benzodiazepine that is thought to act on the limbic system, thalamus, and
hypothalamus of the central nervous system to produce hypnotic effects.
and Use: Indicated
for the treatment of insomnia.
Warnings and Precautions:
in pregnant women. Do not use with
alcohol. Use cautiously with other
central nervous system depressants.
Caution should be used when engaging in hazardous occupations that
require complete mental alertness. Use cautiously in the elderly. Use cautiously
in severely depressed patients as well as patients with impaired renal or
hepatic function and chronic pulmonary insufficiency.
As with other benzodiazepines, caution must be used in persons known to
be addiction-prone because of the predisposition of such patients to habituation
and dependence. Withdrawal symptoms, similar in character to those noted with
barbiturates and alcohol (convulsions, tremor, abdominal and muscle cramps,
vomiting and sweating), have occurred following abrupt discontinuation of
Possible common side effects may include daytime sedation, dizziness,
drowsiness, disturbed coordination and headache. Less common side effects may
include lethargy, confusion, nervousness, hallucinations, disorientation,
nausea, vomiting, diarrhea, elevated liver enzymes and physical or psychological
In adults, 15 to 30mg at bedtime.
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© 2000 Red Oak Psychiatry Associates, P.A. Updated