Precautions While Using This Medicine
will be taking a benzodiazepine regularly for a long
Your doctor should check your progress at regular visits to make
sure that this medicine does not cause unwanted effects. If you are taking
a benzodiazepine for convulsions (seizures), this is also important during
the first few months of treatment.
Check with your doctor at regular visits to see if you need to continue
taking this medicine.
If you are taking a benzodiazepine for epilepsy or
another seizure disorder
Your doctor may want you to carry a medical identification card or
bracelet stating that you are taking this medicine.
If you are taking a benzodiazepine for insomnia
(trouble in sleeping):
If you think you need this medicine for more than 7 to 10 days, be
sure to discuss it with your doctor. Insomnia that lasts longer than this
may be a sign of another medical problem.
You may have difficulty sleeping (rebound insomnia) for the first
few nights after you stop taking this medicine.
Benzodiazepines may be habit-forming (causing mental
or physical dependence)
, especially when taken for a long time or in
high doses. Some signs of dependence on benzodiazepines are:
If you think you may have become mentally
or physically dependent on this medicine, check with your doctor
not stop taking it suddenly.
A strong desire or need to continue taking the medicine.
A need to increase the dose to receive the effects of the medicine.
Withdrawal effects (for example, irritability, nervousness, trouble
in sleeping, abdominal or stomach cramps, trembling or shaking) occurring
after the medicine is stopped.
If you have been taking this medicine in large doses
or for a long time, do not stop taking it without first checking with your
. Your doctor may want you to reduce gradually the amount you
are taking before stopping completely. Stopping this medicine suddenly may
cause withdrawal side effects, including seizures. Stopping this medicine
suddenly is most likely to cause seizures if you have been taking it for epilepsy
or another seizure disorder.
This medicine will add to the effects of alcohol and other central nervous
system (CNS) depressants (medicines that slow down the nervous system, possibly
causing drowsiness). Some examples of CNS depressants are antihistamines or
medicine for hay fever, other allergies, or colds; sedatives, tranquilizers,
or sleeping medicine; prescription pain medicine or narcotics; barbiturates;
medicine for seizures; muscle relaxants; or anesthetics, including some dental
anesthetics. This effect may last for a few days after you stop taking this
medicine. Check with your doctor before taking any of
the above while you are taking this medicine
If you think you or someone else may have taken an
overdose of this medicine, get emergency help at once
. Taking an overdose
of a benzodiazepine or taking alcohol or other CNS depressants with the benzodiazepine
may lead to unconsciousness and possibly death. Some signs of an overdose
are continuing slurred speech or confusion, severe drowsiness, severe weakness,
Before you have any medical tests, tell the medical doctor in charge that
you are taking this medicine. The results of the metyrapone test may be affected
If you develop any unusual and strange thoughts or behavior while you are
taking this medicine, be sure to discuss it with your doctor. Some changes
that have occurred in people taking this medicine are like those seen in people
who drink alcohol and then act in a manner that is not normal. Other changes
may be more unusual and extreme, such as confusion, agitation, and hallucinations
(seeing, hearing, or feeling things that are not there).
This medicine may cause some people, especially older persons, to become
drowsy, dizzy, lightheaded, clumsy or unsteady, or less alert than they are
normally. Even if taken at bedtime, it may cause some people to feel drowsy
or less alert on arising. Make sure you know how you
react to this medicine before you drive, use machines, or do anything else
that could be dangerous if you are dizzy or are not alert