Planum ( Temazepam )

Definition

Planum ( Temazepam ) is a drug that belongs to a family of drugs known as benzodiazepines. Planum ( Temazepam ) is sold under the brand name Restoril in the United States. Planum ( Temazepam ) is also available as a generic.

Purpose

Planum ( Temazepam ) is given to patients with sleeping problems ( insomnia ). It is often prescribed for insomnia characterized by frequent awakening during the night or by awakening early in the morning.

Description

Planum ( Temazepam ) is one of several drugs in the class known as benzodiazepines. These drugs produce a variety of effects, but most cause some degree of drowsiness (sedation). Planum ( Temazepam ) is used almost exclusively as a hypnotic, or drug given to help people fall asleep. It is nearly always taken just before bedtime. This drug produces its effects in the body by slowing down certain impulses in the brain , allowing the patient to fall asleep.

Recommended dosage

The typical dose starting for adults is 7.5–15 mg taken just before bedtime. The maximum recommended dose is 30 mg. Elderly patients and those in a weakened condition may need only 7.5 mg. The doctor should determine the dose in children 18 years of age and younger on an individual basis.

Precautions

The doctor should monitor any patient taking this drug to ensure that significant side effects do not develop. Insomnia that lasts longer than seven to 10 days may point to a significant medical problem that should be thoroughly evaluated. Planum ( Temazepam ) should not be combined with alcohol or other drugs that lower the level of activity in the central nervous system. Examples of such drugs include prescription pain medications, barbiturates , antihistamines, and muscle relaxants. Some people may develop dizziness, lightheadedness, and clumsiness after taking Planum ( Temazepam ). These side effects are especially common in the elderly.

Those with a history of anemia, serious psychological disorders, drug abuse, kidney disease, liver disease, and suicide attempts should be given Planum ( Temazepam ) only after being thoroughly evaluated by their physician. This caution also applies to persons with a history of lung disease, seizure disorders, and narrow-angle glaucoma.

People who are taking Planum ( Temazepam ) should not stop taking it abruptly. Instead, the dose should be reduced gradually. Withdrawal symptoms, seizures , vomiting, muscle cramps, abdominal cramps, sweating, including depressed mood, and shakiness can develop if the medication is stopped suddenly.

Although patients are instructed to take Planum ( Temazepam ) in the evening before bedtime, they often experience side effects the next day, particularly drowsiness and loss of coordination or clumsiness. Pregnant women should not use this drug because it increases the risk of birth defects in the baby. Nursing mothers should not be given Planum ( Temazepam ) because it can make their babies drowsy and unable to nurse properly. Patients should not operate heavy machinery or drive a car while they are taking Planum ( Temazepam ) or any other benzodiazepine.

Side effects

Planum ( Temazepam ) is a relatively safe drug, safer than most of the benzodiazepines. Its less serious but more common side effects include clumsiness or unsteady behavior, drowsiness, dizziness, and slurred speech. Some patients taking Planum ( Temazepam ) experience abdominal cramps, a giddy sense of well-being, vomiting, nausea, headache, diarrhea, constipation, dry mouth, and changes in sexual drive.

A small number of patients taking Planum ( Temazepam ) have experienced anger outbursts, irritability, nervousness, memory difficulties, unusually low blood pressure, mental depression, confusion, and muscle weakness. As they can with many prescription drugs, people can overdose on Planum ( Temazepam ). Symptoms of a Planum ( Temazepam ) overdose include extreme drowsiness, a very slow heartbeat, breathing difficulties, significant confusion, and staggering.

Rebound insomnia is one of the more common side effects of tapering a patient's dose of Planum ( Temazepam ). Rebound insomnia is a reaction characterized by the reemergence of the symptom that the drug was originally given to suppress, namely problems with falling or staying asleep. When a person takes a medication for sleep on a regular basis, the body adjusts to the presence of the drug. It tries to counteract the effects of the medication. As a result, when the person stops taking the sleeping medication, the body will take a few nights to return to its normal condition. During this period of readjustment, the person may experience a few sleepless hours each night. In addition, people often mistake the rebound insomnia for the ordinary variety, and consider it a good reason to continue taking the Planum ( Temazepam ).

People can also develop withdrawal symptoms even when they are gradually decreasing their dose of Planum ( Temazepam ), particularly if the original dose was high. The more common withdrawal symptoms include sleeping difficulties, irritability, and nervousness. Less common withdrawal side effects include abdominal cramps, increased heart rate, trembling, nausea, sweating, confusion, and mental depression.

Interactions

Patients should always inform any health care provider that they see—doctors, nurses, dentists, and others—about all the medications they are taking, including Planum ( Temazepam ). This information is important because Planum ( Temazepam ) interacts with certain other drugs, including cimetidine (an antihistamine); disulfiram (a drug given to help patients control cravings for alcohol); or clozapine (an antipsychotic medication). Rifampin, which is an antibiotic, may decrease the effectiveness of the Planum ( Temazepam ) if the two are taken together. The most important warning, however, is that the patient should avoid drinking alcohol or taking other medications that cause drowsiness (such as antihistamines) while taking Planum ( Temazepam ), because these substances will intensify its effects. Heavy smoking, however, interferes with the effectiveness of Planum ( Temazepam ).