Zopiclone

Description

Zopiclone is a hypnotic and sedative which is used in severe sleep disorder. This medicine may increase the risk of habit-forming tendency if taken for a long duration or at larger doses. Do not stop abruptly taking this medicine as it may cause withdrawal symptoms like convulsions, behavioral disorder, anxiety, etc. This medicine is not recommended for use in patients below 18 years of age.

Side effects

Major & minor side effects for Zopiclone

  • Drowsiness
  • Headache
  • Dizziness
  • Nausea and Vomiting
  • Confusion
  • Dry mouth
  • Tiredness
  • Muscle weakness

Uses of Zopiclone

What is it prescribed for?

  • Insomnia
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Concerns

Commonly asked questions

  • Onset of action
    The peak effect of this medicine can be observed within 2 hours of administration of the dose.
  • Duration of effect
    The effect of this medicine lasts for an average duration of 6 hours.
  • Safe with alcohol?
    Consumption of alcohol is not recommended while taking this medicine due to the increased risk of adverse effects such as dizziness, drowsiness, and difficulty concentrating. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery if you consume alcohol during treatment with this medicine.
  • Is it habit forming?
    Habit forming tendency has been reported, if used for a prolonged period of time.
  • Usage in pregnancy?
    This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
  • Usage while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients with known allergy to zopiclone or any other inactive ingredients present along with it.

Myasthenia gravis

This medicine is not recommended for use in patients with myasthenia gravis due to the increased risk of worsening of the patient's condition.

Severe respiratory insufficiency

This medicine is not recommended for use in patients with severe respiratory insufficiency such as sleep apnea syndrome due to the increased risk of worsening of the patient's condition.

Severe Hepatic impairment

This medicine is not recommended for use in patients with severe liver disease due to the increased risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. The risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Withdrawal symptoms

Abrupt discontinuation of this medicine may increase the risk of adverse effects such as convulsions, behavioral disorder, tremor, and anxiety. A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.

Kidney Disease

This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Liver Disease

This medicine should be used with caution in patients with mild to moderate liver injury due to the increased risk of adverse effects. Regular monitoring of liver function tests is necessary while receiving this medicine. Lowest possible doses should be initiated and increase the dose based on the patient's response. An alternative treatment option should be considered in some cases based on the clinical condition.

Use in Children

This medicine is not recommended for use in patients less than 18 years of age since the safety and efficacy of use are not clinically established.

Driving or Operating machinery

Use of this medicine may cause blurred vision or dizziness in some patients. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Dependency

Zopiclone have the tendency to cause dependency and abuse particularly after prolonged use or excessive dosages. Individuals with a history of alcohol or substance abuse should be treated carefully when they are on Zopiclone. The withdrawal of this medicine should be tapered off gradually.

Missed Dose

Take the missed dose as soon as you remember it. It is advised that you do not take this medicine during the daytime. If it is daytime, skip the missed dose and continue with your regular dosing schedule at bedtime. Do not double the dose to make up for a missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended while taking this medicine due to the increased risk of adverse effects such as dizziness, drowsiness, and difficulty concentrating. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine

Opioids

Benzodiazepines

Anticonvulsants

Disease interactions

Respiratory disorders

This medicine should be used with caution in patients suffering from respiratory diseases due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Liver Disease

This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function tests is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Kidney Disease

This medicine should be used with caution in patients with a known history of an impaired kidney function due to the increased risk of severe adverse effects. Close monitoring of kidney function tests, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.

Depression

This medicine should be used with caution in patients suffering from depression due to the increased risk of confusion, suicidal thoughts, etc. Report any unusual symptoms to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
Take this medicine exactly as advised by your doctor. It can be taken with or without food. Do not take in larger amounts than prescribed. Consult the doctor if you experience any undesirable effects. Do not stop the use of this medicine without consulting your doctor. Abrupt discontinuation of this medicine may cause severe withdrawal symptoms.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken at bedtime only

Causes sleepiness

How it works
It works by decreasing the excitability of brain cells and induces sleep.
Legal Status

Approved

Unknown

Approved

Approved

Classification

Category

Hypnotic and sedative agent

Schedule

Schedule H

[Internet]. Medicines.org.uk. 2018 [cited 7 September 2018]. Available from:

https://www.medicines.org.uk/emc/files/pil.4060.pdf

Pubchem.ncbi.nlm.nih.gov. 2018 [cited 7 September 2018]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/5735#

Products.sanofi.ca. 2018 [cited 7 September 2018]. Available from:

http://products.sanofi.ca/en/imovane.pdf

Mhra.gov.uk. 2018 [cited 16 September 2018]. Available from:

http://www.mhra.gov.uk/home/groups/spcpil/documents/spcpil/con1531718854522.pdf

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Information on this page was last updated on 13 Feb 2019

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