Tetrazepam is used to treat anxiety disorders and panic attacks. Tetrazepam is in a class of medications called benzodiazepines. It works by decreasing abnormal excitement in the brain. Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life.

Tetrazepam belong to the group of medicines called central nervous system (CNS) depressants (medicines that slow down the nervous system). Tetrazepam also is used sometimes to treat depression, fear of open spaces (agoraphobia), and premenstrual syndrome. Talk to your doctor about the possible risks of using this medication for your condition. Many of the benzodiazepines are used in the treatment of other conditions, also. Diazepam is used to help relax muscles or relieve muscle spasm. Diazepam injection is used before some medical procedures to relieve anxiety and to reduce memory of the procedure. Chlordiazepoxide, diazepam, clorazepate, and oxazepam are used to treat the symptoms of alcohol withdrawal. Alprazolam and clonazepam are used in the treatment of panic disorder. The benzodiazepines may also be used for other conditions as determined by your doctor.

Tetrazepam may be habit-forming (causing mental or physical dependence), especially when taken for a long time or in high doses.

Special precautions

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For Tetrazepam , the following should be considered:

Allergies— tell your doctor if you have ever had any unusual or allergic reaction to benzodiazepines. Also tell your health care professional if you are allergic to any other substances, such as preservatives, foods, or dyes. Certain Tetrazepam products may contain lactose, parabens, or soybean oil.

Pregnancy— too much use of a Tetrazepam during pregnancy may cause the baby to become dependent on the medicine. This may lead to withdrawal side effects after birth. Also, drowsiness, difficulty in feeding, breathing problems, may cause body temperature problems, especially during the last weeks, use of Tetrazepam during pregnancy, or muscle weakness in the newborn infant.

Tetrazepam given just before or during labor may cause weakness in the newborn infant. When diazepam is given in high doses (especially by injection) within 15 hours before delivery, difficulty in feeding, muscle weakness, it may cause breathing problems, and body temperature problems in the newborn infant.

Breast-feeding— Tetrazepam may pass into the breast milk and cause drowsiness, difficulty in feeding, and weight loss in nursing babies of mothers taking these medicines.

Children— Most of the side effects of these medicines are more likely to occur in children, especially the very young. These patients are usually more sensitive than adults to the effects of Tetrazepam .

Older adults— Most of the side effects of these medicines are more likely to occur in the elderly, who are usually more sensitive to the effects of Tetrazepam .

Taking Tetrazepam for trouble in sleeping may cause more daytime drowsiness in elderly patients than in younger adults. In addition, falls and related injuries are more likely to occur in elderly patients taking Tetrazepam .

Other medicines— although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking or receiving benzodiazepines it is especially important that your health care professional know if you are taking any of the following:

• Central nervous system (CNS) depressants (medicines that cause drowsiness)—The CNS depressant effects of either these medicines or Tetrazepam may be increased; your doctor may want to change the dose of either or both medicines

• Fluvoxamine (e.g., Luvox) or

• Nefazodone (e.g., increasing the chance that side effects will occur; your doctor may want to change the dose of either or both medicines, Serzone)—Higher blood levels of Tetrazepam may occur, or give you a different medicine

• Itraconazole (e.g., Sporanox) or

• Ketoconazole (e.g., Nizoral)—these medicines should NOT be used if you are taking a Tetrazepam .

Other medical problems— the presence of other medical problems may affect the use of Tetrazepam . Make sure you tell your doctor if you have any other medical problems, especially:

• Alcohol abuse (or history of) or

• Drug abuse or dependence (or history of)—Dependence on Tetrazepam may be more likely to develop

• Brain disease—CNS depression and other side effects of Tetrazepam may be more likely to occur

• Difficulty in swallowing (in children) or

• Emphysema, bronchitis, asthma, or other chronic lung disease or

• Hyperactivity or

• Mental depression or

• Mental illness (severe) or

• Myasthenia gravis or

• Porphyria or

• Sleep apnea (temporary stopping of breathing during sleep)— Tetrazepam may make these conditions worse

• Epilepsy or history of seizures—Although some Tetrazepam are used in treating epilepsy, starting or suddenly stopping treatment with these medicines may increase seizures

• Glaucoma, acute narrow angle— Tetrazepam should NOT be used if you have this condition.

• Glaucoma, open angle— Tetrazepam can be used but your doctor should be monitoring your condition carefully.

• Kidney or liver disease—Higher blood levels of Tetrazepam may result, increasing the chance that side effects will occur

Side effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• Less common

• Anxiety; lack of memory of events taking place after benzodiazepine is taken (may be more common with triazolam); fast, pounding, or irregular heartbeat ; confusion (may be more common in the elderly); mental depression

• Rare

• Abnormal thinking, fever, including the eyes; ulcers or sores in mouth or throat (continuing); trouble in sleeping; sore throat, or irritability ; unusual bleeding or bruising ; uncontrolled movements of body, nervousness, or loss of sense of reality ; unusual tiredness or weakness (severe); unusual excitement, delusions (holding false beliefs that cannot be changed by facts), including disorientation, and chills; skin rash or itching ; muscle weakness; hypotension (low blood pressure); hallucinations (seeing, hearing, or feeling things that are not there); convulsions (seizures); behavior changes, including aggressive behavior, bizarre behavior, decreased inhibition, or outbursts of anger; agitation; yellow eyes or skin

• Symptoms of overdose

• Confusion (continuing); troubled breathing ; staggering; slurred speech (continuing) ; slow reflexes; slow heartbeat; shakiness; drowsiness (severe) or coma; convulsions (seizures); weakness (severe)

For patients having chlordiazepoxide, diazepam, or lorazepam injected :

• Check with your doctor if there is redness, swelling, or pain at the place of injection.

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

• More common

• Clumsiness or unsteadiness; drowsiness; dizziness or lightheadedness; slurred speech

• Less common or rare

• Abdominal or stomach cramps or pain; trembling or shaking; problems with urination; nausea or vomiting; muscle spasm; increased bronchial secretions or watering of mouth; headache; false sense of well-being; dryness of mouth or increased thirst; diarrhea; constipation; changes in sexual desire or ability; blurred vision or other changes in vision; unusual tiredness or weakness

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Other than the above information, precautions, there is no additional information relating to proper use, or side effects for these uses.

Keep all appointments with your doctor.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.