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Lormetazepam 1 Mg Tablets

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PATIENT INFORMATION LEAFLET

LORMETAZEPAM 0.5 MG & I MG TABLETS

Read all of this leaflet carefully before you start taking this medicine.

1.    Keep this leaflet. You may need to read it again.

2.    If you have any further questions, ask your doctor or pharmacist.

3.    This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.

4.    If any of the side effects become serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet

1.    What is LORMETAZEPAM and what is it used for?

2.    Before you take LORMETAZEPAM 0.5 mg or I mg Tablets

3.    How to take LORMETAZEPAM 0.5 mg or I mg Tablets

4.    Possible side effects

5.    Storing LORMETAZEPAM 0.5 mg or I mg Tablets

6.    Further information

I. What is LORMETAZEPAM and what is it used for?

The name of this medicine is Lormetazepam 0.5 mg or I mg Tablets. Lormetazepam is one of a group of medicines called benzodiazepines.

Lormetazepam is prescribed as a short-term therapy to help with sleeping difficulties which are significantly affecting normal daily life.

2. Before you take LORMETAZEPAM 0.5 mg or I mg Tablets

Do not take LORMETAZEPAM if you have:

•    Severe breathing or chest problems

•    An allergic reaction to benzodiazepines or any of the ingredients in Lormetazepam Tablets (see list under Section 6). An allergic reaction can be a rash, itchiness or shortness of breath

•    Myasthenia gravis (very weak or tired muscles)

•    Serious liver problems

•    Sleep apnoea (breathing problems when you are asleep) Special Precautions

Check with your doctor or pharmacist before taking your medicine if any of the following applies to you:

•    You are pregnant, or trying to become pregnant (see below).

•    You abuse or have in the past abused drugs or alcohol.

•    You have a personality disorder. If so, you have a greater chance of becoming dependent on Lormetazepam.

•    You have any kidney or liver problems.

•    You have suffered from depression before, since it could re-occur during treatment with Lormetazepam.

•    You are suffering from depression, since Lormetazepam may increase any suicidal feelings which you may have.

•    You are suffering from an eye problem called glaucoma.

•    You suffer from breathing problems.

If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking this medicine.

The beneficial effect of Lormetazepam Tablets may be less apparent after several weeks of use.

If you are given Lormetazepam for more than 4 weeks, your doctor might want to take blood samples occasionally to check your blood and liver, since drugs like Lormetazepam have occasionally affected liver function.

Lormetazepam Tablets are usually prescribed for short courses of treatment, lasting from a few days to 2 weeks. You should not usually take Lormetazepam Tablets for longer than 4 weeks including a dose reduction at the end. This reduces the risk of becoming dependent on Lormetazepam Tablets, or suffering unpleasant effects when you stop taking it. (See "Stopping your medicine", at the end of section 3).

Taking other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. Taking some medicines together can be harmful.

In particular, tell your doctor or pharmacist if you are taking any of the following medicines as the dose of these drugs may need to be reduced before you take Lormetazepam:

•    Sedatives

•    Anti-anxiety drugs

•    Antidepressants

•    Strong pain-killers (e.g. methadone)

•    Drugs for epilepsy

•    Anaesthetics

•    Antihistamines

•    Drugs for mood or mental disorders (e.g. chlorpromazine)

If you are unsure of the types of medicines you are taking, ask your doctor or pharmacist.

Taking LORMETAZEPAM with food and drink

You should avoid alcohol while you are taking Lormetazepam Tablets, since this may make you very drowsy and seriously affect your ability to drive or use machines.

Pregnancy and breast feeding

Lormetazepam may cause damage to the foetus if taken during early pregnancy. Therefore, do not take this medicine if you are pregnant or might become pregnant without consulting your doctor. If you take this medicine during late pregnancy or during labour, your baby, when born, may be less active than other babies, have a low body temperature, be floppy, or have breathing or feeding difficulties for a while. Your baby's response to the cold might be temporarily impaired also. If this medicine is taken regularly in late pregnancy, your baby may develop withdrawal symptoms after birth.

Lormetazepam should not be used during breast feeding. Driving and using machines

Lormetazepam may make you feel dizzy or sleepy during the day, or may affect your concentration. This may affect your performance at skilled tasks such as driving and operating machinery.

Important information about some of the ingredients of LORMETAZEPAM

This product contains lactose. If you have been told by your doctor that you have an intolerance to some sugars, please contact your doctor before taking this medicinal product.

3. Howto take LORMETAZEPAM 0.5 mg or I mg Tablets

Always take this medicine exactly as your doctor or pharmacist has told you. You should check with them if you are not sure. Lormetazepam Tablets should be taken orally.

Adults:

The usual adult dose of Lormetazepam Tablets is 0.5 mg to 1.5 mg. You should swallow your tablets with water just before you go to bed at night.

Make sure you can have 7 or 8 hours of uninterrupted sleep before taking Lormetazepam Tablets. Treatment usually lasts from a few days to 2 weeks. It should not usually last longer than 4 weeks including a dose reduction at the end.

Elderly:

The dose for elderly patients will be reduced to either half the adult dose or less.

Children:

This product should not be taken by children.

If you take more LORMETAZEPAM than you should:

Do not take more tablets than stated on the label of your medicine. If you take too many tablets you should seek medical attention immediately, either by calling your doctor, or going to the nearest casualty department. Always take the labelled medicine container with you, even if there are no tablets left.

If you forget to take LORMETAZEPAM:

If you forget to take a dose, don't worry, just take your next tablet when it is due. Never take a double dose of tablets to make up for a forgotten dose.

Stopping your medicine:

•    After you have finished your prescribed treatment with Lormetazepam Tablets, your doctor will decide whether or not you need further treatment.

•    The number of Lormetazepam Tablets and how often you take them should always be reduced slowly before you stop taking them altogether. This allows your body to get used to being without your tablets, and reduces the risk of unpleasant effects when you stop taking them. Your doctor will tell you how to do this.

•    On stopping lormetazepam, you may experience symptoms such as headaches, muscle pain, anxiety, tension, depression, restlessness, sweating, confusion or irritability. Your original sleeplessness may also return. If you suffer from any of these symptoms. Ask your doctor for advice.

Do not stop taking your tablets suddenly. This could lead to more serious symptoms such as a loss of the sense of reality, feeling unreal or detached from life, and unable to feel emotion. Some have experienced numbness or tingling of the arms or legs, hallucinations, vomiting, tinnitus (ringing sounds in your ears), twitching and convulsions and hypersensitivity to light, sound and touch. If you suffer from any of these symptoms, ask your doctor for advice immediately.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. Possible side effects

Like all medicines, Lormetazepam can have side effects, although not everybody gets them.

Occasionally you may have unwanted effects while taking Lormetazepam Tablets. These are usually not serious and do not last long. However, you should tell your doctor if any of the following symptoms are severe or become troublesome:

•    Daytime drowsiness, dizziness, reduced alertness, sleep problems, confusion, depression, memory loss or forgetfulness, numbed emotions, fatigue, muscle weakness, poor muscle control, stomach upsets, nausea, changes in appetite, headaches, problems with vision, skin problems or changes in sex drive.

If you experience any of the following more rare unwanted effects, you should tell your doctor immediately. (These effects are more likely to occur in children and elderly patients):

•    Restlessness, agitation, irritability, aggressiveness, violent anger, nightmares, hallucinations, personality changes, abnormal behaviour or false beliefs.

Other rare unwanted effects (which you may not be aware of whilst taking Lormetazepam Tablets) include blood or liver function changes or low blood pressure.

If any of the above side effects are troublesome or last more than a few days or if you notice any side effects not mentioned in this leaflet, please inform your doctor or pharmacist.

5. Storing LORMETAZEPAM 0.5 mg or I mg Tablets

Keep all medicines out of the reach and sight of children.

Do not use Lormetazepam Tablets after the expiry date on the carton and blister. The expiry date refers to the last day of that month.

Keep the tablets in the carton, in their blister pack, in order to protect from light.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.

6. Further Information

What LORMETAZEPAM contains:

Each tablet contains either 0.5 mg or I mg of Lormetazepam as the active ingredient.

The tablets also contain lactose monohydrate, microcrystalline cellulose, sodium starch glycolate, talc and magnesium stearate.

What LORMETAZEPAM looks like and contents of the pack:

Lormetazepam 0.5 mg tablets are round white tablets with the marking 'LMT 0.5' on one side and plain on the other. Lormetazepam I mg tablets are round white tablets with the marking 'LMT I' on one side and plain on the other.

Lormetazepam tablets are available in boxes of 30 tablets.

Marketing authorisation holder:

Auden Mckenzie (Pharma Division) Ltd.

Mckenzie House Bury Street Ruislip Middlesex HA4 7TL UK

Manufacturer:

Tiofarma

Benjamin Franklinstraat 9 3261 LW Oud-Beijereland Netherlands

This leaflet was last approved in June 2011.

For information in large print, on tape, on CD or in Braille, phone 01895 627 420.

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