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Zopiclone by Altamed Pharma
How does this medication work? What will it do for me?
Zopiclone belongs to the class of medications called sedative-hypnotics. It is used for the short-term and symptomatic relief of sleep disturbances. Zopiclone can help with difficulty falling asleep, frequent wake-ups during the night, or early morning awakenings. Zopiclone should usually not be taken for more than 7 to 10 consecutive days. It should be used only by people for whom disturbed sleep results in problems functioning during the day.
What form(s) does this medication come in?
Each white, circular, biconvex, film-coated tablet with debossed markings of "5" on one side and "IZ" mark on the other side, contains 5 mg of zopiclone. Nonmedicinal ingredients: dibasic calcium phosphate, croscaramellose sodium, microcrystalline cellulose, povidone K-30, and magnesium stearate; film-coating: Opadry II white (polyvinyl alcohol, titanium dioxide, polyethlene glycol, 3350, and talc)
Each blue, oval, film-coated tablet, with debossed markings of "7.5" on one side and "Z" breakline and "I" mark on the other side, contains 7.5 mg of zopiclone. Nonmedicinal ingredients: dibasic calcium phosphate, croscaramellose sodium, microcrystalline cellulose, povidone K-30, and magnesium stearate; film-coating: Opadry II blue (polyvinyl alcohol, titanium dioxide, polyethylene glycol 3350, talc, and FD&C Blue No. 1/Brilliant Blue FCF Aluminum Lake).
How should I use this medication?
The usual starting dose is 3.75 mg taken just before bedtime when required to help with difficulty sleeping. The recommended adult dose of zopiclone ranges from 3.75 mg to 7.5 mg. The maximum daily dose is 5 mg for seniors, people with reduced liver or kidney function, and people taking certain medications. This medication may be habit-forming and should be taken exactly as prescribed by your doctor. You should not typically use zopiclone for more than 7 to 10 days in a row.
If you have been taking this medication regularly for an extended period of time, do not stop taking it suddenly without talking with your doctor.
Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take this medication exactly as prescribed by your doctor. Do not take this medication when a full night’s sleep is not possible or before you would need to be active and functional. Impaired judgment and memory lapses may occur in such situations. Your body needs time to eliminate the medication from your system. Wait at least 12 hours after taking this medication before driving or engaging in other activities that require mental alertness.
Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Who should NOT take this medication?
Do not take this medication if you:
- are allergic to zopiclone or any ingredients of this medication
- have myasthenia gravis
- have severe breathing difficulties
- have severe liver disease
- have sleep apnea
- have previously experienced complex sleep behaviours such as sleep walking, talking, eating, or driving while taking zopiclone or other medications for sleep
What side effects are possible with this medication?
- agitation (more common for seniors)
- bitter taste in mouth
- dry mouth
Check with your doctor as soon as possible if any of the following side effects occur:
- behaviour changes (e.g., excitement, hyperactivity, violent behavior)
- clumsiness or unsteadiness (more common for seniors)
- confusion (more common for seniors)
- daytime anxiety or restlessness
- difficult or laboured breathing
- difficulty with coordination (more common for seniors)
- drowsiness (severe)
- hallucinations (hearing or seeing things that aren’t there)
- memory problems (more common for seniors)
- shortness of breath
- signs of depression (e.g., poor concentration, changes in weight, changes in sleep, decreased interest in activities, thoughts of suicide)
- withdrawal effects (e.g., abdominal cramps, vomiting, sweating, tremor, seizures)
Stop taking the medication and seek immediate medical attention if any of the following occur:
- complex sleep behaviours (e.g., driving, eating, making phone calls, or sexual activity while sleeping)
- signs of a serious allergic reaction (e.g., abdominal cramps, difficulty breathing, nausea and vomiting, or swelling of the face and throat)
- thoughts of self-harm or suicide
Are there any other precautions or warnings for this medication?
Alcohol and other medications that cause drowsiness: People taking this medication should not combine it with alcohol and avoid combining it with other medications, such as narcotic pain relievers or other sedatives that cause drowsiness. Doing so can cause additional drowsiness and reduced breathing as well as other side effects, which can be dangerous and possibly life-threatening.
Anxiety or restlessness: An increase in daytime anxiety or restlessness has been observed during treatment with zopiclone.
Bad taste in mouth: Zopiclone may cause you to have a coated tongue, bad breath, or a bitter taste in your mouth. These effects often occur when this medication is being used.
Behaviour changes: This medication may worsen symptoms of depression, including thoughts of suicide or wanting to harm others. It may also cause agitated or aggressive behaviour. If you experience these symptoms or any other behaviour change while taking this medication, contact your doctor immediately.
Family members or caregivers of people who are taking this medication should contact the person’s doctor immediately if they notice unusual behaviour changes.
Breathing: Sedatives can suppress breathing. If you have asthma, or other lung disease that increases your risk for breathing difficulties, such as sleep apnea, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
Confusion: This medication affects mental efficiency (e.g., concentration, attention, and vigilance). The risk of confusion is greater for seniors and those with brain damage.
Dependence: Dependence and abuse have occurred with the use of zopiclone. The risk of developing dependence increases with higher doses and the longer that zopiclone is used. People with a history of past or current substance use problems may be at greater risk of developing abuse or addiction while taking this medication. If this medication is stopped suddenly, you may experience withdrawal symptoms such as anxiety, agitation, diarrhea, and hallucinations. If you have been taking this medication for a while, it should be stopped gradually as directed by your doctor.
Depression: Sedative medications have been known to cause mood swings and symptoms of depression. If you have depression or a history of depression or suicidal thoughts, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. If you experience symptoms of depression such as poor concentration, changes in weight, changes in sleep, decreased interest in activities, or notice them in a family member who is taking this medication contact your doctor as soon as possible.
Drowsiness/reduced alertness: Zopiclone can cause excessive drowsiness and decreased mental alertness. Do not operate heavy machinery or drive after taking this medication. Wait at least 12 hours after taking this medication before driving or engaging in other activities that require mental alertness.
Kidney function: Kidney disease or reduced kidney function may cause this medication to build up in the body, causing side effects. If you have kidney problems, you may require lower doses of this medication.
Liver function: Liver disease or reduced liver function may cause this medication to build up in the body, causing side effects. If you have liver problems, you may require lower doses of this medication.
Memory disturbance: Amnesia of varying severity has been reported following normal doses of medications like zopiclone. This effect is rare with zopiclone.
Performing activities while not fully awake: People taking zopiclone may perform activities such as sleepwalking, driving, preparing and eating food, and making phone calls while not fully awake and unaware of their actions. The next morning, they may not remember what happened. This may be more likely to occur if you also use alcohol or other sedative medications. If you discover this has happened to you, contact your doctor immediately.
Withdrawal: Zopiclone can become habit-forming. Withdrawal symptoms similar to those occurring with related substances, including alcohol, have been observed after stopping the medication suddenly (after having taken it regularly over a period of time). These symptoms include:
- abdominal cramps
- extreme anxiety
- memory impairment
- muscle pain
- sleep problems such as rebound insomnia
Pregnancy: The safety of using this medication during pregnancy has not been established. Zopiclone may cause harm to the developing baby if it is taken by the mother during pregnancy. This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
Breast-feeding: This medication passes into breast milk. If you are breast-feeding and are taking zopiclone, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of zopiclone have not been established for use by children and adolescents under 18 years old.
Seniors: People over 65 years old are more likely to experience dose-related side effects of zopiclone, such as drowsiness, dizziness, or impaired coordination. Lower does should be used. Using doses that are too high may result in accidents such as falls. Talk to your doctor if you are a senior and are experiencing any of the above side effects.
What other drugs could interact with this medication?
There may be an interaction between zopiclone and any of the following:
- anti-anxiety medications (e.g., alprazolam, clonazepam, lorazepam)
- anticonvulsants (medications used to prevent seizures; e.g., phenytoin, valproic acid, carbamazepine, gabapentin)
- antihistamines (e.g., cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
- antipsychotic medications (e.g., chlorpromazine, clozapine, haloperidol, olanzapine, quetiapine, risperidone)
- "azole" antifungals (e.g., ketoconazole, itraconazole, voriconazole)
- barbiturates (e.g., butalbital, pentobarbital, phenobarbital)
- chloral hydrate
- general anesthetics (medications used to put you to sleep for surgery)
- grapefruit juice
- HIV non-nucleoside reverse transcriptase inhibitors (NNRTIs; e.g., efavirenz, etravirine, nevirapine)
- HIV protease inhibitors (e.g., darunavir, ritonavir, saquinavir)
- kava kava
- lumacaftor and ivacaftor
- macrolide antibiotics (e.g., clarithromycin, erythromycin)
- muscle relaxants (e.g., baclofen, cyclobenzaprine, methocarbamol, orphenadrine, tizanidine)
- narcotic or opioid medications (e.g., codeine, fentanyl, morphine, oxycodone)
- St. John’s wort
- selective serotonin reuptake inhibitors (SSRIs; e.g., citalopram, fluoxetine, paroxetine, sertraline)
- tricyclic antidepressants (e.g., amitriptyline, desipramine)
- tyrosine kinase inhibitors (e.g., dasatinib, imatinib, nilotinib, sunitinib)
- stop taking one of the medications,
- change one of the medications to another,
- change how you are taking one or both of the medications, or
- leave everything as is.
All material copyright MediResource Inc. 1996 – 2022. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Zopiclone-by-Altamed-Pharma