Nap 10mg Tablets (Nitrazepam): Strong Sleeping Tablets UK Guide
Nap 10mg Tablets contain 10mg of nitrazepam, a long-acting benzodiazepine hypnotic used for the short-term treatment of insomnia when symptoms are severe, disabling or causing unacceptable distress. Nitrazepam works by enhancing the activity of gamma-aminobutyric acid (GABA) in the central nervous system, producing sedative and sleep-promoting effects.
The 10mg strength is at the upper end of the usual adult nitrazepam dose. It should only be taken when specifically prescribed, as higher doses can increase sedation, impaired coordination, next-day impairment and the risk of dependence. Nitrazepam is intended for short-term use rather than ongoing treatment of chronic insomnia.
What Is Nap 10mg Used For?
- Severe Insomnia: Nitrazepam is used for the short-term treatment of insomnia when sleep problems are severe, disabling or causing unacceptable distress.
- Difficulty Falling Asleep: Nitrazepam may help reduce prolonged difficulty getting to sleep when a hypnotic medication is clinically appropriate.
- Night-Time Awakenings: Its sedative effects may help people whose severe insomnia involves repeated waking during the night.
- Early Morning Awakening: Nitrazepam can be prescribed when significant insomnia includes waking earlier than intended and difficulty returning to sleep.
- Short-Term Sleep Treatment: Nitrazepam is intended for short-term use, generally for a few days to a maximum of 4 weeks including the period used to gradually reduce treatment.
How Does Nap 10mg Work?
Nitrazepam is a benzodiazepine that enhances the effects of GABA, an inhibitory neurotransmitter in the brain. By increasing GABA-mediated inhibition, it reduces central nervous system activity and produces sedative, hypnotic, muscle-relaxant and anticonvulsant effects. Nitrazepam is a long-acting benzodiazepine. It can therefore continue to have effects into the following day, particularly after higher doses or in older people and those with reduced clearance. This is one reason why treatment should use the lowest effective dose for the shortest appropriate period.
How to Take Nap 10mg Tablets
- Follow Your Prescription: Take nitrazepam exactly as prescribed. Do not take more than the prescribed dose or use it more frequently.
- Usual Adult Dose: The usual adult dose is 5mg before retiring to bed. This may be increased to 10mg when clinically appropriate and prescribed by a doctor.
- 10mg Dose: Nap 10mg should only be taken when a 10mg dose has specifically been prescribed. A higher dose is not necessarily more suitable and can increase sedation and next-day impairment.
- Bedtime Administration: Take nitrazepam shortly before going to bed and only when you can allow sufficient time for uninterrupted sleep.
- Food: Follow the instructions supplied with your prescription or product. Food can affect the absorption of nitrazepam, so taking it consistently in relation to meals may help avoid differences in its effect.
- Lower Doses: Older or debilitated adults generally require lower doses. Dose reduction may also be necessary in people with kidney or liver impairment or certain respiratory conditions.
- Short-Term Treatment: Nitrazepam should normally be used for only a few days to a maximum of 4 weeks, including gradual withdrawal. Longer continuous treatment increases the risk of dependence and other adverse effects.
- Do Not Stop Suddenly: If nitrazepam has been taken regularly, treatment should normally be reduced gradually under medical supervision rather than stopped abruptly.
Nap 10mg Side Effects
Nitrazepam can cause sedation and reduced alertness, particularly when treatment is started or when a higher dose is taken. Because nitrazepam is long-acting, some effects can persist into the following day.
- Nausea
- Headache
- Tiredness
- Dizziness
- Confusion
- Dry mouth
- Drowsiness
- Unsteadiness
- Blurred vision
- Lightheadedness
- Muscle weakness
- Memory problems
- Reduced alertness
- Poor coordination
- Difficulty concentrating
Older people may be more susceptible to impaired coordination, confusion and falls. Unusual behavioural reactions, including agitation or other paradoxical reactions, can also occur. Serious breathing problems are more likely when nitrazepam is combined with opioids, alcohol or other medicines that depress the central nervous system.
Important Warnings and Precautions
- Dependence and Addiction: Nitrazepam can cause physical and psychological dependence, particularly with higher doses or prolonged treatment. The risk increases with duration of use.
- Alcohol and Sedatives: Avoid alcohol while taking nitrazepam. Alcohol and other sedating medicines can increase drowsiness, impaired coordination and central nervous system depression.
- Opioids: Combining nitrazepam with opioid medicines can increase the risk of severe sedation, respiratory depression, coma and death. This combination should only be used when specifically prescribed and carefully monitored.
- Breathing Problems: Nitrazepam should not be used in people with severe respiratory insufficiency or sleep apnoea. Extra caution may be required in people with chronic respiratory disease.
- Older Adults: Older people may be particularly susceptible to sedation, muscle weakness, impaired coordination and falls. Lower doses are generally required.
- Driving and Alertness: Nitrazepam can significantly impair alertness, concentration and coordination, including the following morning. Do not drive or operate machinery if affected.
- Other Medicines: Tell your doctor or pharmacist about all medicines you take, particularly opioids, sleeping tablets, sedating antihistamines, antidepressants, antipsychotics and other medicines that can cause drowsiness.
- Mental Health Symptoms: Benzodiazepines should be used cautiously in people with depression or other significant mental health conditions. Unusual agitation, aggression or other behavioural changes should be discussed with a doctor.
Stopping Nap 10mg Treatment
Nitrazepam should not normally be stopped suddenly after regular use. Abrupt discontinuation can cause withdrawal symptoms such as anxiety, restlessness, sleep disturbance, sweating, tremor and rebound insomnia. More serious withdrawal reactions can occur after prolonged or higher-dose treatment. The dose should therefore be reduced gradually according to an individual tapering plan.
Frequently Asked Questions
How long does Nap 10mg take to work?
Nitrazepam is taken shortly before bedtime and is intended to produce a sedative effect that helps with sleep. The exact timing of effect varies between individuals, and the long-acting nature of nitrazepam means that sedation may continue into the following day.
Is Nap 10mg a strong dose of nitrazepam?
10mg is at the upper end of the usual adult nitrazepam dose. The usual adult dose is 5mg before retiring, with an increase to 10mg only when prescribed. A higher dose can increase the risk of next-day drowsiness, impaired coordination and other adverse effects.
Can Nap 10mg make you sleepy the next day?
Yes. Nitrazepam is long-acting and can cause residual drowsiness, reduced alertness, impaired coordination and difficulty concentrating the following day. These effects can be more pronounced with a 10mg dose, in older people and when combined with alcohol or other sedating medicines.
Can I drink alcohol while taking Nap 10mg?
Alcohol should be avoided while taking nitrazepam because it can significantly increase sedation and impairment. Combining nitrazepam with opioids or other central nervous system depressants can also increase the risk of serious breathing problems.
How long can I take Nap 10mg for?
Nitrazepam is intended for short-term treatment. UK product information generally recommends treatment for a few days to a maximum of 4 weeks, including the period required to gradually reduce the dose. Longer use should only occur following careful medical reassessment.
Can I stop taking Nap 10mg suddenly?
No. If nitrazepam has been taken regularly, stopping suddenly can cause withdrawal symptoms and rebound insomnia. Treatment should normally be tapered gradually under medical supervision.