See also Warning section.

Dizziness or difficulty with coordination may occur. If either of these effects persists or worsens, tell your doctor or pharmacist promptly. To reduce the risk of dizziness or falling, get up slowly when rising from a sitting or lying position.

This medication may make you sleepy during the day. Tell your doctor if you have daytime drowsiness. Your dose may need to be adjusted.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including memory loss, mental/mood/behavior changes (such as new/worsening depression, abnormal thoughts, thoughts of suicide, hallucinations, confusion, agitation, aggressive behavior, anxiety).

Rarely, after taking this drug, people have gotten out of bed and driven vehicles while not fully awake (“sleep-driving”). People have also sleepwalked, prepared/eaten food, made phone calls, or had sex while not fully awake. Often, these people do not remember these events. This problem can be dangerous to you or to others. If you find out that you have done any of these activities after taking this medication, tell your doctor right away. Your risk is increased if you use alcohol or other medications that can make you drowsy while taking temazepam.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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Poor sleeping is fairly common but it does not usually last for long. If you have problems sleeping, it may mean that you have difficulty getting off to sleep, or you may wake up for long periods during the night, or you may wake up too early in the morning. ‘Sleeping tablets’ like temazepam are considered a last resort but are sometimes prescribed for a short period of time to help with a particularly bad spell of insomnia.

Temazepam works by affecting the way certain natural brain chemicals (neurotransmitters) transmit messages. This has a calming effect which helps you to sleep. It works well in the short term, with one week’s treatment normally being sufficient, although up to three weeks of treatment are sometimes required. If you take it for longer, the medicine can lose its effect (you may become tolerant to the effect) and you may also become dependent on it (addicted to it).

Temazepam is also given as a once-only dose to reduce feelings of anxiety before some investigations and minor surgery. It is given an hour or two before the procedure.

Some medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking temazepam it is important that your doctor knows:

• If you are pregnant or breast-feeding.
• If you have any breathing problems.
• If you have any problems with the way your liver works, or if you have any problems with the way your kidneys work.
• If you have a mental health problem. This includes conditions such as psychosis, depression, obsessive conditions, phobias and personality disorders.
• If you have ever had a drug or alcohol addiction.
• If you have a condition causing severe muscle weakness, called myasthenia gravis.
• If you have ever had an allergic reaction to a medicine.
• If you are taking any other medicines. This includes any medicines which are available to buy without a prescription, as well as herbal and complementary medicines.

• Before you start the treatment, read the manufacturer’s printed information leaflet from inside the pack. It will give you more information about temazepam, and it will also provide you with a full list of the side-effects which you could experience from taking it.
• The usual dose for sleeping problems is 10-20 mg taken just before going to bed. This could be as 1-2 tablets, or as 5-10 ml of medicine. Your doctor may recommend that you take a dose for just a few days, or only on certain days of the week. It is important that you take temazepam exactly as your doctor tells you to.
• Try to keep any appointments with your doctor. This is so your doctor can check how you are feeling.
• The effects of temazepam can last into the following day; please be aware that it is likely to impair your judgement and reactions and so affect your ability to drive. It is an offence to drive while your reactions are impaired, so do not drive until you know how you react, especially when you first start treatment. Even if your driving ability is not impaired, should you drive, you are advised to carry with you some evidence that the medicine has been prescribed for you – a repeat prescription form or a patient information leaflet from the pack is generally considered suitable.
• Do not drink alcohol while you are on temazepam. It will increase the risk of sedative side-effects.
• If you are due to have an operation or any dental treatment, please tell the person carrying out the treatment that you are taking a benzodiazepine. This is because temazepam increases the effects of some anaesthetics.
• Your doctor may recommend that you reduce your dose gradually when it is time to stop taking it. This is to reduce the risk of you experiencing withdrawal effects. Follow carefully any instructions your doctor gives to you.

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Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the more common ones associated with temazepam. The best place to find a full list of the side-effects which can be associated with your medicine, is from the manufacturer’s printed information leaflet supplied with the medicine. Alternatively, you can find an example of a manufacturer’s information leaflet in the reference section below. Speak with your doctor or pharmacist if any of the following continue or become troublesome.

If you experience any other symptoms which you think may be due to the medicine, speak with your doctor or pharmacist for further advice.

• Keep all medicines out of the reach and sight of children.
• Store in a cool, dry place, away from direct heat and light.