Niravam: Side Effects, Overdose and Pregnancy Information

Niravam is a tranquilizer prescribed primarily for short-term relief for anxiety disorders, panic attack, depression as well as nervous tension and premenstrual syndrome (PMS). Niravam is a benzodiazepine, which increases the activity of nerve transmitters by blocking the action of higher brain areas, which brings the calming effect on the patient. In some cases Niravam is also used to treat alcohol withdrawal, fear of open spaces and strangers, and irritable bowel syndrome.

NIRAVAM SIDE EFFECTS

Side effects of Niravam usually go away with continued usage. Common side effects of Niravam may include upset stomach, agitation, abnormal involuntary movement, allergies, anxiety, blurred vision, chest pain, confusion, constipation, decreased or increased sex drive, depression, diarrhea, difficult urination, dream abnormalities, drowsiness, dry mouth, fainting, fatigue, fluid retention, headache, hyperventilation (too frequent or too deep breathing), inability to fall asleep, increase or decrease in appetite, increased or decreased salivation, impaired memory, irritability, lack of or decreased coordination, light-headedness, low blood pressure, menstrual problems, muscular twitching, nausea and vomiting, nervousness, painful menstruation, palpitations, rapid heartbeat, rash, restlessness, ringing in the ears, sedation, sexual dysfunction, skin inflammation, speech difficulties, stiffness, stuffy nose, sweating, tiredness, tremors, upper respiratory infections, weakness, weight gain or loss.

Rare side effects of Niravam may include Abnormal muscle tone, arm or leg pain, concentration difficulties, dizziness, double vision, fear, hallucinations, hot flushes, inability to control urination or bowel movements, infection, itching, joint pain, loss of appetite, muscle cramps, muscle spasm, rage, seizures, shortness of breath, sleep disturbances, slurred speech, stimulation, talkativeness, taste alterations, temporary memory loss, tingling or pins and needles, uninhibited behavior, urine retention, weakness in muscle and bone, yellow eyes and skin.

NIRAVAM CAUTION

Withdrawal symptoms may occur if Niravam is stopped abruptly.

Niravam should be gradually reduced and only your physician should recommend you on how to discontinue or alter your dose. Withdrawal symptoms include abnormal skin sensations, blurred vision, decreased appetite, diarrhea, distorted sense of smell, heightened senses, muscle cramps or twitching, problems concentrating, weight loss, and rarely, seizures. It can be avoided by gradually lowering the doses.

You should not take Niravam if you are sensitive to or have ever had an allergic reaction to it or other tranquilizers.

Tell your physician if you are taking antifungal drugs like Nizoral, have a history of palpitation, tachycardia, serious mental illness, kidney, liver, or lung disease.

Do not take Niravam if you have been diagnosed with narrow-angle glaucoma.

Niravam may cause you to become drowsy. Avoid driving or operating dangerous machinery or equipment.

Prolong use of Niravam may cause psychological and physical dependence.

Niravam should not be taken for more than 8 weeks unless otherwise advised by your physician.

As with all antianxiety drugs, there is likelihood that Niravam may encourage suicidal thoughts. If you notice any new or unusual symptoms after starting Niravam, contact your physician right away.

NIRAVAM INTERACTION

Niravam may intensify the effects of alcohol. Do not drink alcohol while taking Niravam.

Possible drug interaction with Niravam with may include the following:

Antibiotics such as Biaxin and erythromycin
Antidepressant drugs, including Elavil, Norpramin, and Tofranil
Antihistamines such as Benadryl
Antabuse
Cordarone
Cardizem
Cardene
Darvon
Ergotamine
Grapefruit juice
Lanoxin
Luvox
Neoral
Oral contraceptives
Other central nervous system depressants such as Valium and Demerol
Paxil
Procardia
Prozac
Rifamate
Serzone
Tagamet
Tranquilizers such as Mellaril and Thorazine
Tegretol
Zoloft
Herbs like Catnip, hops and Kava.

NIRAVAM AND PREGNANCY

Do not take Niravam if you are pregnant or planning to become pregnant. There is an increased risk of birth defects.
Niravam may appear in breast milk. If taking Niravam is necessary for your health, bottle-feed the infant.

NIRAVAM DOSES

ADULTS
Anxiety disorder
Starting dose of Niravam is 0.25 to 0.5 mg 3 times a day. Maximum daily dose 4mg.
Panic disorder Starting dose of Niravam is 0.5 mg, 3 times a day. Maximum is 10 mg.

CHILDREN
Niravam is not recommended for children under 18 years of age.

SENIORS
Starting dose anxiety disorder is 0.25 mg, 2 or 3 times daily.

NIRAVAM OVERDOSE

Symptoms of Niravam overdose may include confusion, coma, impaired coordination, sleepiness, slowed reaction time. An overdose of Niravam can be fatal especially if combined with alcohol.

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