Loprazolam is the active ingredient of Dormonoct.
General Information
Loprazolam is a sedative hypnotic benzodiazepine medication and is indicated for the treatment of short term insomnia. It should be administered immediately before bedtime.
Note that loprazolam remains active in the body for many hours and drowsiness may occur the next day.
This benzodiazepine should in most case not be used for longer than 2-4 weeks, as tolerance and physical and psychological dependence can occur. Loprazolam shares with other benzodiazepines the risk of abuse, misuse, psychological and/or physical dependence.
If prescribed for longer than 4 weeks your doctor should periodically reassess the need for loprazolam
.
How does loprazolam work?
Loprazolam has an effect on gamma-aminobutyric acid (GABA). GABA is the brain's quieting or tranquilising neurotransmitter possessing and inhibitive effect on the transmission of nerve signals. Loprazolam and other benzodiazepines enhance the effect of GABA, thus slowing down the transmission of nerve signals.
Fast facts
Drug schedule: Schedule 5
Available as: Loprazolam is available as tablets.
What does it do? Loprazolam has an anti-insomnia effect.
Overdose risk: High
Dependence risk: High
Is loprazolam available as a generic? No
Is loprazolam available on prescription only? Yes
User information
Onset of effect: Within 30 minutes
Duration of action: Up to 12 hours
Dietary advice: Loprazolam may be taken with or without food
Stopping this medicine: Loprazolam should not be stopped abruptly. Sudden discontinuation may lead to withdrawal symptoms. The dosage of loprazolam should be gradually reduced in accordance with to the advice of your doctor.
Prolonged use: Short-term therapy is advised, treatment should generally be no longer than 4-6 weeks, including a tapering off process. Tolerance has been noted with long-term use. Do not take loprazolam for longer periods unless strictly instructed by your doctor.
Special precautions
Never exceed the prescribed dose of Loprazolam.
Consult your doctor before using this drug if:
- You have a known hypersensitivity to benzodiazepines
- You have myasthenia gravis.
- You have liver or kidney disease.
- You have a history of alcohol or substance abuse
- You have a chronic lung disease
- You suffer from mental illness or depression.
Pregnancy: Avoid. Potential risk to the foetus has been reported. Consult your doctor before use, or if you are planning to fall pregnant.
Breastfeeding: Avoid. This medication is passed through breast milk and may affect your baby adversely. Consult your doctor before use.
Porphyria: Avoid. This medication may cause serious adverse effects. Consult your doctor before use.
Infants and children: This medication is not intended for use in children.
Elderly: Use with caution, as side effects may be emphasised. Dosage may need adjustment.
Driving and hazardous work: This medication should be avoided as it may cause extreme sedation.
Alcohol: Loprazolam's effect may intensify the effect of alcohol and vice versa. Do not consume alcohol while taking this medication, as side effects may be drastically pronounced.
Possible side effects:
Side effect |
Frequency |
Consult your doctor |
Common |
Rare |
Only if severe |
In all cases |
Drowsiness/confusion |
x |
|
x |
|
Loss of coordination/dizziness |
|
x |
|
x |
Slurred speech |
|
x |
|
x |
Unsteady walk |
|
x |
x |
|
Fever/chills |
|
x |
|
x |
Extreme fatigue |
|
x |
|
x |
Loss of memory |
|
x |
x |
|
Rash/itching |
|
x |
|
x |
Anger/behaviour changes |
|
x |
|
x |
Yellow tinge: eyes/skin |
|
x |
|
x |
Bruising/bleeding |
|
x |
|
x |
Interactions:
Drug interactions:
Alcohol, antihistamines, antidepressants, other benzodiazepines, narcotics |
Increased depression of central nervous system (CNS) |
Digoxin |
Increased possibility of digoxin toxicity |
Disulfiram |
Increased possibility of loprazolam toxicity |
Ketokonazole and other related antifungals |
Increased possibility of loprazolam toxicity |
Cimetidine |
Increased possibility of loprazolam toxicity |
Isoniazid |
Increased possibility of loprazolam toxicity |
Oral contraceptive |
Increased possibility of loprazolam toxicity |
Propranolol |
Increased possibility of loprazolam toxicity |
Valproic acid |
Increased possibility of loprazolam toxicity |
Isoniazid |
Increased possibility of a loprazolam toxicity |
Levodopa |
Decreases levodopa's anti-Parkinson effect. |
Probenecid |
Increased possibility of loprazolam toxicity |
Rifampicin |
May decrease the effect of loprazolam. |
Theophylline |
May counteract the sedative effects of loprazolam. |
Disease interactions
Consult your doctor before using this drug if you have acute closed-angle glaucoma, myasthenia gravis, liver or kidney disease, a chronic lung disease; also if you suffer from mental illness, depression or sleep apnoea.
Overdose action
An overdose of loprazolam can be serious. Seek immediate emergency medical attention. Symptoms may include poor coordination, slow breathing, tremors, drowsiness, slurred speech, confusion, slow reflexes and loss of consciousness.
Recommended dosage
1-2 mg/day at bedtime. Use strictly as prescribed by your doctor