Nithra 20mg Tablet is used for treating insomnia. It is generally used in combination with other medicines. It relaxes the brain and helps to treat people who have problems with their sleeping habits. Nithra 20mg Tablet may be taken with or without food. However, take it at the same time each day as this helps to maintain a consistent level of medicine in the body. Take this medicine in the dose and duration as advised by your doctor as it has a high potential of habit-forming. If you have missed a dose, take it as soon as you remember and finish the full course of treatment even if you feel better. It is important that this medication is not stopped suddenly without talking to your doctor as it may cause nausea and anxiety. It should only be used for a limited period as long-term use of this medicine is not recommended. Nithra 20mg Tablet may cause dizziness and drowsiness as side effects, so do not drive if you have taken this medicine. Moreover, driving under the influence of this medicine is also considered as an offense. Other common side effects of this medicine include sedation, unsteadiness, impaired coordination, numbed emotions, reduced alertness, and fatigue. These are usually temporary and resolve on their own. Consult your doctor if these side effects bother you or do not go away. It should be noted that in elderly patients this medicine may reduce muscle tone and increased the risk of falls. You should avoid alcohol intake while taking this medicine as it will increase drowsiness.