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Insomnia can be secondary to other conditions, for example anxiety or depression. Other causes are factors such as stress and excessive noise, jet lag, shift work, physical illness and pain, stimulants, sleep apnoea or poor habits at bedtime. Primary insomnia is insomnia of no obvious cause. An anxiolytic is a drug that reduces feelings of anxiety, whereas a hypnotic is a drug that induces sleep. The two terms are interchangeable in the sense that most anxiolytics will induce sleep when given at night and most hypnotics will cause sedation when given during the day.

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The dose should be reduced gradually over a period of 1 to 2 weeks based on the patient's response. This medicine is not recommended to treat spasms associated with medical conditions such as stroke, rheumatic disorders, and parkinson. Gastrointestinal disorders. This medicine should be used with caution in patients with gastrointestinal disorders such as peptic ulcer disease, gastrointestinal obstructive disorders, etc. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition.

This medicine may cause dizziness or drowsiness in some patients. Missed Dose. Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose. All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.

Interaction with Alcohol. Interaction with Medicine. Disease interactions. Kidney Disease. This medicine should be used with caution in patients with kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Liver Disease. This medicine should be used with caution in patients with liver diseases due to the increased risk of severe adverse effects. Close monitoring of the liver function is necessary while receiving this medicine. This medicine should be used with caution in patients with psychiatric disorders since it may worsen psychotic symptoms. This medicine should be used with caution in patients with seizure disorders since it may worsen the patient's condition.

Food interactions. Lab interactions. This is not an exhaustive list of possible drug interactions. General Instructions. Take this medicine exactly as advised by your doctor.

Streptokinase is antigenic and may provoke an allergic reaction, so it should not be used too often. Adverse reactions are nausea and vomiting and bleeding. Anaemia results when, for whatever reason, there is not enough haemoglobin in the blood to carry sufficient oxygen around to the tissues. Typical symptoms of anaemia are fatigue due to anoxia and intolerance to cold and paleness due to low levels of haemoglobin.

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