Insomnia Home > Precautions and Warnings With Estazolam

Prior to beginning treatment, it's important to understand the precautions and warnings with estazolam. These include the safety of taking the drug when breastfeeding, the risk of developing life-threatening side effects, and the potential for abusing the drug. Precautions and warnings with estazolam also extend to people who are allergic to any of its ingredients and women who are or may become pregnant.

Estazolam: What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to taking estazolam (ProSom®) if you have:
  • Lung problems or breathing problems
  • A history of drug or alcohol abuse
  • Any allergies, including allergies to food, dyes, or preservatives.
Also, let your healthcare provider know if you are:
  • Pregnant or thinking of becoming pregnant
  • Breastfeeding.
Make sure to tell your healthcare provider about all of the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.

Specific Precautions and Warnings With Estazolam

Warnings and precautions to be aware of prior to taking estazolam include the following:
  • The medication can cause severe drowsiness and difficulty breathing, which may be life threatening. This risk is increased when estazolam is combined with alcohol, narcotics, or other medications or substances that cause drowsiness and sedation (see Drug Interactions With Estazolam). You should not drive or operate heavy machinery until you know how the drug will affect you.
  • Estazolam is a sedative-hypnotic. There have been reports of people driving, eating, or having other unusual behaviors when they are taking sedative-hypnotic medications.
  • Insomnia can be a sign of other medical conditions. Your healthcare provider should make sure that your insomnia is not due to a treatable cause.
  • Estazolam is a controlled substance, which means that it has the potential to be abused. There are special rules and regulations for prescribing and dispensing it. Estazolam is generally not recommended for people who have a history of alcohol or drug abuse (see ProSom Abuse).
  • Sometimes, people react to benzodiazepines (including estazolam) in a way that is opposite of what is usually expected. That is, they may become agitated, aggressive, and restless, and may have difficulty sleeping. Tell your healthcare provider if you experience any of these effects.
  • Estazolam can be dangerous in people with lung problems or breathing problems. Be sure to discuss any such problems with your healthcare provider before taking the medication.
  • Estazolam is considered a pregnancy Category X medication. This means that it is definitely not safe for use during pregnancy. Do not take estazolam if you are pregnant (see ProSom and Pregnancy).
  • It is unknown if estazolam passes through breast milk. Therefore, if you are breastfeeding or plan to start, discuss this with your healthcare provider prior to taking the drug (see ProSom and Breastfeeding).
Written by/reviewed by:
Last reviewed by: Kristi Monson, PharmD;
Last updated/reviewed:
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