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At a glance

Nitrazepam is a benzodiazepine used for insomnia. It enhances the inhibitory effect of GABA to suppress abnormal and excessive activity of nerve cells in the brain, inducing sleep.

Indications
  • Disturbances of sleep of various etiology
  • Insomnia of neurotics
  • Involutional restlessness
  • Sleep disturbances in cerebrosclerotic patients
  • Myoclonic seizures
Pharmacology

Nitrazepam enhances the inhibitory effect of GABA to prevent excessive brain cell activity, depressing the reticular-activating system in the brainstem to induce sleep.

Dosage

Adult Dose (Oral):

  • 5 mg at night; increase to 10 mg if necessary

Elderly and Debilitated: Half of normal adult dose

Pediatric Dose (Myoclonic seizures):

  • 0.3-1.0 mg/kg/day in 3 divided doses
Side effects

Common Side Effects:

  • Dizziness
  • Sedation
  • Drowsiness
  • Unsteadiness
  • Impaired coordination
Use in pregnancy

Use in Pregnancy: Nitrazepam is highly unsafe during pregnancy; definite evidence of fetal harm. Not recommended in first 3 months.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Should not be used for more than 4 weeks
  • High addiction/habit-forming potential
  • Do not stop suddenly (withdrawal symptoms may occur)
  • Caution while driving
  • Avoid alcohol
  • Elderly patients may have reduced muscle tone and increased risk of falls
Overdose effects

Overdose: Somnolence, confusion, ataxia, coma, dyspnoea, hypotension, respiratory and cardiovascular depression; gastric lavage, flumazenil treatment.

Storage conditions

Store at room temperature; protect from light and moisture; keep out of reach of children.

Nitrazepam — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.