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uses of Nitrazepam

Nitrazepam is used in adults for the short-term treatment of trouble sleeping ( insomnia ) . It may help we fall asleep faster and decrease number of times you 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 the effects of a certain natural chemical in body ( GABA ) .

how to use of Nitrazepam

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.

Don't use Nitrazepam if you have less than 7 to 8 hours to sleep. Doing so increases 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 the doctor.

Dosage is based on your medical condition and response to treatment. Nitrazepam isn't 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 we 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 you 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 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 the 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 we continue to have trouble sleeping or your child's seizures persist or worsen.

side effects of Nitrazepam

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 we 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 we notice any symptoms of a serious allergic reaction, including:

This isn't a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

precautions of Nitrazepam

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

Caution is advised when using Nitrazepam in the elderly because they may be more sensitive to 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 the 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 is not recommended while using Nitrazepam. Consult your doctor before breast-feeding.

interactions of Nitrazepam

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 should not 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 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 does not 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.

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Blacks Can't 'Afford To Ignore' Disparities In STI Rates, Opinion Piece Says

A recent CDC study that found 48% of black U. S. girls and young women ages 14 to 19 have at least one of four common sexually transmitted infections, compared with 20% of white and Hispanic teens, is " [s]adly " not a " new trend, " Yolanda Young, host of the video blog spadeproject. com, writes in a USA Today opinion piece. Reasons for disparities in STI rates include the fact that many blacks are uninsured; " [s]exuality of teens starts earlier and earlier, heightened by music lyrics and images on television'; and STIs are more highly " concentrated in poor, segregated neighborhoods, " Young writes.

Greater emphasis should be placed on STI screening, treatment, vaccinations and contraceptive services, according to Young. Although teens should take CDC's advice of either sexual abstinence, or " habitual condom use " and sex with an " uninfected monogamous partner, " advice " is not enough, " Young writes, concluding that " one thing we should all agree on is that this is an issue that blacks can not afford to ignore. We need more talking and less doing " ( Young, USA Today , 4/4 ) .

Reprinted with kind permission from http: //www. nationalpartnership. org. You can view the entire Daily Women's Health Policy Report, search archives, or sign up for email delivery here. The Daily Women's Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company.

2007 The Advisory Board Company. All rights reserved.

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