Arem 5 mg Tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Management of insomnia and as a premedication for surgical procedures.
Dosage (summary)
The usual adult dose is 5 mg to 10 mg taken orally at bedtime.
Onset of Action / Duration
Effects typically begin within 30 minutes and can last for several hours.
Special Populations
- Elderly patients
- Patients with hepatic impairment
- Patients with renal impairment
Pregnancy & Breastfeeding
Nitrazepam is contraindicated during pregnancy and lactation due to potential risks to the fetus and infant.
Key Drug Interactions
- CNS depressants (e.g., alcohol, opioids) may enhance sedative effects.
- Antidepressants may increase the risk of sedation.
- Cimetidine may increase nitrazepam levels.
Contraindications
- Hypersensitivity to nitrazepam or any component of the formulation.
- Severe respiratory insufficiency.
- Sleep apnea syndrome.
Common side effects
- Drowsiness
- Dizziness
- Confusion
- Ataxia
- Paradoxical reactions (e.g., agitation, aggression)
Counselling Points
- Avoid alcohol while taking this medication.
- Do not drive or operate machinery until you know how this medication affects you.
- Take the medication exactly as prescribed and do not exceed the recommended dose.
Serious warnings
- Risk of dependence and withdrawal symptoms with prolonged use.
- Use with caution in patients with a history of substance abuse.
- May impair cognitive function and coordination.
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