Nipam Tablet belongs to a group of medications called 'benzodiazepines' (BZD) primarily used to treat anxiety disorders, insomnia and prevention of seizures (fits) due to epilepsy. An anxiety disorder is a mental health disorder characterized by excessive fear or worry, that affects individual daily activities. Epilepsy is a brain-related neurological disorder characterized by episodes of seizures (fits) due to a chemical change in the brain cells (neurons) that leads to a sudden surge of electrical activity in the brain followed by sudden jerky movements of limbs or a part of the body. Insomnia is a sleeping disorder in which a person finds difficulty in feeling asleep or staying asleep.

Nipam Tablet contain ‘Nitrazepam’ that works by increasing levels of brain cells (neurons) calming chemical, known as gamma-amino-butyric-acid (GABA), in your brain that helps to relieve anxiety, prevents further seizures attacks (fits), and relaxes tense muscles. Besides this, Nipam Tablet relieves temporary insomnia (sleeplessness) due to anxiety disorder. Nipam Tablet is not recommended for mild to moderate anxiety and tension related to day-to-day life.

Take Nipam Tablet as your doctor has prescribed it. You may experience daytime drowsiness, loss of coordination, nightmares, headache, light-headedness, or dizziness in some cases. Most of these side effects of Nipam Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, please reach out to your doctor.

If you are known to be allergic to Nipam Tablet or any other medicines, please tell your doctor. Do not take Nipam Tablet if you have any lung disease, muscle weakness (myasthenia gravis), sleeping disorder or difficulty in sleeping (sleep apnoea), severe liver or kidney disease. Nipam Tablet is not recommended for children below 18 years of age. Nipam Tablet is a habit-forming drug and hence there is a risk of dependence on Nipam Tablet . So, before stopping Nipam Tablet , contact a doctor as it may cause withdrawal symptoms like anxiety, increased heart rate, tremor or general unwell feeling.

Nipam Tablet is a “benzodiazepines” that increases the chemical messenger (GABA) in your brain, thereby decreasing the feeling of nervousness, stress and anxiety, leading to a state of calmness and relaxation induces sleep. Nipam Tablet benefits people who struggle with anxiety and worries in daily life. Regular intake of the prescribed dose of Nipam Tablet improves social-life and your ability and performance at work and general wellbeing.

• Drowsiness during the day
• Feeling of emptiness
• Reduced alertness
• Confusion
• Tiredness
• Loss of coordination
• Headache
• Nightmares
• Dizziness
• Muscle weakness
• Double vision

Do not take Nipam Tablet if you are known to be allergic to Nitrazepam or other benzodiazepines class of medicines like clonazepam, lorazepam, diazepam etc. Nipam Tablet is not recommended for use below 18 years of age. Do not take Nipam Tablet if you are pregnant or breastfeeding as it may cause adverse effects in the baby. Nipam Tablet should be used with caution in elderly patients above 65 years as there is an increased risk of adverse reactions such as drowsiness, dizziness, and muscle weakness. Inform your doctor if you have myasthenia gravis (muscle weakness), drug addiction, chronic pulmonary insufficiency, narrow-angle glaucoma, kidney/liver problem before taking Nipam Tablet . Taking Nipam Tablet with opioid pain killer medicines (like codeine, oxycodone and hydrocodone) can cause severe drowsiness, breathing problems, coma, and even death. Nipam Tablet should be taken with extreme caution in patients who have a history of alcoholism or drug abuse. If you feel excess suicidal thoughts, difficulty concentrating, sleep disturbances (apnoea), dizziness, or, sleepiness let your doctor know about this. 

Drug-Drug Interaction: Nipam Tablet may have interaction with any other medicines to treat anxiety or depression or to help you sleep (nefazodone, fluvoxamine, fluoxetine), medicines to treat epilepsy (phenytoin, phenobarbital), pain killers (morphine, codeine, dihydrocodeine, buprenorphine), antihistamines (chlorphenamine, diphenhydramine, promethazine), antifungal (fluconazole), antibiotics (erythromycin),  medicines used for treating stomach ulcers (cimetidine, omeprazole), medicines used for angina and high blood pressure (diltiazem), medicines used to treat various heart conditions (digoxin), medicines used for treating HIV (ritonavir, zidovudine), antipsychotic medicines used to treat mental illnesses like schizophrenia, medicines used for treating tuberculosis (isoniazid, rifampicin).

Drug-Food Interaction: Nipam Tablet may interact with grapefruit, grapefruit juice, and caffeine-containing food or drinks should be avoided as they can affect the working of Nipam Tablet .

Drug-Disease Interaction: If you have narrow-angle glaucoma, myasthenia gravis (muscle weakness), pulmonary insufficiency, kidney/liver problems, inform your doctor before taking Nipam Tablet . 

• ORLISTAT
• SODIUM OXYBATE
• CIMETIDINE
• RIFAMPICIN
• ERYTHROMYCIN
• CODEINE
• HYDROCODONE
• OXYCODONE
• ALCOHOL
• ALPRAZOLAM
• LORAZEPAM
• ZOLPIDEM
• CARISOPRODOL
• CYCLOBENZAPRINE
• CETIRIZINE
• MORPHINE
• ISONIAZID
• DIGOXIN
• DILTIAZEM
• OMEPRAZOLE
• FLUCONAZOLE
• ZIDOVUDINE
• PHENYTOIN
• PHENOBARBITAL
• NEFAZODONE
• FLUVOXAMINE
• FLUOXETINE

• Do regular exercise which can help lower anxiety by releasing endorphins and improving your sleep and self-image.
• Find the humor in your daily life. Try to watch a comedy show to help relieve stress.
• You can try increasing your mindfulness, by including yoga, meditation, mindfulness-based cognitive therapy and mindfulness-based stress reduction.
• Drink enough water to stay hydrated and limit or avoid alcohol and caffeine to relieve anxiety.
• Include a diet rich in whole grains, vegetables and fruits. This is a healthier option than eating a lot of simple carbohydrates found in processed foods.
• Herbs like turmeric, ginger and chamomile contain anti-inflammatory properties. Including these kinds of stuff in the meal can reduce inflammation caused due to anxiety disorder.
• Reduce your alcohol, caffeine, added sugar, high salt and high fat intake. Especially trans-fat may help also help reduce inflammation.
• You can include antioxidants in your daily diet like ashwagandha, omega-3 fatty acids, green tea and lemon balm.

• Do not take Nipam Tablet for a prolonged time as, it may lead to mental or physical dependence on Nipam Tablet .
• Nipam Tablet causes drowsiness. Avoid doing activities that require your complete focus and attention like driving when on this drug.
• An abrupt stoppage of Nipam Tablet can lead to significant withdrawal symptoms. Always discuss with your doctor about decreasing the dosage before completely stopping its usage.
• Avoid consuming alcohol while on this medication as it can lead to dangerous side effects.
• Nipam Tablet is unsafe for usage if you're pregnant or are planning to get pregnant. Discuss with your doctor in such situations about changing/replacing the medicine with safer alternatives.
• To avoid getting addicted to this drug take it only in prescribed quantities and only as directed by your doctor. Do not self-medicate.

Insomnia: It is a sleep disorder in which there is a problem falling asleep or staying asleep. If you have sleep problems occurring at least 3 nights per week for a minimum of 3 months or causing functional problems with major distress in an individual's life, then insomnia is confirmed. 

Anxiety disorder: It is a mental health disorder associated with fear, worry and excessive nervousness that may interfere with daily activities. The anxiety symptoms include feeling more stress than required for that event and lack of ability to set aside restlessness and worry.

Epilepsy: A chronic disorder characterized by episodes of seizures (fits) which means sudden jerky movements of limbs or other body parts. Anyone can develop epilepsy, but it is commonly seen in young children and the elderly.