Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.
HEALTH CANADA ADVISORY
October 30, 2020
Health Canada has issued new restrictions concerning the use of benzodiazepines and benzodiazepine-like prescription drugs. To read the full Health Canada Advisory, visit Health Canada’s web site at www.hc-sc.gc.ca.
Alcohol: People taking this medication should not consume alcohol since doing so can reduce the effectiveness of this medication and increase the risk of side effects.
People who have an addiction to alcohol or other drugs should not take bromazepam except in rare situations under medical supervision.
Breathing: Bromazepam can suppress breathing. This effect on breathing may be more pronounced for people with breathing problems, brain damage, or who are taking other medications that suppress breathing (e.g., codeine, morphine). If you have severe breathing problems, discuss the risks and benefits of taking this medication your doctor.
Dependence and withdrawal: Physical dependence (a need to take regular doses to prevent physical symptoms) has been associated with benzodiazepines such as bromazepam. Severe withdrawal symptoms may be experienced (e.g., seizures) if the dose is significantly reduced or bromazepam is suddenly stopped. Withdrawal symptoms include irritability, nervousness, sleep problems, agitation, tremors, diarrhea, abdominal cramps, vomiting, memory impairment, headache, muscle pain, extreme anxiety, tension, restlessness, and confusion. Reducing the dose gradually under medical supervision can help prevent or decrease these withdrawal symptoms.
Depression: Bromazepam, like other benzodiazepines, has been known to cause mood swings and symptoms of depression. If you have depression or a history of depression, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking this medication, contact your doctor as soon as possible.
Bromazepam is not recommended for use by people with depression or psychosis or who have attempted suicide.
Drowsiness/reduced alertness: Bromazepam causes drowsiness and sedation. Avoid activities requiring mental alertness, judgment, or physical coordination (such as driving or operating machinery) while taking it. This is particularly true when first taking the medication and until you have established how bromazepam affects. Alcohol may increase the drowsiness effects and should be avoided.
Lactose intolerance: Lactose is one of the ingredients in this medication. If you have a hereditary condition that makes you intolerant to lactose, discuss other alternatives with your doctor.
Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you take bromazepam and suspect you are pregnant or plan to become pregnant, consult your doctor before stopping bromazepam suddenly.
Breast-feeding: This medication may pass into breast milk. If you are a breast-feeding mother and are taking bromazepam, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: Bromazepam is not recommended for use by children or adolescents under 18 years of age.
Seniors: Seniors may be at increased risk of experiencing the sedative and impaired coordination effects of bromazepam. They need to exercise extra caution, for example, to avoid falling when getting up during the night.