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Flunitrazepam, also known as Rohypnol among other names,is an intermediate acting benzodiazepine used in some countries to treat severe insomnia and in fewer, early in anesthesia.As with other hypnotics, flunitrazepam has been advised to be prescribed only on a short-term basis or by those with chronic insomnia on an occasional basis.
It was patented in 1962 and came into medical use in 1974.Flunitrazepam has been referred to as a date rape drug, though the percentage of reported rape cases in which it is involved is small.Adverse effects of flunitrazepam include dependence, both physical and psychological; reduced sleep quality resulting isomnolence; and overdose, resulting in excessive sedation, impairment of balance and speech, respiratory depression or coma, and possibly death. Because of the latter, flunitrazepam is commonly used in suicide. When used in pregnancy, it might cause hypotonia.In countries where the drug is used, it is used for treatment of sleeping problems, and in some countries to begin anesthesia.These were also the uses for which it was originally studied.
Flunitrazepam as with other benzodiazepines can lead to drug dependence and benzodiazepine withdrawal syndrome.Discontinuation may result in the appearance of withdrawal symptoms. Abrupt withdrawal may lead to a benzodiazepine withdrawal syndrome characterised by seizures, psychosis, insomnia, and anxiety. Rebound insomnia, worse than baseline insomnia, typically occurs after discontinuation of flunitrazepam even after short-term single nightly dose therapy.Flunitrazepam produces a decrease in delta wave activity. The effect of benzodiazepine drugs on delta waves, however, may not be mediated via benzodiazepine receptors.
Delta activity is an indicator of depth of sleep within non-REM sleep; increased levels of delta sleep reflects better quality of sleep. Thus, flunitrazepam and other benzodiazepines[citation needed] cause a deterioration in sleep quality. Cyproheptadine may be superior[citation needed] to benzodiazepines in the treatment of insomnia as it enhances sleep quality based on EEG studies.Flunitrazepam may cause a paradoxical reaction in some individuals causing symptoms including anxiety, aggressiveness, agitation, confusion, disinhibition, loss of impulse control, talkativeness, violent behavior, and even convulsions. Paradoxical adverse effects may even lead to criminal behaviour.Flunitrazepam, marketed as Rohypnol, is a potent benzodiazepine with a rapid onset. Manufactured by Roche Laboratories, it is available in more than 60 countries in Europe and Latin America for preoperative anesthesia, sedation, and treatment of insomnia.
In the United States, imported Rohypnol came to prominence in the 1990s as an inexpensive recreational sedative and a “date rape” drug.The tablets are sold on the street for $0.50 to $5 a piece.
In a single 1- or 2-mg dose, Rohypnol reduces anxiety, inhibition, and muscular tension with a potency that is approximately 10 times that of diazepam (Valium). Higher doses produce anterograde amnesia, lack of muscular control, and loss of consciousness. Effects occur about 30 minutes after ingestion, peak at two hours, and may last up to eight to 12 hours. The effects are much greater with the concurrent ingestion of alcohol or other sedating drugs.
Some users experience hypotension, dizziness, confusion, visual disturbances, urinary retention, or aggressive behavior.Flunitrazepam impairs cognitive functions. This may appear as lack of concentration, confusion and anterograde amnesia. It can be described as a hangover-like effect which can persist to the next day.It also impairs psychomotor functions similar to other benzodiazepines and nonbenzodiazepine hypnotic drugs; falls and hip fractures were frequently reported. The combination with alcohol increases these impairments. Partial, but incomplete tolerance develops to these impairments.Buy Flunitrazepam (Rohypnol) 2 mg Tablet Online
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