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Nitrazepam

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Fatal overdose may occur when benzodiazepines are combined with other depressants such as opiates, barbiturates, gabapentinoids, thienodiazepines, alcohol or other GABAergic substances.[1]

It is strongly discouraged to combine these substances, particularly in common to heavy doses.


Summary sheet: Nitrazepam
Summary sheet:Nitrazepam
Nitrazepam
Chemical Nomenclature
Common names Nitrazepam, Mogadon, Alodorm, Insoma, Pacisyn, Nitrados, Remnos, Somnite
Substitutive name Nitrazepam
Systematic name 7-nitro-5-phenyl-3H-1,4-benzodiazepin-2(1H)-one
Class Membership
Psychoactive class Depressant
Chemical class Benzodiazepine
Routes of Administration

WARNING: Always start with lower doses due to differences between individual body weight, tolerance, metabolism, and personal sensitivity. See responsible use section.



Oral
Dosage
Threshold 2.5 - 5 mg
Light 5 - 10 mg
Common 10 - 20 mg
Strong 20 - 25 mg
Heavy 25 mg +
Duration
Total 6 - 12 hours
Onset 15 - 30 minutes
After effects 1 - 12 hours









DISCLAIMER: PW's dosage information is gathered from users and resources for educational purposes only. It is not a recommendation and should be verified with other sources for accuracy.

Interactions
Opioids
Antidepressants
Antipsychotics
Barbiturates
Other Benzodiazepines
Alcohol

Nitrazepam (trade name Mogadon) is a depressant substance of the benzodiazepine class that primarily produces hypnotic, sedative, and anticonvulsant effects when administered. It also has anxiolytic properties. [2]

Nitrazepam was first synthesized in 1965 by the pharmaceutical company Hoffmann-La Roche. It is used for the short-term treatment of severe insomnia in some countries. Its potency by weight is approximately similar to diazepam.

Users should note that the sudden discontinuation of benzodiazepines can be potentially dangerous or life-threatening for individuals using regularly for extended periods of time, sometimes resulting in seizures or death.[3] It is highly recommended to taper one's dose by gradually lowering the amount taken each day for a prolonged period of time instead of stopping abruptly.[4]

It is highly advised to use harm reduction practices if using this substance.

History and culture

This History and culture section is a stub.

As a result, it may contain incomplete or wrong information. You can help by expanding it.

Nitrazepam was developed by Hoffmann-La Roche and entered the commercial market in the mid-1960s under the name Mogadon. It has since been marketed under various brand names around the world.

While less infamous than some of its counterparts, misuse and recreational use of nitrazepam has been reported. It has been implicated in several cases of drug-facilitated crimes, including sexual assaults and robberies. The compound can also be lethal when combined with other depressants, such as alcohol or opioids.

Chemistry

Nitrazepam belongs to the class of nitro-benzodiazepines. Benzodiazepines share a common chemical structure, and they generally consist of a benzene ring fused to a seven-membered diazepine ring.

In the structure of nitrazepam, the benzodiazepine ring is substituted at R7 with a nitro (NO2) group. At the R5 position, it has a phenyl ring. The benzodiazepine ring is also bonded at R1 to a carboxamide group (C=O)NH2).

Nitrazepam differs from certain other benzodiazepines like diazepam due to the presence of the nitro group instead of a carbonyl group at the 7th position in the diazepine ring. The presence of the nitro group in the chemical structure of nitrazepam is thought to be partly responsible for its hypnotic effect.

Pharmacology

Benzodiazepines like nitrazepam produce their effects by binding to the benzodiazepine receptor site and enhancing the efficiency and effects of the neurotransmitter gamma-aminobutyric acid (GABA) by acting on its receptors. As this site is the most abundant inhibitory receptor set within the brain, its modulation results in the sedating effects of nitrazepam on the nervous system.

The muscle-relaxing properties of nitrazepam are believed to result from its influence on supraspinal motor centers in the brain.

Nitrazepam is also known to cause anterograde amnesia in sufficient doses, which means individuals are unable to remember certain events they experienced while under the influence of the drug

Subjective effects

Disclaimer: The effects listed below cite the Subjective Effect Index (SEI), an open research literature based on anecdotal user reports and the personal analyses of PsychonautWiki contributors. As a result, they should be viewed with a healthy degree of skepticism.

It is also worth noting that these effects will not necessarily occur in a predictable or reliable manner, although higher doses are more liable to induce the full spectrum of effects. Likewise, adverse effects become increasingly likely with higher doses and may include addiction, severe injury, or death ☠.


Physical effects

Paradoxical effects

Cognitive effects

After effects


Experience reports

  1. Risks of Combining Depressants - TripSit 
  2. Mandrioli, R., Mercolini, L., Raggi, M. A. (October 2008). "Benzodiazepine metabolism: an analytical perspective". Current Drug Metabolism. 9 (8): 827–844. doi:10.2174/138920008786049258. ISSN 1389-2002. 
  3. Lann, M. A., Molina, D. K. (June 2009). "A fatal case of benzodiazepine withdrawal". The American Journal of Forensic Medicine and Pathology. 30 (2): 177–179. doi:10.1097/PAF.0b013e3181875aa0. ISSN 1533-404X. 
  4. Kahan, M., Wilson, L., Mailis-Gagnon, A., Srivastava, A. (November 2011). "Canadian guideline for safe and effective use of opioids for chronic noncancer pain. Appendix B-6: Benzodiazepine Tapering". Canadian Family Physician. 57 (11): 1269–1276. ISSN 0008-350X.