Nitrest 10 mg (Tablet)

Unit Price: ৳ 5.00 (3 x 10: ৳ 150.00)
Strip Price: ৳ 50.00

Medicine Details

Indications

  • Short-term treatment of insomnia
  • Sleep initiation difficulties
  • Decrease in sleep latency

Pharmacology

  • Imidazopyridine derivative
  • Binds to BZD receptors
  • Neuronal hyperpolarisation
  • Sedative action
  • Short duration of hypnotic action

Dosage

  • Recommended initial dose: 5mg for women
  • Recommended initial dose: 5mg or 10mg for men
  • Total dose not to exceed 10mg once daily
  • Special dose for elderly or debilitated patients
  • Special dose for patients with hepatic impairment

Administration

  • Slowed effect when taken with or immediately after a meal

Interaction

  • Increased risk of CNS depression with other CNS depressants
  • Studies with Imipramine, Chlorpromazine, Haloperidol, Alcohol, Sertraline, and Fluoxetine

Contraindications

  • Severe hepatic impairment

Side Effects

  • Atypical thinking and behaviour
  • Hallucination
  • Nightmare
  • Drowsiness
  • Nausea
  • Headache
  • Vertigo
  • Rebound insomnia
  • Amnesia
  • Fatigue
  • Increased ALT serum concentrations

Pregnancy & Lactation

  • Pregnancy Category C
  • Use only if potential benefit justifies potential risk to the foetus

Precautions & Warnings

  • Obstructive sleep apnoea
  • Myasthenia gravis
  • History of drug or alcohol abuse
  • Avoid abrupt withdrawal and rapid dose reduction
  • Re-evaluate if insomnia fails to remit after 7-10 days
  • Not recommended for children

Use in Special Populations

  • Not recommended for use in children
  • Safety and effectiveness not established in pediatric patients below 18 years

Overdose Effects

  • Symptoms: Drowsiness, impairment of consciousness
  • Treatment: Symptomatic and supportive, IV fluids, Activated charcoal, Gastric lavage, Flumazenil, Haemodialysis unlikely to be useful

Therapeutic Class

  • Miscellaneous sedatives & hypnotics

Storage Conditions

  • Store between 20-25°C

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