May Temazepam help us?

uses of Temazepam

Temazepam is used for short-term treatment of patients with trouble sleeping ( insomnia ) . It is generally used for 7-10 days. It may help you fall asleep faster and decrease the number of times we awaken during night. It may also help we sleep for a longer period of time. Temazepam belongs to a class of medications called sedative/hypnotics. It acts on your brain to produce a calming effect.

how to use of Temazepam

Read Patient Information Leaflet provided by your pharmacist before we start using Temazepam and each time we get a refill. If you have any questions regarding information, consult your doctor or pharmacist.

Take Temazepam by mouth, with or without food, usually once nightly, 30 minutes before bedtime; or take as directed by your doctor. The dosage is based on your medical condition and response to therapy.

Do not use Temazepam if we will need to be alert before getting a full night's sleep ( e. g. , overnight plane flight of less than 7 hours ) . Temporary memory loss may occur while use Temazepam.

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

Although it's very unlikely to occur, Temazepam can also result in abnormal drug-seeking behavior ( addiction/habit forming ) . Do not increase your dose, take it more frequently or use it for a longer period of time than prescribed. Properly stop medication when so directed. This will lessen chances of becoming addicted.

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

You may experience trouble sleeping the first few nights after you stop taking Temazepam. This is called rebound insomnia and it is normal. It'll usually go away after 1-2 nights. If this effect continues, contact your doctor.

Inform your doctor if your condition persists or worsens after 7-10 days.

side effects of Temazepam

Dizziness, loss of coordination, or blurred vision may occur. To minimize falls, remember to get up slowly when rising from a seated or lying position. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

Temazepam may make we sleepy during the day. Tell your doctor if we have daytime drowsiness. Your dose may need to be adjusted.

Remember that your doctor has prescribed Temazepam because he or she has judged that the benefit to we is greater than the risk of side effects. Many people using Temazepam 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 Temazepam is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include:

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

precautions of Temazepam

Before taking Temazepam, tell your doctor or pharmacist if we are allergic to it; or to other benzodiazepines ( e. g. , lorazepam, diazepam ) ; or if you have any other allergies.

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

Temazepam may make we dizzy or drowsy, or cause temporary blurred vision. Use caution engaging in activities requiring alertness or clear vision such as driving or using machinery. Avoid alcoholic beverages because they may increase risk of Temazepam's side effects.

Caution is advised when using Temazepam in the elderly because they may be more sensitive to effects of drug, especially drowsiness, dizziness, loss of coordination, and confusion.

Temazepam mustn't be used during pregnancy. Other medications in this class have caused birth defects when used in the first three months of pregnancy. Other medications in this class have also caused unusual drowsiness, feeding problems, and liver problems in newborns when used at or near the time of delivery, or withdrawal symptoms in newborns when used for a long time during pregnancy. If we are a woman of childbearing age, use an effective form of birth control while taking Temazepam. If we plan to become pregnant, stop taking Temazepam before doing so. If you become pregnant or think we may be pregnant, inform your doctor immediately.

Temazepam passes into breast milk and may have undesirable effects on a nursing infant. Breast-feeding while using Temazepam is not recommended. Consult your doctor before breast-feeding.

interactions of Temazepam

Your healthcare professionals ( e. g. , doctor or pharmacist ) may already be aware of any possible drug interactions and may be monitoring we for it. Do not start, stop or change the dosage of any medicine before checking with them first.

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

If you're currently using medication listed above, tell your doctor or pharmacist before starting Temazepam.

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

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as:

Check labels on all your medicines ( e. g. , cough-and-cold products ) because they may contain drowsiness-causing ingredients including alcohol. Ask your pharmacist about safe use of those products.

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

overdose of Temazepam

If overdose of Temazepam is suspected, contact your local poison control center or emergency room immediately. US residents can call US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include: slow breathing, slurred speech, or a deep sleep from which we cannot be awakened.

notes of Temazepam

Do not share Temazepam with others. It's against law.

Temazepam has been prescribed for your current condition only. Don't use it later for another condition unless told to do so by your doctor. A different medication may be necessary in those cases.

Laboratory and/or medical tests ( e. g. , liver and kidney function tests, blood count ) may be performed periodically to check for side effects if you use Temazepam for an extended period of time. Consult your doctor for more details.

If we require treatment for more than 7-10 days, laboratory and/or medical tests should be performed to find cause of your sleep problem. Consult with your doctor for more details.

As we get older, your sleep pattern may naturally change and your sleep may be interrupted several times during night. Consult your doctor or pharmacist for ways to improve your sleep without medication, such as avoiding caffeine and alcohol close to bedtime, avoiding daytime naps, and avoiding going to bed too early each night.

missed dose of Temazepam

If you miss a dose Temazepam, take it as soon as you remember if it's still near bedtime. If it's already next day, resume your usual dosing schedule that night at bedtime. Don't double the dose of Temazepam to catch up.

storage of Temazepam

Store US product at room temperature below 86 degrees F ( 30 degrees C ) away from light and moisture.

Store Canadian product at controlled temperature 59-86 degrees F ( 15-30 degrees C ) away from light and moisture.

Don't store Temazepam in the bathroom. Keep all medicines away from children and pets.

Properly discard Temazepam when it's expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Delivery options for Temazepam

Depressed Heart Failure Patients May Benefit From Exercise Plus Psychological Counseling

Aerobic exercise combined with cognitive behavioral therapy may improve physical function, reduce depressive symptoms and enhance quality of life in depressed heart failure patients, researchers reported at American Heart Association's 9th Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke.

In a new study, researchers divided 74 heart failure patients with depression into four groups: one group received a 12-week, home-based program of exercise and psychological counseling; a second received psychological counseling alone; a third received exercise alone; and a fourth received usual care.

" By combining exercise with psychological counseling, these depressed patients do better in all parameters compared to other groups, " said Rebecca Gary, Ph. D. , lead author of study and assistant professor in the School of Nursing at Emory University in Atlanta, Ga. " This may be best method for improving their depression, symptom severity, and quality of life. "

Participants in randomized, controlled pilot study were average age 66. The majority of patients were Caucasian and 57 percent were women. All participants were diagnosed with clinical depression, determined by psychiatric tests, using DSM-IV criteria and Hamilton Rating Scale for Depression.

The participants were either New York Heart Association class II or class III heart failure patients. Class II patients have a slight limitation of physical activity. They are comfortable at rest but ordinary physical activity results in fatigue, palpitation, dyspnea or angina. Class III patients have a marked limitation of physical activity. They are comfortable at rest but less than ordinary activity causes fatigue, palpitation, dyspnea or angina.

" What makes this study different from other studies of exercise in heart failure patients is that all these patients were clinically depressed, " Gary said.

The four groups were assessed at four time intervals: baseline, after the 12-week intervention program, following three-month telephone follow-up and at six months.

The exercise component was a 12-week, progressive program, with low-to-moderate intensity exercise, involving walking outdoors. Patients were encouraged to walk three times per week for at least 30 minutes. Patients in combined program or exercise-only group received heart rate monitors and were taught how to self-monitor their exertion level, and when to stop exercising. All patients, despite initial symptoms and some being quite debilitated, achieved these goals.

A physical function test, six-minute walk test, was administered at each of the time intervals.

" The cognitive behavioral therapy was geared toward changing attitude of patients about their illness, " Gary said. " We wanted them to change their negative thoughts and beliefs and restructure and reformat how they think about their illness and limitations. For example, we developed a volunteer and activities sign-up sheet in each community that provided transportation for those who wanted to get out of the home or contribute in some way. "

Cognitive therapy sessions were conducted, one-on-one in home, once a week, for 12 weeks by psychiatric nurse specialists and Ph. D. students trained in counseling techniques.

Patients in the combined exercise and behavioral therapy group improved significantly better in the six-minute walk test than other groups.

The combined group lowered depression symptoms by 10 points over the usual care group. A decrease in scores of 50 percent or more or a HAM-D score of less than 8 indicates remission of depression symptoms. Interestingly, although depressive symptoms were also reduced in the counseling-only group, they perceived their quality of life to be worse than the combined group or exercise group. The combined group lowered depression symptoms by 10 points over usual care group.

-- -- -- -- -- -- -- -- -- -- -- -- -

Co-authors are: S. Dunbar, D. S. N. ; E. Cress, Ph. D. ; and G. Cotsonsis, Ph. D.

The study received funding from American Heart Association " Beginning Grant in Aid " program from association's Southeast Affiliate.

The American Heart Association/American Stroke Association has a national movement, Start! , that encourages all Americans to incorporate walking into their lives. The hub of the Start! movement is MyStart! Online, a free, Web-based fitness and nutrition tracker that offers constant, measurable, personal improvement. Available at http: //www. americanheart. org/start.

Statements and conclusions of abstract authors presented at American Heart Association/American Stroke Association scientific meetings are solely those of abstract authors and don't necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability.

NR08-1052 ( QCOR 08/Gary ) Abstract 118

Source: Karen Astle American Heart Association

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