Nitrosun 10 Tablet (Nitrazepam 10mg): Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Slow, shallow, or difficulty in breathing
- Severe drowsiness or inability to stay awake
- Confusion, agitation, or hallucinations
- Swelling of the face, lips, tongue, or throat
- Yellowing of the skin or eyes
- Unusual bruising or bleeding
- Seizures or tremors after stopping the medicine suddenly
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is nitas 10mg tablet used for?
This medicine is a benzodiazepine used for the short-term treatment of severe insomnia. It helps you fall asleep faster and stay asleep longer by enhancing the calming effect of GABA in the brain. It is usually taken at bedtime and should not be used for more than a few weeks due to the risk of dependence.
- Generic Name: Nitrazepam (10mg)
- Manufacturer: Tas Med India Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 nitas 10mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नाइट्राजेपम 10 मिलीग्राम की गोली है, जिसका उपयोग मुख्य रूप से गंभीर अनिद्रा (नींद न आने) के अल्पकालिक इलाज के लिए किया जाता है। यह दिमाग में एक शांत करने वाले रसायन GABA के प्रभाव को बढ़ाकर नींद लाने में मदद करती है। यह दवा आमतौर पर रात को सोने से पहले ली जाती है और इसे केवल कुछ दिनों से लेकर कुछ हफ्तों तक ही लेना चाहिए, क्योंकि लंबे समय तक उपयोग से इसकी लत लग सकती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में दिन में नींद आना, चक्कर आना, अस्थिरता, ध्यान केंद्रित करने में कठिनाई, मुँह सूखना और सिरदर्द शामिल हैं। कुछ लोगों में याददाश्त की समस्या, भ्रम, या मूड में बदलाव भी हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन सांस लेने में कठिनाई, गंभीर एलर्जी, या खून की बीमारियाँ हो सकती हैं। अगर आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर सोने से पहले। इसके साथ शराब बिल्कुल न लें, क्योंकि इससे गंभीर नींद और सांस की समस्या हो सकती है। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक गाड़ी न चलाएं और मशीनरी न चलाएं। इस दवा को लंबे समय तक न लें और अचानक बंद न करें, क्योंकि इससे withdrawal के लक्षण हो सकते हैं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 nitas 10mg tablet Uses & Benefits
- [{"condition":"Short-term management of insomnia","description":"This medicine helps people fall asleep faster and stay asleep longer when insomnia is severe and affects daytime functioning.
- It is intended for short-term use only.","evidence":"Well-established"},{"condition":"Pre-operative sedation","description":"Sometimes used to reduce anxiety and promote sleep before surgical or diagnostic procedures.","evidence":"Established"},{"condition":"Adjunct in the management of severe anxiety","description":"May be used short-term for severe anxiety with sleep disturbance, though other treatments are usually preferred.","evidence":"Limited"}]
Off-label uses: [{"condition":"Cataplexy associated with narcolepsy","description":"Rarely used off-label to reduce sudden muscle weakness episodes, but not a first-line treatment.","evidence":"Limited"},{"condition":"Severe muscle spasm","description":"Occasionally used for its muscle-relaxant properties in specific spasticity conditions.","evidence":"Limited"}]
Primary treatment for: Insomnia
Also treats: Anxiety disorders with sleep disturbance, Pre-operative sedation
📋 Drug Information
| Generic Name(s) | Nitrazepam (10mg) |
| Brand Name | nitas 10mg tablet |
| Manufacturer | Tas Med India Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | NEURO CNS |
| Action Class | Benzodiazepines |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by enhancing the effect of gamma-aminobutyric acid (GABA), the main inhibitory neurotransmitter in the brain. It binds to a specific site on the GABA-A receptor complex, which increases the frequency of chloride channel opening. This allows more chloride ions to enter nerve cells, making them less excitable. The result is a calming effect on the central nervous system, which helps reduce anxiety, promote sleep, and relax muscles. Because it acts on the same receptor system as other benzodiazepines, it shares their sedative, anxiolytic, muscle-relaxant, and anticonvulsant properties, though its main clinical use is as a hypnotic for sleep.
Mechanism Steps
💡 How to Take nitas 10mg tablet
Strength: Nitrazepam 10 mg immediate-release tablet
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 mg to 10 mg taken orally at bedtime for short-term management of insomnia. The dose may be adjusted by your doctor based on your response and tolerance. For elderly or debilitated patients, a lower starting dose of 2.5 mg to 5 mg is recommended. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to the sedative effects of this medicine and are at increased risk of falls, confusion, and cognitive impairment. A lower starting dose of 2.5 mg at bedtime is recommended, and the dose should be titrated carefully. Long-term use should be avoided in this population. |
| Renal Impairment | This medicine should be used with caution in patients with severe renal impairment. The dose may need to be reduced, and patients should be monitored for increased sedation. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | This medicine is extensively metabolized in the liver. In patients with hepatic impairment, the dose should be reduced, and the medicine should be used with caution. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum recommended daily dose is 10 mg for adults, taken at bedtime. Higher doses should only be used under strict medical supervision. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of nitas 10mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Opioids | Major | |
| Other benzodiazepines | Major | |
| Clozapine | Major | |
| CNS depressants | Moderate | |
| CYP3A4 inhibitors | Moderate | |
| CYP3A4 inducers | Moderate | |
| Levodopa | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Alcohol
- Opioid analgesics (e.g., morphine, codeine)
- Other benzodiazepines or sedative-hypnotics
- Clozapine
⚡ Moderate Interactions
- CNS depressants (e.g., antipsychotics, antidepressants, antihistamines)
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
- CYP3A4 inducers (e.g., rifampicin, carbamazepine)
- Levodopa
🍷 Alcohol Interaction
Alcohol should be completely avoided while taking this medicine. Alcohol enhances the sedative and respiratory-depressant effects of nitrazepam, which can lead to dangerous levels of sedation, impaired coordination, and even life-threatening breathing difficulties. The combination also increases the risk of falls, accidents, and overdose.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to nitrazepam or other benzodiazepines","Severe respiratory insufficiency or sleep apnoea syndrome","Myasthenia gravis","Severe hepatic impairment","Acute narrow-angle glaucoma","Pregnancy (especially first and third trimesters)","Breastfeeding","Children under 12 years of age (unless specifically prescribed)"]
⚠️ Warnings & Precautions
["This medicine can cause severe drowsiness and impair driving ability. Do not drive or operate machinery until you know how it affects you.","Avoid alcohol and other CNS depressants while taking this medicine.","Use with caution in the elderly, as they are more sensitive to sedative effects and at higher risk of falls.","This medicine has a potential for abuse and dependence. Use only for short-term treatment.","Do not stop this medicine abruptly after prolonged use, as withdrawal symptoms may occur.","Use with caution in patients with liver or kidney impairment; dose adjustment may be needed.","This medicine may cause paradoxical reactions such as agitation, aggression, or confusion, especially in the elderly.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
This medicine is excreted in breast milk and may cause sedation, poor feeding, and weight loss in the breastfed infant. Breastfeeding is not recommended while taking this medicine. If treatment is essential, alternative feeding methods should be considered.
💊 Overdose Management
Overdose of this medicine can cause excessive sedation, confusion, respiratory depression, coma, and even death, especially when combined with alcohol or other CNS depressants. If overdose is suspected, seek emergency medical care immediately. Treatment is supportive and may include airway management, oxygen, and intravenous fluids. Flumazenil, a benzodiazepine antagonist, may be used with caution in certain cases, but it can precipitate seizures in dependent patients. Do not attempt to manage overdose at home.
⏰ Missed Dose
If you miss a dose of this medicine, take it as soon as you remember if it is still close to the scheduled time. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, contact your doctor or pharmacist.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, usually at bedtime, and do not increase the dose on your own. Avoid alcohol completely while taking this medicine, as it can dangerously increase sedation and breathing problems. Do not drive, operate heavy machinery, or perform activities requiring full alertness until you know how this medicine affects you. This medicine is usually prescribed for short-term use only; do not continue it for longer than advised without medical review. Do not stop this medicine suddenly after prolonged use, as this can cause withdrawal symptoms such as anxiety, tremors, and insomnia; your doctor will help you taper the dose gradually. Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding. Keep this medicine out of reach of children and store it in its original packaging. Do not share this medicine with anyone else, even if they have similar symptoms.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative effects of this medicine and are at higher risk of falls, confusion, and cognitive impairment. A lower starting dose (2.5 mg) is recommended, and long-term use should be avoided. Regular monitoring for side effects is essential.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It should be avoided during pregnancy, especially in the first and third trimesters, as it may harm the fetus. Your doctor may recommend alternative treatments for insomnia.
🏥 Post-Surgery Considerations
This medicine may be used for pre-operative sedation, but after surgery, it should be used with caution as it can increase sedation and respiratory depression, especially if combined with pain medications. Inform your surgeon and anaesthesiologist if you are taking this medicine.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It may increase sedation and interact with anaesthetics or sedatives used during dental work. Your dentist may need to adjust medications or take extra precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and impair coordination. Avoid strenuous exercise or activities that require balance until you know how the medicine affects you. If you feel dizzy or unsteady, do not exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can significantly affect your ability to drive, operate machinery, or perform tasks requiring alertness. It may cause daytime drowsiness, which can impact your work performance. Avoid driving or operating heavy machinery until you know how it affects you. Inform your employer if your job involves such activities.
🛑 When to Stop This Medicine
You should stop this medicine only when your doctor advises. If you have been taking it for more than a few weeks, your doctor will gradually reduce the dose to prevent withdrawal symptoms. Do not stop suddenly on your own. If you experience withdrawal symptoms, contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use of this medicine can lead to tolerance, meaning you may need higher doses to get the same effect. It can also cause dependence, with withdrawal symptoms such as anxiety, insomnia, tremors, and seizures when the medicine is stopped. Prolonged use may affect memory, concentration, and mood. Regular medical review is essential, and the medicine should be tapered gradually under supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A structured program that helps change sleep habits and thoughts that affect sleep. It is the first-line treatment for chronic insomnia.
Evidence: Well-establishedPractices and habits that promote consistent, uninterrupted sleep.
Evidence: Well-establishedMethods such as progressive muscle relaxation, meditation, and deep breathing to reduce anxiety and improve sleep.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider that you are taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not share with others
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging along with a copy of your prescription. Keep it in your hand luggage to avoid loss or exposure to extreme temperatures. If crossing time zones, consult your doctor about adjusting the timing of your dose to match your new sleep schedule. Store it at room temperature and avoid leaving it in a hot car. Check local customs regulations regarding controlled medicines before travelling internationally.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 30 to 60 minutes after you take it, and its effects last for about 6 to 8 hours.
A: This medicine is intended for short-term use only, usually for a few days to a few weeks. Taking it every night for a long time can lead to tolerance and dependence. Consult your doctor if you need it for longer.
A: If you miss a dose, take it as soon as you remember if it is still close to bedtime. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: No, you should not stop this medicine suddenly, especially if you have been taking it for more than a few weeks. Abrupt stopping can cause withdrawal symptoms. Your doctor will help you taper the dose gradually.
A: This medicine should be used during pregnancy only if clearly needed and under medical supervision. It may cause harm to the unborn baby. Inform your doctor if you are pregnant or planning pregnancy.
🤔 Common Patient Concerns
🔄 Substitutes for nitas 10mg tablet
View AllAlternative brands with exact same active ingredient:
-
nitrazepam 10mg tabletJagsonpal Pharmaceuticals Ltd ₹4.69 69.7% CHEAPER
-
nitzy 10mg tabletZee Laboratories ₹9.38 39.4% CHEAPER
-
baronite 10mg tabletBaroda Pharma Pvt Ltd ₹10.76 30.4% CHEAPER
-
hypnonex 10mg capsuleNexus India ₹11.72 24.2% CHEAPER
-
insomin forte 10mg tabletPsycormedies ₹12.19 21.2% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Nitrazepam is a harmless sleeping pill that can be taken every night.
Fact: Nitrazepam is a prescription benzodiazepine with a risk of dependence, tolerance, and withdrawal. It should only be used short-term under medical supervision. - Myth: You can stop nitrazepam whenever you want without any problems.
Fact: Abrupt discontinuation after prolonged use can cause withdrawal symptoms such as anxiety, insomnia, tremors, and seizures. Always taper gradually under medical guidance. - Myth: Taking nitrazepam with alcohol is safe as long as you sleep it off.
Fact: Combining nitrazepam with alcohol can cause severe sedation, respiratory depression, and even death. It is extremely dangerous.
🔄 Alternative Options
Generic Alternatives
- Nitrazepam 10 mg tablet (generic)
Brand Alternatives
- Nitrosun 10 Tablet