Generic name: estazolam (es TA zoe lam)
Brand name: Prosom
Dosage forms: oral tablet (1 mg; 2 mg)
Drug class: Benzodiazepines
What is estazolam?
Estazolam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen) that is used to treat insomnia (trouble falling or staying asleep).
Estazolam may also be used for purposes not listed in this medication guide.
Estazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing.
MISUSE OF estazolam CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.
Do not use if you are pregnant. Estazolam could harm the unborn baby or cause birth defects.
Before taking this medicine
You should not use estazolam if you are allergic to it, or:
if you are pregnant; or
if you are also using itraconazole or ketoconazole.
Do not use estazolam if you are pregnant or may become pregnant. It could harm the unborn baby or cause birth defects. Tell your doctor if you become pregnant during treatment.
Tell your doctor if you have ever had:
drug or alcohol addiction;
suicidal thoughts or actions;
depression or mental illness; or
liver or kidney disease.
You should not breastfeed while using this medicine.
Estazolam is not approved for use by anyone younger than 18 years old.
How should I take estazolam?
Follow the directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use estazolam in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of estazolam.
Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
Take this medicine only when you are getting ready for several hours of sleep. You may fall asleep very quickly after taking the medicine.
Call your doctor if your insomnia does not improve after taking estazolam for 7 to 10 nights, or if you have any mood or behavior changes. Insomnia can be a symptom of depression, mental illness, or certain medical conditions. Do not take estazolam for longer than 12 weeks without your doctor's advice.
Do not stop using estazolam suddenly or you could have unpleasant withdrawal symptoms. Follow your doctor's instructions about tapering your dose.
Store at room temperature away from moisture and heat. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Your insomnia symptoms may return when you stop using estazolam after using it over a long period of time.
What happens if I miss a dose?
Since estazolam is used when needed, you may not be on a dosing schedule. Take estazolam only when you have time for several hours of sleep. Do not use two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.
Overdose symptoms may include extreme drowsiness, confusion, slurred speech, weak or shallow breathing, or coma.
What should I avoid while taking estazolam?
Do not drink alcohol. Dangerous side effects or death could occur.
Avoid taking estazolam with food or right after a meal.
You may still feel sleepy the morning after taking estazolam. Wait until you are fully awake before you drive, operate machinery, or do anything that requires you to be awake and alert. Your reactions may be impaired.
Estazolam side effects
Estazolam may cause a severe allergic reaction. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; nausea, vomiting; swelling of your face, lips, tongue, or throat.
Estazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. A person caring for you should seek emergency medical attention if you have weak or shallow breathing, if you are hard to wake up, or if you stop breathing.
Call your doctor at once if you have:
unusual thoughts or behavior;
depressed mood, thoughts about suicide or hurting yourself;
confusion, hallucinations, aggression, agitation; or
worsening sleep problems.
Some people using estazolam have engaged in activity such as driving, eating, making phone calls, or having sex and later having no memory of the activity. Tell your doctor right away if this happens to you.
The sedative effects of estazolam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines. Use caution to avoid falling or accidental injury while you are taking estazolam.
Common side effects may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Estazolam dosing information
Usual Adult Dose for Insomnia:
1 to 2 mg orally at bedtime
Use: Short-term management of insomnia
Usual Geriatric Dose for Insomnia:
1 mg orally at bedtime
-Dose increases should be initiated with care.
-In small or debilitated older patients, a starting dose of 0.5 mg should be considered.
Use: Short-term management of insomnia
What other drugs will affect estazolam?
Taking estazolam with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.
Other drugs may affect estazolam, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.
More about estazolam
- Side Effects
- During Pregnancy or Breastfeeding
- Dosage Information
- Drug Images
- Drug Interactions
- Pricing & Coupons
- En Español
- 23 Reviews
- Drug class: benzodiazepines
- Other brands
Related treatment guides
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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