Classifications: benzodiazepine; anxiolytic; sedative-hypnotic; Therapeutic: antianxiety; sedative-hypnotic
Pregnancy Category: X
Controlled Substance: Schedule IV
15 mg tablets
Believed to potentiate gamma-aminobutyric acid (GABA) neuronal inhibition in the limbic, neocortical, and mesencephalic
Significantly decreases sleep latency and total wake time and significantly increases sleep time. REM sleep is essentially
Insomnia characterized by difficulty in falling asleep, frequent nocturnal awakenings, or early morning awakenings.
Hypersensitivity to quazepam or benzodiazepines; sleep apnea; pregnancy (category X), lactation.
Impaired liver and kidney function; compromised respiratory function; history of seizures; elderly; debilitated clients.
Safety and effectiveness in children <18 y are not established.
Route & Dosage
Adult: PO 7.515 mg h.s.
- Initial dose is usually 15 mg but can often be effectively reduced after several nights of therapy.
- Use lowest effective dose in older adults as soon as possible.
Adverse Effects (≥1%)CNS: Drowsiness, headache, fatigue
, dizziness, dry mouth. GI:
InteractionsDrug: Alcohol, cns depressants
potentiate CNS depression; cimetidine
increases quazepam plasma levels, increasing its toxicity; may decrease antiparkinsonism effects of levodopa;
may increase phenytoin
decreases sedative effects of quazepam. Herbal: Kava, valerian
may potentiate sedation.
Readily from GI tract. Onset:
30 min. Peak:
2 h. Distribution:
Crosses placenta; distributed into breast milk. Metabolism:
In liver to active metabolites. Elimination:
In urine and feces. Half-Life:
Assessment & Drug Effects
- Monitor for respiratory depression in patients with chronic respiratory insufficiency.
- Monitor for suicidal tendencies in previously depressed clients.
- Daytime drowsiness is more likely to occur in older adult clients.
Patient & Family Education
- Inform physician about any alcohol consumption and prescription or nonprescription medication that you take. Avoid alcohol
use since it potentiates CNS depressant effects.
- Inform physician immediately if you become pregnant. This drug causes birth defects.
- Do not drive or engage in potentially hazardous activities until response to drug is known.
- Do not increase the dose of this drug; inform physician if the drug no longer works.
- This drug may cause daytime sedation, even for several days after drug is discontinued.