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This medication is a potent central nervous system (CNS) depressant and carries a significant risk of misuse. It is essential to use this drug strictly as prescribed by your healthcare provider. Misuse or abuse can lead to severe health consequences, including seizures, difficulty breathing, loss of consciousness, and potentially fatal outcomes. The following points summarize critical safety and warning information for this medication:

• Breathing and Alertness Risks: This medication can significantly slow down your breathing and cause severe drowsiness, even at prescribed doses. Avoid using it with alcohol or other CNS depressants, as this may exacerbate these effects. Individuals with breathing issues, such as COPD, asthma, or sleep apnea, should consult their healthcare provider before use.

• Misuse and Dependency Risks: As a Schedule III controlled substance, this medication has a potential for misuse, which can lead to life-threatening side effects such as seizures, coma, and death. A personal or family history of substance or alcohol use disorder increases this risk. Misuse can also result in addiction.

• Regulatory Compliance: In the United States, this medication is accessible only through the REMS Program, which requires participation from you, your prescriber, and your pharmacy to ensure safe use. Consult your healthcare provider about regulations specific to your country if you reside outside the U.S.

• Withdrawal Symptoms: Abruptly stopping the medication may lead to withdrawal symptoms such as anxiety, insomnia, hallucinations, nausea, and muscle aches. These symptoms can occur even at recommended doses, especially with long-term use. It is crucial to discuss with your prescriber how to safely discontinue or adjust your dosage.

• Mental Health Concerns: Some individuals may experience depression, suicidal thoughts, or other mental health issues while taking this medication. If you encounter any unusual mental health symptoms, contact your healthcare provider immediately. Seek urgent medical help if you have thoughts of self-harm.

• Unusual Sleep Behaviors: The medication may cause sleepwalking or other parasomnias, increasing the risk of injury. Inform your healthcare provider if you experience such episodes and ensure your family is aware of these risks.

• Contraindications: Do not use this medication if you are taking other sedative hypnotics, consuming alcohol, or have a rare condition called succinic semialdehyde dehydrogenase deficiency. Always consult your healthcare provider if you have any concerns or questions about these contraindications.

In case of an overdose, seek emergency medical attention immediately. Always follow your healthcare provider’s instructions and report any side effects or concerns promptly.

When taking this medication, you might encounter some common side effects that are typically mild. These include nausea, headache, anxiety, dizziness, difficulty sleeping, increased sweating, and reduced appetite. While these symptoms are often not serious, it's important to inform your healthcare provider if they persist or worsen.

In addition to these common side effects, some individuals may experience bed-wetting, vomiting, tiredness, or diarrhea. Again, if these symptoms continue or become more severe, consulting your healthcare provider is advisable.

There are also some rare but serious side effects that require immediate medical attention. These include mental or mood changes such as confusion, hallucinations, agitation, depression, or thoughts of suicide. Other concerning symptoms include numbness or tingling of the skin, shaking, or sleepwalking. Furthermore, difficulty breathing, especially during sleep, is a serious concern and should be addressed urgently.

Lastly, although very rare, some people may experience a severe allergic reaction to this medication. Symptoms such as rash, itching or swelling, severe dizziness, or trouble breathing necessitate urgent medical care. If you notice any side effects not listed here, it's important to contact your healthcare provider for advice.