The medicine we use: Nitrazepam.

Nitrazepam: uses

Nitrazepam is used in adults for short-term treatment of trouble sleeping ( insomnia ) . It may help you fall asleep faster and decrease number of times we awaken during night. It may also help we sleep for a longer time. Nitrazepam is also used in children and infants to treat a certain type of seizure ( myoclonic ) .

Nitrazepam belongs to a class of drugs called benzodiazepines, which act on brain to produce a calming effect. It works by enhancing effects of a certain natural chemical in body ( GABA ) .

Nitrazepam: how to use

To treat insomnia, take Nitrazepam by mouth with or without food, before bedtime as directed by your doctor. Nitrazepam can be chewed or dissolved in liquid if we are unable to swallow it whole.

Do not use Nitrazepam if we have less than 7 to 8 hours to sleep. Doing so increases the risk of daytime drowsiness and temporary memory loss.

To treat seizures in infants and children, give medication by mouth, usually 3 times a day or as directed by doctor.

Dosage is based on your medical condition and response to treatment. Nitrazepam is not usually used for more than 7 to 10 days when treating insomnia. Long-term use can cause medication to build up in your body, increase side effects, and cause dependence. It can make your insomnia worse after you stop taking medication ( rebound insomnia ) .

Nitrazepam may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses. In such cases, if we suddenly stop Nitrazepam, withdrawal reactions ( e. g. , depressed/anxious mood, stomach/muscle cramps, vomiting, sweating, shakiness, seizures ) may occur while use Nitrazepam. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with Nitrazepam, gradually reducing the dosage as directed will help prevent withdrawal reactions. Consult your doctor or pharmacist for more details.

Rarely, use of Nitrazepam can also result in abnormal drug-seeking behavior ( addiction ) . Don't increase your dose, take it more frequently, or use it for a longer time than prescribed. Properly stop medication when so directed.

When used for an extended period, Nitrazepam may not work as well and may require different dosing. Talk with your doctor if this medication stops working well.

Tell your doctor if you continue to have trouble sleeping or your child's seizures persist or worsen.

Nitrazepam: side effects

Drowsiness, dizziness, loss of coordination, headache, lightheadedness, nightmares, trouble walking, or falling may occur while use Nitrazepam. To reduce the risk of injury from falling, take Nitrazepam right before going to bed. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Nitrazepam may make we sleepy during day. Tell your doctor if you have daytime drowsiness. Your dose may need to be adjusted. Some people, particularly children, may experience excitability rather than drowsiness.

Remember that your doctor has prescribed Nitrazepam because he or she has judged that benefit to we is greater than the risk of side effects. Many people using Nitrazepam don't have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur:

Tell your doctor immediately if any of these rare but very serious side effects occur:

A very serious allergic reaction to Nitrazepam is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including:

This is not a complete list of possible side effects. If we notice other effects not listed above, contact your doctor or pharmacist.

Nitrazepam: precautions

Before taking Nitrazepam, tell your doctor or pharmacist if you're allergic to it; or to other benzodiazepines ( e. g. , diazepam, temazepam ) ; or if you have any other allergies.

Nitrazepam shouldn't be used if we have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if we have:

Before using Nitrazepam, tell your doctor or pharmacist your medical history, especially of:

Nitrazepam may make we dizzy or drowsy. Use caution while driving, using machinery, or doing any activity that requires alertness. Avoid alcoholic beverages.

To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Before having surgery, tell your doctor or dentist that we are taking Nitrazepam.

Caution is advised when using Nitrazepam in elderly because they may be more sensitive to the effects of drug, especially memory problems and increased risk of falls due to drowsiness, dizziness, and loss of coordination.

Caution is advised when using Nitrazepam in infants/young children because they may be at risk for lung infection due to difficulty swallowing that leads to saliva getting in lungs ( aspiration ) .

During pregnancy, Nitrazepam should be used only when clearly needed. Nitrazepam may cause harm to an unborn baby. Infants born to mothers who used similar medications for a long time during pregnancy have had withdrawal symptoms. Infants born to mothers who used similar medications near or at time of delivery have had unusual drowsiness, feeding problems, slow breathing, liver problems, and floppy muscles. Consult your doctor for more details and to discuss reliable forms of birth control.

Nitrazepam may pass into breast milk and could have undesirable effects on a nursing infant. Therefore, breast-feeding isn't recommended while using Nitrazepam. Consult your doctor before breast-feeding.

Nitrazepam: interactions

Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring we for them. Do not start, stop, or change dosage of any medicine before checking with your doctor or pharmacist first.

Nitrazepam shouldn't be used with following medication because very serious interactions may occur while use Nitrazepam:

If we are currently using medication listed above, tell your doctor or pharmacist before starting Nitrazepam.

Before using Nitrazepam, tell your doctor or pharmacist of all prescription and nonprescription/herbal products we may use, especially of:

Tell your doctor or pharmacist if we also take drugs that cause drowsiness such as: certain antihistamines ( e. g. , diphenhydramine ) , anti-seizure drugs ( e. g. , carbamazepine ) , medicine for sleep or anxiety ( e. g. , alprazolam, diazepam, zolpidem ) , muscle relaxants, narcotic pain relievers ( e. g. , codeine ) , psychiatric medicines ( e. g. , chlorpromazine, risperidone, amitriptyline, trazodone ) .

Check the labels on all your medicines ( e. g. cough-and-cold products ) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using these products safely.

This document doesn't contain all possible interactions. Therefore, before using Nitrazepam, tell your doctor or pharmacist of all products we use. Keep a list of all your medications with you, and share list with your doctor and pharmacist.

Compare prices for Nitrazepam

Leeds: Smoking Responsible For Large Gap In Health Inequalities

There's a difference in life expectancy of over 10 years between most and least affluent areas of the city and according to new reports, health inequalities remain endemic and show signs of incresing.

The main causes of the differences in death rates within Leeds are chronic lung disease, lung cancer and heart disease, largely due to smoking.

Two reports into public health has been launched in Leeds: Measuring the Gap and Director of Public Health ( DPH ) Annual Report.

Action recommended in DPH report includes tackling vascular disease and smoking-related illness, providing incentives and support to people to look after their own health, and ensuring poorer communities have access to services.

Director of Public Health, Dr Ian Cameron, said: " Health inequalities remain endemic in our city and some are showing signs of increasing. These reports are an important step forward for health and well-being of people of Leeds. '

The two reports suggest the future direction of services and urge that different organisations work together to improve health.

It's widely recognised that physical and mental health are heavily influenced by income, employment status, housing, educational achievement, poor diet, social isolation, access to services, leisure opportunities and overall environment.

Peter Harrand, authority's executive member for health and social care, said: " The work we've done together in producing this information has been very important in showing both what we've achieved in terms of reducing early deaths but also how much we still have to do to make sure that everyone in Leeds has better life chances.

http: //www. ash. org. uk

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