Triazolam

Triazolam is oral benzodiazepine used as a hypnotic agent in the short-term management of insomnia. its structure includes the addition of a triazole ring at the 1, 2 position. A substituent in the 7th position such as halogen or a nitro group is required for its sedative-hypnotic activity.The benzodiazipines are more effective and safer. Benzodiazepines can produce any level of CNS depression required including sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, and coma. The action of these drugs is mediated through the inhibitory neurotransmitter gamma-aminobutyric acid (GABA), potentiating the effects of GABA and increasing the inhibition of the ascending reticular activating system. Triazolam is often preferable to chlordiazepoxide, flurazepam, and prazepam in treating anxiety or insomnia, particularly in the elderly or patients with liver disease, because it has a relatively shorter half-life and does not generate active metabolites. It was approved by the FDA in 1982.


Brands
Adult Dose
Dose: 250 to 125 mg
Single Dose: 190 (187.5)
Frequency: 24 hourly
Route: PO
Instructions: At bed time.
Neonatal
Dose:
Single Dose:
Frequency:
Route:
Instructions: Not recommended in this age group
Paedriatic
Dose:
Single Dose:
Frequency:
Route:
Instructions: Not recommended in this age group
Characteristics
It belongs to Chloride Channel Potentiater (GABA operated) pharmacological group on the basis of mechanism of action and also classified in Sedatives and Hypnotics and Benzodiazepine pharmacological group.
Contraindications
Triazolam
Effects
The severe or irreversible adverse effects of Triazolam, which give rise to further complications include Restlessness, Anxiety, Paranoia, Paresthesia, Unreality, Suicidal ideation, Altered sense of smell, Altered sense of taste, Hyperacusis.Triazolam produces potentially life-threatening effects which include Intrahepatic cholestasis. which are responsible for the discontinuation of Triazolam therapy.The symptomatic adverse reactions produced by Triazolam are more or less tolerable and if they become severe, they can be treated symptomatically, these include Dizziness, Diarrhea, Palpitation, Skin rashesX, Nervousness, Dry mouth, Blurred vision, Pruritus, Epigastric pain, Hiccups, Burning eyes, Amnesia.
Indications
Triazolam is primarily indicated in conditions like Anxiety, Insomnia.
Interactions
Triazolam is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAcetazolamide (Na)AlcoholAzithromycinCimetidine (HCl)Diltiazem (HCl)ErythromycinErythromycin inhibits metabolism of triazolam or midazolamIsoniazidItraconazoleLofepramine (HCl)Theoretical potential for TRIAZOLAM increasing the SEDATIVE effect of LOFEPRAMINE.ModerateMay need to avoid combinationNelfinavirNevirapineRitonavirVORICONAZOLEVoriconazole may increase the serum concentration of triazolam by decreasing its metabolism. Monitor for triazolam toxicity if voriconazole is initiated or dose increased. These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Risks
If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Tab Store Below 40°C. Protect from Sunlight and Heat.
Warnings
Patient should observe caution while driving or performing other task requiring alertness because it may produce dizziness. Administer triazolam with caution in severely depressed patients. Limit repeated prescriptions without adequate medical supervision.
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