NITAB 20mg Tablet 10's

Introduction About NITAB 20MG TABLET

NITAB 20MG TABLET contains Nitrazepam which belongs to the group of medicines
called Hypnotic agents. It is used for the short-term management of insomnia
(difficulty in falling asleep). It can also be used in management of a type of
epilepsy called myoclonic seizures (sudden, jerky muscle movements).

NITAB 20MG TABLET shortens the time required to fall asleep and lengthens the
duration of the sleep. Take NITAB 20MG TABLET only for the duration recommended
by your doctor. Avoid consuming alcohol while taking NITAB 20MG TABLET as it
could make you feel dizzier and drowsier.

Before taking NITAB 20MG TABLET inform your doctor if you have any lung, liver,
kidney or heart problems. You must also inform your doctor if you have any
muscle problems, depression, anxiety, any psychiatric disorders, epilepsy or a
history of alcoholism or drug abuse as a precaution.

NITAB 20MG TABLET is not recommended for use in patients with breathing
difficulties. It is also not suitable for use in pregnant or breastfeeding women
and in children aged below 18 years.

NITAB 20MG TABLET may reduce alertness and induce excessive drowsiness in
patients. Therefore, it should not be overdosed or misused by the patients.
Patients must also avoid driving or handling any heavy tools while taking NITAB
20MG TABLET as a precaution.

The most common side effects of taking NITAB 20MG TABLET are dizziness,
drowsiness, muscle weakness, feeling unsteady, lack of coordination, reduced
alertness, tiredness and headache. Contact your doctor if any of these side
effect worsens.

You must also inform your doctor immediately if you experience any suicidal
thoughts after taking NITAB 20MG TABLET.

Uses Of NITAB 20MG TABLET

It is used to manage:

• Insomnia (difficulty in falling asleep)
• Myoclonic seizures (fits causing sudden jerky muscle movements)

How NITAB 20MG TABLET Works

NITAB 20MG TABLET is a hypnotic medicine. It works by increasing the activity of
certain brain chemicals (GABA) that reduces anxiety, relaxes body muscle and
induces sleep. This produces a calming effect on the brain and shortens the time
required for falling asleep. Additionally, it can also suppress the abnormal
electrical signals in the brain which helps in reducing the onset of seizures.

How to use NITAB 20MG TABLET

Take NITAB 20MG TABLET as advised by your physician. Swallow the medicine with a
glass of water. Do not chew or crush the medicine.

Your doctor will decide the correct dose and duration of therapy for you
depending upon your age, body weight and health condition.

Do not stop taking NITAB 20MG TABLET without consulting your doctor as it may
lead to recurrence of sleep problems or can cause withdrawal symptoms such as
anxiety, nervousness, restlessness, mood changes, confusion, irritability,
sweating, diarrhoea, headaches, muscle weakness, changes in behaviour, numbness
and tingling of the extremities, fits, over-sensitivity to light, noise and
touch and hallucination.

Side Effects Of NITAB 20MG TABLET

Common

• dizziness, drowsiness
• feeling unsteady, loss of co-ordination
• lack of emotions
• reduced alertness
• tiredness, double vision
• confusion
• headache
• muscle weakness

Rare

• changes in blood count
• changes in sex drive
• spinning sensation (vertigo)
• breathing problems
• nausea, upset stomach
• difficulty in passing urine

Stop taking NITAB 20MG TABLET and consult your doctor immediately if you
experience any of the following side effects such as:

• signs of severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat or tongue causing difficulty in breathing or swallowing)
• severe skin reactions (such as skin rash with itching and redness, blistering and peeling of skin, skin swelling and inflammation of mucous membrane, skin lesions with a pink/red ring and a pale center which may be itchy, scaly or filled with fluid accomp
• worsening of depression, suicidal thoughts or behavior
• yellowing of skin and whites of the eye (signs of liver problems)
• behavioural changes (such as aggression, excitement, confusion, restlessness, agitation, irritability, rages, hallucinations, nightmares and depression)

How To Manage Side Effects

Nausea:

Take NITAB 20MG TABLET with or just after a meal or a snack. Stick to simple
meals. Avoid eating rich or spicy food. Consult your doctor if your nausea
worsens.

Dizziness:

Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or
machines completely while you are feeling dizzy. Do not consume excessive
alcohol, as it could aggravate your dizziness. Consult your doctor if your
dizziness worsens.

Headache:

Rest and relax. Keep yourself hydrated by drinking plenty of fluids such as
water or electrolytes. Applying a pain-relieving balm on your forehead can be
beneficial. Do not consume excessive alcohol, as it could aggravate your
headache. Consult your doctor if your headache worsens.

Warning & Precautions

!### Pregnancy

NITAB 20MG TABLET is not recommended for use in pregnant women as it may harm
the growing baby. Therefore, inform your doctor before taking NITAB 20MG TABLET
if you are pregnant or think you may be pregnant.

!### Breastfeeding

NITAB 20MG TABLET is not recommended for use in breastfeeding women. Therefore,
consult your doctor before taking it.

!### Driving and Using Machines

Do not drive and use heavy machinery while taking NITAB 20MG TABLET as it could
reduce alertness and induce drowsiness with poor muscle coordination.

!### Alcohol

Avoid consum
feel dizzier.

!### Kidney

NITAB 20MG TABLET should be used with caution in patients with kidney problems.
Therefore, consult your doctor before taking it.

!### Liver

NITAB 20MG TABLET is not recommended for use in patients having severe liver
problems. It should be used with caution in patients with other liver problems.
Therefore, consult your doctor before taking it.

!### Allergy

Do not take NITAB 20MG TABLET if you are allergic to Nitrazepam or to any other
benzodiazepines (such as clonazepam, diazepam).

!### Lungs

NITAB 20MG TABLET is not recommended for use in patients with severe lung
diseases (such as COPD). It should be used with caution in patients with mild
lung problems. Therefore, consult your doctor before taking it.

!### Heart Disease

NITAB 20MG TABLET should be used with caution in patients with heart problems.
Therefore, consult your doctor before taking it.

Others

NITAB 20MG TABLET is not recommended for use if you:

• have any breathing difficulties
• have sleep apnea (breathing difficulties during sleep)
• have myasthenia gravis (severe muscle weakness and tenderness)
• have any psychiatric disorders (such as schizophrenia)
• have porphyria (an inherited blood disorder)

Before taking NITAB 20MG TABLET, inform your doctor if you:

• are in depression or have a history of depression
• have anxiety or any other mental illnesses
• are alcoholic
• have low albumin levels in blood
• have poor blood supply to the brain
• have epilepsy
• have an history of alcoholism or drug abuse

Use in Pediatrics

NITAB 20MG TABLET is not recommended for use in children and adolescents (aged
below 18 years). However, consult your doctor for advice.

Use in Geriatrics

NITAB 20MG TABLET should be used with caution in elderly patients as it could
relax the muscles and increase the risk of fall or injuries in such patients.
Therefore, consult your doctor before taking it. Proper dose adjustments and
careful monitoring are required in such patients.

Interactions

A. Drug-Drug Interactions

Before taking NITAB 20MG TABLET, inform your doctor if you are taking any of the
following medicines such as:

• other medicines used to manage depress brain such as antidepressants (Ex. fluoxetine, sertraline), hypnotics (Ex. alprazolam, midazolam), neurole
• anaesthetics (used to cause numbness of body parts or loss of consciousness) Ex. lignocaine, sevoflurane
• antihistamines (used to manage allergic symptoms) Ex. cetirizine
• lofexidine (a medicine used to manage withdrawal symptoms of opioids)
• nabilone (a medicine used to manage nausea and vomiting)
• opioid analgesics (used for pain relief) such as morphine, fentanyl, pethidine
• medicines used to manage epilepsy (Ex. phenytoin and phenobarbital)
• rifampicin (a medicine used to manage tuberculosis)
• moxonidine (a medicine used to reduce high blood pressure)
• muscle relaxants (used to reduce muscle spasms) Ex. baclofen, tiz
• erythromycin (a medicine used to manage bacterial infections)
• cimetidine (a medicine used to manage stomach ulcers)

Overdosage:

If you or anyone else accidentally took more NITAB 20MG TABLET, consult your
doctor immediately or visit the nearby hospital. Symptoms of overdose might
include drowsiness, confusion, muscle relaxation, lack of coordination,
decreased blood pressure, and extremely slow and/or shallow breathing and pulse.

Synopsis

Drug	:	Nitrazepam
Pharmacological Category	:	Benzodiazepines
Therapeutic Indication	:	Insomnia, Seizure
Dosage Forms	:	Tablet, Capsule

More Information

• Keep NITAB 20MG TABLETout of reach of children
• Store NITAB 20MG TABLET at room temperature

FAQs About NITAB 20MG TABLET

Can NITAB 20MG TABLET cause dependency?

NITAB 20MG TABLET can also elicit a withdrawl response. Recurrence of sleep
problems, psychological disturbances such as depression, nervousness, tension
and anxiety may also occur, along with mood changes such as irritabiliuty,
restlessness and confusion may also occur. Various physical m
withdrawal include frequent loose stools (diarrhea), headache and muscle
weakness. Hence, it is recommended to take only the prescribed dosage for the
specific amount of time and not to suddenly stop taking NITAB 20MG TABLET,
without doctor’s consultation.

Can I drive after taking NITAB 20MG TABLET?

No, it is not recommended to drive after taking NITAB 20MG TABLET due to
increased tiredness and dizziness, reduced alertness, poor muscular
co-ordination and double vision. Hence NITAB 20MG TABLET compromises the ability
to drive, hence should be avoided after taking NITAB 20MG TABLET to manage the
hazards.

Is NITAB 20MG TABLET addictive?

Yes. NITAB 20MG TABLET is addictive in nature. Patients may feel addicted to
this medicine even after using it for a short span of time. Therefore, take
NITAB 20MG TABLET only as instructed by your doctor. Avoid overusing or misusing
the medicine.

What is the use of NITAB 20MG TABLET?

NITAB 20MG TABLET is used in to manage insomnia (sleeplessness) and a type of
epilepsy called myoclonic seizure.

How NITAB 20MG TABLET works?

NITAB 20MG TABLET is a hypnotic medicine. It works by increasing the activity of
certain brain chemicals (GABA) that reduces anxiety, relaxes body muscle and
induces sleep. This produces a calming effect on the brain and shortens the time
required for falling asleep. Additionally, it can also suppress the abnormal
electrical signals in the brain which helps in reducing the onset of seizures.

How to take NITAB 20MG TABLET?

Take NITAB 20MG TABLET as advised by your physician. Swallow the medicine with a
glass of water. Do not chew or crush the medicine.

Can I stop taking NITAB 20MG TABLET once I started feeling better?

No. Do not stop taking NITAB 20MG TABLET without consulting your doctor as it
may make your symptoms re-appear once again or can cause withdrawal symptoms
such as anxiety, nervousness, restlessness, mood changes, confusion,
irritability, sweating, diarrhoea, headaches, muscle weakness, changes in
behaviour, numbness and tingling of the extremities, fits, over-sensitivity to
light, noise and touch and hallucination.

Can I take NITAB 20MG TABLET daily?

Take NITAB 20MG TABLET as advised by your physician. Your doctor will evaluate
your health condition and suggests whether can you take NITAB 20MG TABLET every
day or not.

Will taking a higher dose of NITAB 20MG TABLET be more effective?

No. Taking a higher dose of NITAB 20MG TABLET will not be effective rather it
would be making you drowsier. Always take the dose prescribed by your doctor. If
the prescribed dose is not effective for you, consult your doctor for advice.
Your doctor might increase the dose or suggest an alternative therapy.

What to do if I forgot to take a dose of NITAB 20MG TABLET?

If you forgot to take a dose of NITAB 20MG TABLET, take it as soon as you
remember. However, if it is time for the next dose of NITAB 20MG TABLET, skip
the missed dose and take the next one regularly. Do not take a double dose of
NITAB 20MG TABLET to compensate the missed ones. Consult your doctor for advice.

What are the side effects of NITAB 20MG TABLET?

The most common side effects of taking NITAB 20MG TABLET are dizziness,
drowsiness, muscle weakness, feeling unsteady, lack of coordination, reduced
alertness, tiredness and headache. Contact your doctor if any of these side
effect worsens.

Is NITAB 20MG TABLET safe to use in children?

NITAB 20MG TABLET is generally not recommended for use in children and
adolescents (aged below 18 years). However, consult your doctor before taking
it.

Is NITAB 20MG TABLET safe?

NITAB 20MG TABLET is safe at doses prescribed by the doctor. Do not alter the
dosage of NITAB 20MG TABLET without consulting your doctor.