Flurazepam

pronounced as (flure az' e pam)

Brand Name(s): Dalmane®, also available generically

Why is this medicine prescribed?

Flurazepam is used to treat insomnia (difficulty falling asleep and staying asleep). Flurazepam is in a class of medications called benzodiazepines. It works by slowing activity in the brain to allow sleep.

Are there other uses for this medicine?

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used?

Flurazepam comes as a capsule to take by mouth. Take as needed at bedtime.

Take flurazepam exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Flurazepam starts working slowly and continues to work for a short time after you stop taking it. You may experience more benefit from flurazepam on the second and third nights after you start taking it. You may continue to feel the effects of flurazepam for one to two nights after you stop taking the medication.

Call your doctor if your sleep problems do not improve within 7 to 10 days, if they get worse at any time during your treatment, or if you notice any changes in your thoughts or behavior.

What special precautions should I follow?

Before taking flurazepam,

  • tell your doctor or pharmacist if you are allergic to this drug, any part of this drug, or any other drugs, foods or substances. Tell your doctor or pharmacist about the allergy and what symptoms you had
  • tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take while taking flurazepam. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
  • the following nonprescription products may interact with flurazepam: allergy medications (diphenhydramine, loratadine, fexofenadine, chlorpheniramine or cetirizine). Be sure to let your doctor and pharmacist know that you are taking these medications before you start taking flurazepam. Do not start any of these medications while taking flurazepam without discussing with your healthcare provider.
  • tell your doctor if you have or have ever had sleep apnea (a sleep disorder that causes breathing to stop for short periods during sleep) or lung, kidney, or liver disease.
  • tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. If you become pregnant while taking flurazepam, call your doctor immediately.
  • you should know that this medication may make you drowsy and may increase the risk that you could fall. Take extra care to be sure you do not fall, especially if you get out of bed in the middle of the night. Do not drive a car or operate machinery until you know how this medication affects you.
  • talk to your doctor about the risks and benefits of taking flurazepam if you are 65 years of age or older.
  • you should know that some people who took medications for sleep got out of bed and drove their cars, prepared and ate food, had sex, made phone calls, or were involved in other activities while partially asleep. After they woke up, these people were usually unable to remember what they had done. Call your doctor right away if you find out that you have been driving or doing anything else while you were sleeping.
  • talk to your doctor about the safe use of alcoholic beverages during your treatment with flurazepam. Alcohol can make the side effects of flurazepam worse.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget to take a dose?

Flurazepam should only be taken at bedtime. If you forget to take flurazepam at bedtime, you are unable to fall asleep, and you will still be able to stay in bed for a full night's sleep, you may take flurazepam at that time. Do not take a double dose of flurazepam to make up for a missed dose.

What should I do in case of overdose?

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help . If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.

Symptoms of overdose may include the following:

  • drowsiness
  • confusion
  • coma

What side effects can this medicine cause?

Flurazepam may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

  • drowsiness
  • dizziness or lightheadedness
  • loss of coordination, falling down

Some side effects can be serious. If you experience any of the following side effects or those listed in the IMPORTANT WARNING or SPECIAL PRECAUTIONS section, call your doctor immediately or get emergency medical treatment:

  • rash, hives,; swelling of the face, throat, tongue, lips, or eyes; hoarseness, difficulty breathing or swallowing
  • chest pain. pounding heartbeat
  • coma (loss of consciousness for a period of time)
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online ( https://www.fda.gov/Safety/MedWatch ) or by phone ( 1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).

Keep all medication out of sight and reach of children as many containers are not child-resistant. Always lock safety caps. Place the medication in a safe location – one that is up and away and out of their sight and reach. https://www.upandaway.org Dispose of unneeded medications in a way so that pets, children, and other people cannot take them. Do not flush this medication down the toilet. Use a medicine take-back program. Talk to your pharmacist about take-back programs in your community. Visit the FDA's Safe Disposal of Medicines website https://goo.gl/c4Rm4p for more information.

What other information should I know?

Keep all appointments with your doctor.

Do not let anyone else take your medication. Flurazepam is a controlled substance. Prescriptions may be refilled only a limited number of times; ask your pharmacist if you have any questions.

Keep a written list of all of the prescription and nonprescription (over-the-counter) medicines, vitamins, minerals, and dietary supplements you are taking. Bring this list with you each time you visit a doctor or if you are admitted to the hospital. You should carry the list with you in case of emergencies.

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