the package insert of the medicine Sonebon.
When should I not use?
Hypersensitivity to benzodiazepines. Respiratory failure due to the depressant effect of benzodiazepines. The aggravation of hypoxia can, itself, trigger an anxiety which would refer the patient to intensive care.
How to use?
Adults: 1 to 2 tablets at bedtime. Elderly: 1/2 to 1 tablet at bedtime. Children above 6 years: 6 to 10 years use 1/4 to 1/2 tablet at bedtime; above 10 years old use 1/2 to 1 tablet at bedtime. If the desired effect is achieved, one must decrease the dosage, for example, to a half. A dosage less can be enough. – Overdose: usually does not produce serious side effects, but depending on the amount ingested can produce up to deep sleep or coma. It is recommended to suspend immediately the medicine. The measures to be taken include gastric lavage, followed by supportive care, monitoring of signs vital and the observation of the patient.
What are the evils that can cause me?
The adverse reactions are related to dose and individual susceptibility. Sleepiness (which is subject to age), muscular hypotonia, and a feeling of intoxication can be described as adverse reactions. Some individuals may exhibit irritability, aggressiveness, superexcitação and syndrome of confusion, dreamlike. Linked to individual sensitivity, can we have a rash of type maculopápula itchy. Abrupt cessation can cause reactions that range from irritability, anxiety, myalgia, tremors, relapse of insomnia and vomiting, even convulsions isolated, and the states of evil mioclônico with syndrome of confusion.
Warnings and Precautions
what should I know before using?
Myasthenia: the administration of Sonebon must be made under strict surveillance. The dosage must be adjusted for patients with renal and/or hepatic compromised, and for elderly patients. The consumption of alcoholic beverages should be avoided during the treatment. The phenomenon of withdrawal: the abrupt suppression of the medication can precipitate the abstinence syndrome, especially after prolonged treatment, and especially in high doses. To avoid this phenomenon, it is recommended to gradually reduce the doses. If you need to stop abruptly to medication, one must be attentive to the reactions of the patient. Pregnancy and/or lactation: teratogenic effects have not yet been well elucidated, so it is not recommended the use of Sonebon in the first three months of pregnancy. It is inadvisable to prescribe high doses in the quarter to the end of the pregnancy because of the risk of hypotonia, hypothermia and respiratory complications in the newborn. The use of benzodiazepines during the period of lactation is not recommended. – Warnings: prolonged treatment should be accompanied by hard medical control. Drug interactions: synergism active: with depressants neuromuscular (curarizantes, muscle-relaxant); with other medicines CNS depressants (particularly neuroleptics). Coadministration may cause increased sedation. The risk of withdrawal syndrome is increased with the association of benzodiazepines prescribed as anxiolytics or as hypnotics.