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Home > Sleeping Tablets and Diazepam Review Form

Sleeping Tablets and Diazepam Review Form

If you are currently prescribed Nitrazepam (Mogadon, “Moggies”), Zopiclone (“zimmers”), Zolpidem or Diazepam (Valium,”vallies”, “Blues”), complete this review if your doctor asks you to.

These medications can be useful for sleep and anxiety amongst other conditions. However, their effectiveness can reduce or even stop after a few weeks. They are also addictive and patients coming off them experience withdrawal that can increase insomnia and anxiety. Reducing or stopping the medication can be beneficial and is recommended but please make sure that you speak with your clinician first.

Your Details
DD/MM/YYYY

One of the clinicians will call you on the number provided in the next couple of weeks

Review Questions

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Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Ongar Health Centre

Ongar War Memorial Medical, Fyfield Road, Ongar, Essex, CM5 0AL

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