|
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:
- Allergy or hypersensitivity to benzodiazepines.
- Myasthenia gravis (a disease of abnormally rapid muscle fatigue)
- Liver or kidney disease
- A chronic breathing problem or lung disease
Precautions
Restoril may be used with caution in people with the following conditions:
- A history of drug abuse
- A high potential for psychological dependence
- Severe depression, suicidal tendencies, or a history of severe depression – carefully monitoring may be required
- 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:
- Dizziness
- Lethargy
- Drowsiness
- Confusion
- Euphoria
- Staggering
- Clumsiness
- Headache
- Ataxia (poor muscle coordination) and/or falling
- Weakness
- Anorexia (loss of appetite)
- Nervousness
- Horizontal nystagmus (rapid, side-to-side eye movements)
- Vertigo
- Tremors or shaking
- Dry mouth
- Palpitations (irregular, forceful heartbeats)
- Inability to concentrate
- Loss of balance
- Blurred vision
- Faintness
- Hypotension (low blood pressure)
- Nausea
- Diarrhea
- Depression
- Shortness of breath
- Abdominal pain or cramps
- Itchy skin and/or skin rash
Interactions
with Drugs and Other Substances
Drugs or substances that may interact with Restoril include:
- Alcohol – Restoril may intensify alcohol’s effects. Alcohol should not be used during treatment with Restoril.
- 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.
- 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
|