex sleep-related behaviours which have occurred while using the nitrazepam and also other similar medications to deal with difficulty sleeping. People taking nitrazepam have been reported to speak, walk, cook, eat, and drive since they are not fully awake, and did not remember practicing these things afterwards. If you experience similar events, or notice them in a family member that's taking medicines, contact a medical expert as soon as is possible.
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Dependence and withdrawal: Physical dependence (a need to consider regular doses to stop physical symptoms) may be associated with benzodiazepines such as nitrazepam. Severe withdrawal symptoms might be experienced when 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 may 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 return worse than before, may occur on withdrawal with the medication. It may be together with other reactions including mood changes or anxiety.
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Depression: This medication may make some signs and symptoms of depression worse. If you have depression or a history of depression, discuss with your doctor how medicines may affect your medical problem, how your medical problem may affect the dosing and effectiveness with this medication, and whether any special monitoring is necessary. If you experience symptoms of depression like poor concentration, alterations in weight, modifications in sleep, decreased curiosity about activities, contact your physician as soon as is possible. If you experience feelings of planning to harm yourself, or notice this in a very family member that is 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 in anticipation of having determined how prescription drugs affects you. Drinking alcohol can boost 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 this medication may affect your condition, how your medical condition may customize the dosing and effectiveness of this medication, and whether any special monitoring should be used.
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Liver function: People with reduced liver function or liver disease may go through a stronger effect from your medication than would normally occur. If you have reduced liver function or liver disease, discuss along with your doctor how medicines may affect your medical condition, how your medical problem may get a new dosing and effectiveness with this medication, and whether any special monitoring is required.
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Pregnancy: Nitrazepam, like other benzodiazepines, may cause injury to an baby if the mother takes it during pregnancy. This medication should not be used when pregnant unless the rewards outweigh the potential for loss. If you become pregnant while taking medicines, contact your physician immediately.
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Breast-feeding: This medication passes into breast milk. If you might be a breast-feeding mother and therefore are taking nitrazepam, it might 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 are not established for youngsters 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 must be useful for the shortest possible length of your energy.
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