Nitrazepam belongs to the class of medications called benzodiazepines. It can be used for short-term management of sleeping problems (insomnia), like difficulty dropping off to sleep, frequent awakenings during the night, and early-morning awakening. It is also used to manage myoclonic seizures. It works by scaling down the nerves in the brain (the nerves inside the body).
This medication could be available under multiple brandnames and/or in many various forms. Any specific brand of this medication may not be accessible in every one of the forms or approved for all of the conditions discussed here. As well, some forms with this medication might not be used for each of the conditions discussed here.
Your doctor could 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 are certainly not sure your purpose in taking prescription drugs, speak with your doctor. Do not stop taking this medication without talking to your medical professional.
Do not give this medication to other people, even if they've got exactly the same symptoms as you do. It may be harmful for individuals to take medicines if their doctor has not yet prescribed it.
The recommended adult dose of nitrazepam when taken for insomnia is 5 mg to 10 mg taken at night.
Seniors might be more prone to experience unwanted side effects on this medication and should begin with 2.5 mg taken at bedtime.
The lowest effective dose needs to be used. It is important that the dose be individualized in your specific must avoid excessive drowsiness throughout the day time or motor impairment.
This drugs are normally employed for a short period of your energy or as an "as required" medication. As it could possibly be habit-forming, the procedure period should be as short as you can instead of usually over 7 to 10 consecutive days. If you need this medication for longer than 2-3 weeks, consult your doctor to get a re-evaluation of the medication.
When taken for treatments for myoclonic seizures, the dose is reliant mainly on bodyweight. The dose for kids (approximately 30 kg of bodyweight) ranges from 0.3 mg per kilogram of body mass to 1 mg per kilogram of bodyweight daily in 3 divided doses. Your doctor will calculate a proper dose.
Many things may affect the dose of medication that the person needs, such as body weight, other health conditions, as well as other medications. If your doctor has recommended a dose distinctive from the methods listed here, do not alter the method in which you're taking the medication without conferring with your physician.
Nitrazepam may be habit-forming when taken for long periods of your time. It might not be appropriate for folks who have past alcohol or alcohol abuse.
If you're taking prescription drugs regularly to get a long period of your time (multiple month), do not stop taking the medication without speaking with your doctor. A gradual reduction in dose is recommended when stopping prescription drugs to prevent withdrawal effects.
It is vital to adopt medicines just as prescribed by your physician. Do not take medicines in the larger amount or for the longer period of your time than prescribed by your medical professional. If you miss a scheduled dose, take it as soon as you can and continue together with your regular schedule. If you're taking nitrazepam for sleeping, do not take it for a moment be unable to have a full night's sleep (approximately 8 hours or even more). This medication would make people disoriented, uncoordinated and not able to concentrate clearly until it has worn off. If you remember fondly the missed dose throughout the daytime, skip the missed dose and continue along with your regular dosing schedule. Do not take a double dose to make up for the missed one. If you are not sure what direction to go 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, whilst it out of reach of kids.
Do not dump medications in wastewater (e.g. along the sink or inside the toilet) or in household garbage. Ask the pharmacist the best way to get rid of medications which can be no longer needed or have expired.
Many medications could cause side effects. A side effect can be an unwanted reaction to a medication if it is used normal doses. Side effects can be mild or severe, temporary or permanent. The unwanted effects further down are not gone through by everyone who takes this medication. If you're concerned about negative effects, discuss the potential risks and benefits with this medication together with your doctor.
The following unwanted effects are already reported by no less than 1% of people taking medicines. Many of these unwanted side effects could be managed, and several might go away automatically as time passes.
Contact a medical expert in case you experience these unwanted effects and they're severe or bothersome. Your pharmacist could be able to counsel you on managing side effects.
Although most of the unwanted side effects further down don't happen usually, they are able to cause serious problems if you tend not to check together with your doctor or seek medical attention.
Check together with your doctor as soon as you can if any of these negative effects occur:
Stop using medication and seek immediate medical attention if any with the following occur:
Some people may experience unwanted side effects aside from those listed. Check with your doctor if you notice any symptom that worries you while you adopt medicines.
Do not take nitrazepam in the event you:
There could be an interaction between nitrazepam and these things:
Before you start using a medicine, be sure you inform a medical expert of the medical ailments or allergies you may have, any medications you take, whether you might be pregnant or breast-feeding, as well as any other significant details of your overall health. These factors may affect how we should use this medication.
Asthma as well as other respiratory conditions: Nitrazepam could cause increased breathing difficulty for individuals having an acute asthma attack, or those with chronic obstructive pulmonary disease (chronic bronchitis, emphysema) and other issues that affect breathing. If you have asthma or another breathing disorder, discuss using your doctor how prescription drugs may affect your problem, how your condition may get a new dosing and effectiveness with this medication, and whether any special monitoring should be used.
Behavioural and mood changes: This medication could potentially cause mood and psychiatric changes, including aggressiveness, confusion, anxiety, restlessness and memory lapses. Tell your medical professional as soon as possible if you notice any unusual changes in your behaviour.
Complex sleep-related behaviours: There are actually reports of complex sleep-related behaviours that have occurred with all the nitrazepam as well as other similar medications to deal with difficulty sleeping. People taking nitrazepam happen to be reported to talk, 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 very loved one who's taking this medication, contact your physician as soon as possible.
Dependence and withdrawal: Physical dependence (a need to consider regular doses in order to avoid physical symptoms) has been connected with benzodiazepines for example nitrazepam. Severe withdrawal symptoms may be experienced if the dose is quite a bit 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 will help prevent or decrease these withdrawal symptoms.
A temporary condition called rebound insomnia, where the symptoms that triggered treatment with nitrazepam come back worse than before, may occur on withdrawal from the medication. It could be associated with other reactions including mood changes or anxiety.
Depression: This medication will make some signs of depression worse. If you have depression or previous depression, discuss using your doctor how prescription drugs may affect your problem, how your problem may customize the dosing and effectiveness of the medication, and whether any special monitoring should be used. If you experience symptoms of depression such as poor concentration, adjustments to weight, alterations in sleep, decreased curiosity about activities, contact your physician as soon as you can. If you experience feelings of attempting to harm yourself, or notice this in a very member of the family that's taking this medication, seek medical help immediately.
Drowsiness/reduced alertness: Nitrazepam causes drowsiness and sedation. Avoid activities requiring mental alertness, judgment, and physical coordination like driving or operating machinery until you have determined how medicines affects you. Drinking alcohol can boost the drowsiness effects and may be ignored.
Kidney function: If you have reduced kidney function or kidney disease, discuss using your doctor how prescription drugs may affect your problem, how your medical condition may affect the dosing and effectiveness of 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 from your medication than would normally occur. If you have reduced liver function or liver disease, discuss together with your doctor how medicines may affect your condition, how your medical condition may modify the dosing and effectiveness of the medication, and whether any special monitoring is required.
Pregnancy: Nitrazepam, like other benzodiazepines, can cause harm to an unborn baby when the mother takes it during pregnancy. This medication really should not be used when pregnant unless the rewards outweigh the hazards. If you conceive while taking prescription drugs, contact your physician immediately.
Breast-feeding: This medication passes into breast milk. If you happen to be a breast-feeding mother and therefore are taking nitrazepam, it might affect your child. Talk to your physician about whether you should continue breast-feeding.
Children: The safety and effectiveness of nitrazepam for sleep difficulties are not established for youngsters 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 needs to be useful 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.