Bromazepam 3 mg may cause various side effects, which can range from mild to severe. The most commonly reported include:
- Drowsiness or feeling unusually sleepy[1][5][7]
- Dizziness or lightheadedness[1][3][5][7]
- Ataxia (unsteadiness or impaired coordination)[1][6]
- Impaired memory, including anterograde amnesia in higher doses[1][3][5]
- Clumsiness or unsteadiness[5]
- Headache[3][5][7]
- Muscle weakness[3]
- Blurred vision[5]
- Stomach upset (nausea, vomiting, diarrhea, constipation)[3][5][7]
- Dry mouth[3]
- Delayed reactions or difficulty concentrating[3][5]
- Slurred speech[5]
- Tremor[3][5]
- Decreased libido[1]
- Nightmares or trouble sleeping[5]
- Rash or allergic reactions[3][5]
Serious side effects (seek prompt medical attention):
- Seizures[3][5]
- Severe allergic reactions, such as swelling of the face/throat or difficulty breathing[3][5]
- Unexplained bleeding or bruising[3]
- Yellowing of the skin or eyes (possible liver issues)[3]
- Changes in mental state: agitation, aggression, depression, hallucinations, or delusions[3][5]
- Behavioural changes (aggressiveness, unusual excitement, confusion)[5]
- Falls and fractures (especially in the elderly)[5][6]
- Urinary problems[5]
Dependence and withdrawal: Long-term or high-dose use can lead to physical and psychological dependence. Sudden discontinuation may cause withdrawal symptoms such as tremors, restlessness, anxiety, headaches, sleep problems, sweating, muscle/abdominal cramps, irritability, altered consciousness, delirium, or seizures[2][3][5]. Withdraw gradually under medical supervision.
Special populations:
- Use with caution in elderly, patients with liver or kidney impairment, and those with myasthenia gravis[2][6].
- Not recommended during pregnancy (especially the first trimester) or breastfeeding, as bromazepam can pass into breast milk[2][6].
- Not recommended for children under 18 due to insufficient clinical experience[6].