Dumolid 5mg

Some medicines work best if they are taken at a specific time of day. Getting the most benefit from your medicine can also be affected by what you eat, when you eat and the times at which you take other medicines.

Specific information on when to take Nitrazepam can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. You can also ask your doctor or pharmacist for information about when to take your medicine.

Some medicines have specific instructions about how to take them. This is because they work better when taken correctly. These instructions can include getting the right dose and special instructions for preparing the medicine.

Specific information on how to take Nitrazepam can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to take your medicine from your doctor or pharmacist.

If you are having problems taking this form of Nitrazepam, you should talk to your prescriber or pharmacist. They may be able to give you advice on other ways to take your medicine or other preparations that are easier for you to take.

Taking extra doses of some medicines can be harmful. In some cases even one extra dose can cause you problems. If you take extra doses of your medicine, you must get medical advice immediately. You may need a test to assess the effect of taking extra doses. This is because the effects of taking too much medicine are very complex so it is very important that you seek medical advice.

Contact your prescriber, pharmacist, specialist clinic or call 111 for advice.

Make sure you take all of your medicine containers with you if you are advised to go to hospital.

If you are not having any problems taking this medicine then do not stop taking it, even if you feel better, unless advised to do so by your prescriber. If, however, you find that this medicine is causing you problems then you should talk to your prescriber about your concerns.

If your medical team decides that it is best that you do not take this medicine any more, they may advise that you do not stop Nitrazepam abruptly. This is because, in some instances, stopping Nitrazepam abruptly can cause withdrawal symptoms or cause your original condition to return. In these instances, reducing the dose of Nitrazepam gradually over time may reduce the chances of having these problems.

If you are in any doubt, contact your prescriber, pharmacist, specialist clinic or call 111.

The instructions on how you should keep your medicine are on the pharmacy label. It is a good idea to keep your medicine in the original container. This will help to keep your medicine in the best condition and also allow you to check the instructions. Do not take the medicine if the packaging appears to have been tampered with or if the medicine shows any signs of damage. Make sure that the medicine is out of the sight and reach of children.

Specific information on how to look after Nitrazepam can be found in the Patient Information Leaflet that comes with this medicine or on the medicine label. Alternatively, you can request information about how to look after your medicine from your doctor or pharmacist.

You must not take the medicine after the expiry date shown on the packaging. If you have any unused medicine, return it to your pharmacist who will dispose of it safely.

Nitrazepam is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

Nitrazepam is not used in children.

Over time it is possible that Nitrazepam can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Nitrazepam has become unsuitable, it is important that the prescriber is contacted immediately.

A medicine is only made available to the public if the clinical trials have shown that the benefits of taking the medicine outweigh the risks.

Once a medicine has been licensed, information on the medicine's effects, both intended and unintended, is continuously recorded and updated.

Some side-effects may be serious while others may only be a mild inconvenience.

Everyone's reaction to a medicine is different. It is difficult to predict which side-effects you will have from taking a particular medicine, or whether you will have any side-effects at all. The important thing is to tell your prescriber or pharmacist if you are having problems with your medicine.

The frequency of these side-effects is unknown:

• balance or coordination problems
• behavioural problems seek medical advice if you develop symptoms of depression including suicidal tendencies, paradoxical aggressive outbursts, rages, inappropriate behaviour, excitement, confusion, restlessness, agitation, irritability, delusions, nightmares, hallucinations, psychoses or other behavioural problems
• blood and bone marrow problems
• changes in libido
• confusion
• daytime sedation
• dose tolerance
• double vision
• eye or eyesight problems
• failure of Nitrazepam to achieve the intended medical effect - if Nitrazepam is repeatedly used for a few weeks
• feeling dizzy
• feeling emotionally numb
• gastrointestinal problems
• headaches
• hypersensitivity reactions including rash, angioedema and high blood pressure
• jaundice
• lowered blood pressure
• memory problems - these may lead to behavioural changes
• muscle weakness
• precipitation of suicide in people with depression
• psychological problems
• reduced alertness
• relaxed muscles - this may lead to an increased risk of falling or hip fractures. You should be careful when moving around after you have taken Nitrazepam
• side effects that may occur if Nitrazepam is taken at a high dose for long period of time. These may include physical and physiological dependence which may lead to drug abuse
• skin rash or rashes
• thinking problems
• tiredness
• uncovering depression
• urinary retention
• vertigo
• withdrawal symptoms or rebound phenomena can occur when this medicine is stopped. These include depression, headaches, muscle weakness, nervousness, anxiety, tension, restlessness, confusion, convulsion, mood changes, rebound insomnia, psychotic-like behaviour, irritability, sweating and diarrhoea. If withdrawal is severe the following may occur: derealisation, depersonalisation, numbness, over-sensitive hearing and tingling of the extremities, hypersensitivity to light, noise and physical contact, hallucinations or seizures

If you feel unwell or if you have concerns about a side-effect, you will need to seek advice. If you feel very ill, get medical help straight away. Contact your prescriber, pharmacist, nurse or call 111.

If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.

The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.

Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.

The following medicines may interact with Nitrazepam:

The following types of medicine may interact with Nitrazepam:

If you are taking Nitrazepam and one of the above medicines or types of medicines, make sure your prescriber knows about it.

Medicines can interact with complementary preparations and vitamins. In general, there is not much information available about interactions between medicines and complementary preparations or vitamins.

If you are planning to take or are already taking any complementary preparations and vitamins you should ask your prescriber whether there are any known interactions with Nitrazepam.

Your prescriber can advise whether it is appropriate for you to take combinations that are known to interact. They can also discuss with you the possible effect that the complementary preparations and vitamins may have on your condition.

If you experience any unusual effects while taking this medicine in combination with complementary preparations and vitamins, you should tell your prescriber.

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

In the case of Nitrazepam:

You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Nitrazepam:

Alcohol can interact with certain medicines.

In the case of Nitrazepam:

You must not drink any alcohol if you are taking this medicine.

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Nitrazepam:

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Nitrazepam, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Nitrazepam:

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.