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Uses

Nitrazepam is one of the class of medications called benzodiazepines. It is employed for short-term treatments for sleeping problems (insomnia), such as difficulty falling asleep, frequent awakenings when asleep, and early-morning awakening. It is also employed to manage myoclonic seizures. It works by slowing down the nerves inside brain (the nerves inside the body).

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This medication might be available under multiple brands and/or in numerous variations. Any specific brand with this medication will not be for sale in each of the forms or approved for all of the conditions discussed here. As well, some forms with this medication is probably not employed for each of the conditions discussed here.

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Your doctor could possibly have suggested this medication for conditions apart from those indexed by these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking prescription drugs without consulting your physician.

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Do not give prescription drugs to anyone else, even when they've exactly the same symptoms because you do. It might be harmful for those to look at medicines if their doctor has 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 night.

Seniors could be more likely to experience unwanted effects with this medication and may commence with 2.5 mg taken at bedtime.

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The lowest effective dose needs to be used. It is essential that the dose be individualized for a specific needs to avoid excessive drowsiness in daytime time or motor impairment.

This medicine is normally useful for a short period of your energy or as a possible "as required" medication. As it could be habit-forming, the treatment period should be as short as is possible and never usually over 7 to 10 consecutive days. If you need prescription drugs for over 2 to 3 weeks, consult your physician to get a re-evaluation on this medication.

When taken for treatments for myoclonic seizures, the dose is situated mainly on bodyweight. The dose for children (approximately 30 kg of weight) ranges from 0.3 mg per kilogram of body weight 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 impact the dose of medication that the person needs, like bodyweight, other health concerns, and also other medications. If a medical expert has recommended a dose not the same as the methods listed here, tend not to customize the way that you are taking the medication without conferring with your physician.

Nitrazepam may be habit-forming when taken for very long periods of your energy. It may not be appropriate for people who have past alcohol or drug abuse.

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If you have been taking this medication regularly for the long period of your energy (many month), usually do not stop using medication without speaking using your doctor. A gradual decline in dose is suggested when stopping medicines to avoid withdrawal effects.

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It is vital to adopt this medication the same manner prescribed by a medical expert. Do not take this medication in a larger amount or to get a longer period of energy than prescribed by a medical expert. 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 if you'll not be able to have a full night's sleep (approximately 8 hours or higher). This medication tends to make people disoriented, uncoordinated and unable to concentrate clearly until it has worn off. If you recall the missed dose through 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 doctor or pharmacist for advice.

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Store prescription drugs at room temperature, prevent leakages from light and moisture, whilst it out of reach of youngsters.

Do not dump medications in wastewater (e.g. down the sink or inside the toilet) or perhaps household garbage. Ask your pharmacist how to dump medications which might be no more needed or have expired.

Side Effects

Many medications can cause side effects. A side effect is definitely an unwanted reply to a medicine when it is used normal doses. Side effects can be mild or severe, temporary or permanent. The side effects the following are not gone through by everyone who takes medicines. If you might be concerned about unwanted effects, discuss the risks and benefits on this medication with your doctor.

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The following unwanted effects are actually reported by a minimum of 1% of folks taking this medication. Many of these unwanted effects may be managed, and a few might have to go away automatically as time passes.

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Contact your doctor should you experience these negative effects and they are generally severe or bothersome. Your pharmacist might be able to counsel you on managing unwanted side effects.

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Although a lot of the negative effects the following don't happen usually, they can result in serious problems if you do not check with your doctor or seek medical assistance.

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Check together with your doctor as soon as possible if these things side effects occur:

Stop using medication and seek immediate medical attention if any of the following occur:

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Some people may experience negative effects apart from those listed. Check along with your doctor if you notice any symptom that worries you while you're taking this medication.

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Precautions

Do not take nitrazepam in case you:

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There could possibly be an interaction between nitrazepam and any of these:

Before you commence using a medication, make sure to inform your medical professional of any medical conditions or allergies you could have, any medications you take, whether you happen to be pregnant or breast-feeding, as well as any other significant facts about your wellbeing. These factors may affect the way you should use this medication.

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Asthma as well as other respiratory conditions: Nitrazepam could cause increased breathing difficulty for those using an acute asthma attack, or those with chronic obstructive pulmonary disease (chronic bronchitis, emphysema) and other conditions that affect breathing. If you have asthma or any other breathing disorder, discuss together with your doctor how this medication may affect your condition, how your medical problem may get a new dosing and effectiveness of the medication, and whether any special monitoring should be used.

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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 in case you notice any unusual alterations in your behaviour.

Complex sleep-related behaviours: There are already reports of complex sleep-related behaviours which may have occurred with all the nitrazepam along with other similar medications to deal with difficulty sleeping. People taking nitrazepam are actually reported to speak, walk, cook, eat, and drive since they weren't fully awake, and would not remember practicing these things afterwards. If you experience similar events, or notice them in a relative who's taking this medication, contact your medical professional as soon as you possibly can.

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Dependence and withdrawal: Physical dependence (a desire to take regular doses in order to avoid physical symptoms) continues to be connected with benzodiazepines including nitrazepam. Severe withdrawal symptoms might be experienced if your dose is really a lot 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.

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A temporary condition called rebound insomnia, the place that the symptoms that generated treatment with nitrazepam come back worse than before, may occur on withdrawal of the medication. It could be accompanied by other reactions including mood changes or anxiety.

Depression: This medication will make some signs and symptoms of depression worse. If you have depression or previous depression, discuss together with your doctor how medicines may affect your medical condition, how your condition may modify the dosing and effectiveness with this medication, and whether any special monitoring is necessary. If you experience symptoms of depression including poor concentration, adjustments to weight, changes in sleep, decreased curiosity about activities, contact your doctor as soon as you can. If you experience feelings of planning to harm yourself, or notice this in a very loved one 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 until you have determined how medicines affects you. Drinking alcohol can improve the drowsiness effects and really should be avoided.

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Kidney function: If you have reduced kidney function or kidney disease, discuss using your doctor how medicines may affect your condition, how your problem may get a new dosing and effectiveness of the medication, and whether any special monitoring is necessary.

Liver function: People with reduced liver function or liver disease can experience a stronger effect from the medication than would normally occur. If you have reduced liver function or liver disease, discuss using your doctor how medicines may affect your problem, how your medical problem may customize the dosing and effectiveness on this medication, and whether any special monitoring should be used.

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Pregnancy: Nitrazepam, like other benzodiazepines, may cause injury to an child when the mother takes it while pregnant. This medication really should not be used while pregnant unless the advantages outweigh the risks. If you get pregnant while taking medicines, contact your medical professional immediately.

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Breast-feeding: This medication passes into breast milk. If you're a breast-feeding mother and therefore are taking nitrazepam, it may well affect your infant. Talk to a medical expert about whether you should preserve breast-feeding.

Children: The safety and effectiveness of nitrazepam for sleep difficulties weren't established for children and adolescents less than 18 years old.

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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 ought to be used by the shortest possible length of time.

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