This medicine is a benzodiazepine used to treat sleep disorders. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. This medicine has a MEDICATION GUIDE approved by the U.S. Food and Drug Administration. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. AVOID DRINKING GRAPEFRUIT JUICE while taking this medicine. STORE THIS MEDICINE at room temperature, between 68 and 77 degress F (20 and 25 degress C) away from heat, moisture, and light. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If you no longer have time for a full night's sleep or you do not remember until the next day, skip the missed dose and go back to your regular dosing schedule. DO NOT take 2 doses at once.
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. DO NOT USE THIS MEDICINE if you are also taking delavirdine, efavirenz, HIV protease inhibitors, azole antifungals (such as ketoconazole or itraconazole), or nefazodone. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking amiodarone, antihistamines, calcium channel blockers (such as diltiazem or verapamil), cimetidine, clozapine, cyclosporine, ergot alkaloids (such as ergotamine), hormonal contraceptives (birth control pills), isoniazid, ketolides (such as telithromycin), macrolides (such as erythromycin), medicines for seizures (such as carbamazepine or phenytoin), methadone, omeprazole, ranitidine, rifampin, (SSRIs) (such as fluvoxamine, paroxetine, or sertraline), sodium oxybate, or St John's. DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including mental or mood problems (such as depression), alcohol use, a history of drug or alcohol abuse or addiction, lung or breathing problems (such as chronic bronchitis, chronic obstructive pulmonary disease (COPD)), emphysema, difficulty breathing while asleep (sleep apnea), liver or kidney problems, allergies, pregnancy, or breast-feeding. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.
SIDE EFFECTS that may occur while using this medicine include clumsiness, dizziness, drowsiness, headache, lightheadedness, nervousness, stomach upset, unsteadiness, or weakness. If they continue or are bothersome, check with your doctor. CHECK WITH YOUR DOCTOR AS SOON AS POSSIBLE if you experience new or increased anxiety during the day or memory loss. CONTACT YOUR DOCTOR IMMEDIATELY if you experience bizarre behavior; changes in personality, mood, or behavior; chest pain; confusion; depression; disorientation; fainting; falling or staggering; hallucinations; irregular heartbeat; loss of coordination; severe drowsiness; slurred speech; suicidal thoughts; unusual tiredness or weakness; or yellowing of the eyes or skin. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, severe dizziness; swelling of hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; unusual hoarseness. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your healthcare provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include confusion, slow reflexes, clumsiness, deep sleep, and loss of consciousness.
You may experience trouble sleeping for 1 to 2 nights after you stop taking this medicine. If it continues, contact your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children.