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Temazepam (Restoril) is a medication with specific safety considerations and warnings that must be followed to minimize risks. Here is important information regarding its use:

• Risk of Abuse and Addiction: Temazepam has a potential for misuse and addiction, which can lead to overdose and death. It is crucial to take this medication exactly as prescribed by your healthcare provider, at the lowest effective dose for the shortest duration.

• Interactions with Alcohol and Other Drugs: Combining temazepam with alcohol, opioids (such as codeine, hydrocodone), or other substances that cause drowsiness or breathing issues can result in severe side effects, including death. Avoid such combinations and consult your healthcare provider for safer alternatives.

• Overdose Warning: Symptoms of overdose include extreme drowsiness, very slow breathing, or coma. Immediate medical assistance is necessary if these occur.

• Physical Dependence and Withdrawal: Long-term or high-dose use of temazepam can lead to physical dependence. Abrupt discontinuation may cause withdrawal symptoms like irritability, anxiety, seizures, and more. Gradual dose reduction under medical supervision is recommended to avoid withdrawal complications.

• Complex Behaviors: Temazepam may induce complex behaviors, such as sleep-driving or performing tasks while not fully awake, particularly when combined with alcohol or other medications. Report any such occurrences to your healthcare provider.

• Pregnancy and Reproductive Considerations: The safety of temazepam during pregnancy is uncertain, with potential risks of birth defects. Discuss with your healthcare provider if you are pregnant or planning to conceive to weigh the benefits and risks.

• Mental Health Concerns: Temazepam may increase the risk of suicidal thoughts and behaviors, especially in individuals with a history of depression. Seek medical help if you notice any behavioral changes.

• Allergic Reactions: Severe allergic reactions, such as swelling of the face, difficulty breathing, or nausea, can occur. If you have previously experienced an allergic reaction to temazepam, avoid using it again and seek immediate medical attention if symptoms arise.

• Contraindications: This medication should not be used if you are currently pregnant or planning to become pregnant without consulting your healthcare provider.

In case of any concerns or if you experience adverse effects, contact your healthcare provider promptly for guidance.

When taking this medication, some individuals may experience common side effects such as drowsiness, headache, fatigue, nervousness, tiredness, dizziness, and nausea. These effects are generally mild, but if they persist or worsen, consulting a healthcare provider is advisable. Additionally, some users report experiencing a hangover feeling, anxiety, depression, dry mouth, diarrhea, an upset stomach, euphoria, confusion, blurred vision, and a sense of being off balance. While these are less common, they should be monitored, especially if severe.

More serious side effects, though rare, require immediate medical attention. These include severe sedation, characterized by extreme drowsiness, slowed breathing, confusion, memory problems, slurred speech, or even loss of consciousness. Withdrawal symptoms may manifest as uncontrolled movements, trouble with sleep or memory, muscle pain, anxiety, panic attacks, depression, irritability, hallucinations, convulsions, seizures, or suicidal thoughts. Some people may unknowingly perform activities while asleep, such as walking, driving, or cooking, without recalling these events later; this can be particularly dangerous.

In very rare instances, a severe allergic reaction is possible, marked by symptoms like rash, severe dizziness, swelling of the face or throat, and trouble breathing. Any occurrence of these symptoms necessitates urgent medical care. Always remain vigilant for any unusual reactions and consult your healthcare provider for guidance.

Certain medications and substances can interact with Temazepam (Restoril), potentially increasing the risk of serious side effects like slow or shallow breathing and severe drowsiness or dizziness. One such product is sodium oxybate. It's crucial to inform your doctor or pharmacist about all the medications and supplements you are currently taking, including prescribed, over-the-counter, vitamins, and herbal products.

Particularly, combining Temazepam with opioid pain or cough relievers (e.g., codeine, hydrocodone), alcohol, marijuana, sleep or anxiety medications (e.g., alprazolam, lorazepam, zolpidem), muscle relaxants (e.g., carisoprodol, cyclobenzaprine), and antihistamines (e.g., cetirizine, diphenhydramine) can increase drowsiness or breathing issues. Always check the labels of all your medications for drowsiness-causing ingredients and consult your pharmacist for safe use.

In some cases, combining Temazepam with certain medications like flumazenil is not recommended. Other medications, such as alprazolam, buprenorphine, fentanyl, and many others, may require dose adjustments or special monitoring by your doctor. Sometimes, despite the risk of side effects, using Temazepam with medications like certain contraceptives, theophylline, or St John's Wort might be necessary, but your doctor will carefully manage your treatment plan.