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The Drugs
The Medications Rx
 

Temazepam
Brand Names: Restoril, Razepam, Temaz

Overview
Restoril is the brand name for temazepam, a benzodiazepine that acts as a sedative and hypnotic. Taken before going to bed, it reduces the number of times a person wakes during the night, but does not affect the time it takes to fall asleep initially.

Why is this drug prescribed?
Restoril is a sleeping pill used as short-term therapy to treat insomnia characterized by difficulty staying asleep and waking frequently or too early.

Warnings and Precautions
Restoril’s safety and effectiveness in children has not been well studied.

Restoril’s effects as a hypnotic may interfere with mental alertness; driving or operating machinery after taking Restoril are not recommended. Restoril should only be taken before going to bed, but its effects may carry over to the next day.

Restoril is meant to be used as short-term therapy only and, like other hypnotics, it is not recommended for long-term use. When benzodiezapines such as Restoril are used for more than about 2-4 weeks, discontinuing them may cause withdrawal symptoms including abdominal and muscle cramps, convulsions, feeling of discomfort, inability to fall asleep or stay asleep, sweating, tremors, and vomiting.

When Restoril is discontinued, even after brief use, the patient may experience difficulty sleeping for one or two nights. This is not necessarily an indication that Restoril is needed again, and often clears up on its own after a few nights.

Restoril, like other benzodiezapines, may cause birth defects. Women who are or who may become pregnant should inform their physician of that fact and are advised not to take Restoril.

For Pregnant or Nursing Mothers: Restoril’s safety during pregnancy is not known, and it is not recommended for use during pregnancy. Studies indicate that benzodiezapines may cause birth defects, especially when used in the first trimester. Restoril and other benzodiezapines pass into breast milk and should not be used by breastfeeding mothers.

Contraindications
Restoril should Not be used for people with the following medical conditions:

  1. Allergy or hypersensitivity to benzodiazepines.
  2. Myasthenia gravis (a disease of abnormally rapid muscle fatigue)
  3. Liver or kidney disease
  4. A chronic breathing problem or lung disease

Precautions
Restoril may be used with caution in people with the following conditions:

  1. A history of drug abuse
  2. A high potential for psychological dependence
  3. Severe depression, suicidal tendencies, or a history of severe depression – carefully monitoring may be required
  4. Elderly – patients over 60 may react strongly to even low doses of benzodiazepines and should be carefully monitored

Adverse Reactions
Restoril may cause the following reactions:

  1. Dizziness
  2. Lethargy
  3. Drowsiness
  4. Confusion
  5. Euphoria
  6. Staggering
  7. Clumsiness
  8. Headache
  9. Ataxia (poor muscle coordination) and/or falling
  10. Weakness
  11. Anorexia (loss of appetite)
  12. Nervousness
  13. Horizontal nystagmus (rapid, side-to-side eye movements)
  14. Vertigo
  15. Tremors or shaking
  16. Dry mouth
  17. Palpitations (irregular, forceful heartbeats)
  18. Inability to concentrate
  19. Loss of balance
  20. Blurred vision
  21. Faintness
  22. Hypotension (low blood pressure)
  23. Nausea
  24. Diarrhea
  25. Depression
  26. Shortness of breath
  27. Abdominal pain or cramps
  28. Itchy skin and/or skin rash

Interactions with Drugs and Other Substances
Drugs or substances that may interact with Restoril include:

  1. Alcohol – Restoril may intensify alcohol’s effects. Alcohol should not be used during treatment with Restoril.
  2. CNS (central nervous system) depressants such as antihistamines, barbiturates, nonbarbiturate hypnotics, antihistamines, narcotics, antipsychotic and antidepressant drugs, tranquilizers, major tranquilizers, and anticonvulsants – these drugs in combination with Restoril will increase the CNS depressing effects and, in sufficient quantities, can be fatal.
  3. Oral contraceptives – Restoril may interfere with oral contraceptives

Sources

http://www.mentalhealth.com/drug/p30-r01.html

http://www.psyweb.com/Drughtm/restoril.html

http://www.healthtouch.com

http://www.healthsquare.com

 
   
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