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Keep this leaflet with the medicine.

You may need to read it again.

What Rivotril is used for
Rivotril drops and tablets are used for the treatment of epilepsy in infants, children and adults.

Rivotril injection is also used to treat status epilepticus (prolonged or repeated fits or seizures without any recovery between attacks).

Rivotril belongs to a group of medicines called benzodiazepines. They are thought to work by their action on brain chemicals.

Your doctor, however, may have prescribed Rivotril for another reason.

Ask your doctor if you have any questions why Rivotril has been prescribed for you.

This medicine may be addictive. The risks are greater for patients on higher doses or on long term treatment, or patients who have a history of alcohol or drug abuse.

This medicine is available only with a doctor's prescription.

Before you take Rivotril
Do not take Rivotril if:
you have had an allergic reaction to Rivotril, any other benzodiazepine medicine or any ingredients listed at the end of this leaflet
Some symptoms of an allergic reaction may include:

shortness of breath
wheezing or difficulty in breathing
swelling of the face, lips, tongue or other parts of the body
rash, itching or hives on the skin
you have severe and chronic lung disease
you have severe liver disease
you have an addiction to drugs or alcohol
the package is torn or shows signs of tampering
the expiry date (EXP) printed on the pack has passed.
If you take this medicine after the expiry date has passed it may not work as well.

Rivotril injection contains benzyl alcohol and must not be given to newborn babies, especially premature babies.

If you are not sure if you should be taking Rivotril, talk to your doctor.

Before you start to take it:
Your doctor must know about all the following before you start to take Rivotril.

if you are pregnant or plan to become pregnant
It is not known whether Rivotril is harmful to an unborn baby when taken by a pregnant woman. If there is a need to take Rivotril when you are pregnant your doctor will discuss the risks and benefits to you and the unborn baby.

if you are breastfeeding or plan to breastfeed
Rivotril may pass into the breast milk and cause drowsiness and/or feeding difficulties in the baby. Rivotril is not recommended for use while breastfeeding.

if you have any other health problems including:
liver, kidney or lung disease
high or low blood pressure
myasthenia gravis (severe muscle weakness)
sleep apnoea (a condition where you have temporary stops in breathing during sleep)
glaucoma (a condition where you have high pressure in the eye) depression, psychosis or schizophrenia and /or you have had depression or suicidal thoughts in the past.
porphyria (a rare blood pigment disorder)
a history of alcohol or drug abuse
if you drink alcohol
You should not drink alcohol while taking Rivotril. Alcohol may increase the effects of Rivotril and lead to serious side effects.

if you are lactose intolerant
if you are allergic to any other medicines, foods, dyes or preservatives.
Taking other medicines
Tell your doctor if you are taking any other medicines including any that you have bought without a prescription from a pharmacy, supermarket or health-food shop.

Some medicines may interfere with Rivotril. These medicines include:

sleeping tablets, sedatives or tranquillisers
some medicines for depression
other medicines to control epilepsy
medicines for allergies or colds such as antihistamines
pain relievers
muscle relaxants
anaesthetics
cimetidine - a medicine used to treat ulcers
disulfiram - a medicine used in alcohol abuse
These medicines may be affected by Rivotril or may affect how well Rivotril works. Your doctor or pharmacist can tell you what to do if you are taking any of these medicines. They also have a more complete list of medicines to be careful with or avoid while taking Rivotril.

If you have not told your doctor about any of the above, tell them before you start taking Rivotril.

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