Contraindication/Precautions
Contraindicated in:
Hypersensitivity;
Some products contain tartrazine and should be avoided in patients with known intolerance;
Cross-sensitivity with other benzodiazepines may occur;
Comatose patients or those with pre-existing CNS depression;
Uncontrolled severe pain;
Pulmonary disease;
Angle-closure glaucoma;
Porphyria;
OB: Lactation: May cause CNS depression, flaccidity, feeding difficulties, and weight loss in infants;
Pedi: Children ≤6 yr.
Use Cautiously in: Hepatic dysfunction;
Severe renal impairment;
History of suicide attempt or substance abuse;
Geri: Long-acting benzodiazepines cause prolonged sedation in the elderly. Appears on Beers list and is associated with increased risk of falls (↓ dose required or consider short-acting benzodiazepine);
Debilitated patients (initial dose ↓ required).