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DOSAGE: Adult: 7.5mg - 15mg shortly before retiring. Elderly: 7.5mg. May be increased if necessary. Children: Appropriate dose has not been established.
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It is commonly used for treating anxiety and insomnia (help with sleep disorder) used to reduce tension and anxiety,
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Overview
Information specific to: Zopiclone 7.5 mg tablets when used in Insomnia.
Zopiclone (Zop-pee-kloan) is a medicine which is used in sleeping problems.
The information in this Medicine Guide for zopiclone varies according to the condition being treated and the particular preparation used.
Your medicine
Zopiclone is a medicine which is used to treat sleeping problems.
Zopiclone should only be used at the lowest possible dose and for a maximum of up to four weeks. This will reduce the chance of tolerance, dependence and withdrawal symptoms. Reducing the dose of Zopiclone gradually over time may reduce the chances of having these problems.
It is essential to get a full night of continuous and uninterrupted sleep after taking Zopiclone. If your sleep is disturbed before this time has passed, Zopiclone may cause you to have some memory problems. You may have no memory of what happened from the time your sleep was interrupted until the time when the effects of this medicine have worn off.
Furthermore, it is important to be aware that sleeping problems can be a symptom of a psychiatric condition, particularly when the sleeping problems have been going on for some time. Some people, in the course of taking Zopiclone for a sleeping problem, may find that an undiagnosed psychiatric condition, such as depression, becomes apparent. People who have a psychiatric condition and who are taking Zopiclone may experience some changes in behaviour.
Do not share your medicine with other people. It may not be suitable for them and may harm them.
The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.
If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.
Whether this medicine is suitable for you
Zopiclone is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.
Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:
- are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
- are elderly
- have a personality disorder
- have abused alcohol in the past
- have breathing problems
- have depression
- have kidney problems
- have liver problems
- have misused drugs in the past
- have myasthenia gravis
- have sleep apnoea syndrome
Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for someone under the age of 18 years.
Over time it is possible that Zopiclone can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Zopiclone has become unsuitable, it is important that the prescriber is contacted immediately.
Alcohol
Alcohol can interact with certain medicines.
In the case of Zopiclone:
- alcohol increases the sedative effects of Zopiclone
You must not drink any alcohol if you are taking this medicine.
Diet
Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.
In the case of Zopiclone:
- there are no specific foods that you must exclude from your diet when taking Zopiclone
Driving and operating machinery
When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.
In the case of Zopiclone:
- this medicine could affect your ability to drive or operate machinery
You should see how this medicine affects you before you judge whether you are safe to drive or operate machinery. If you are in any doubt about whether you should drive or operate machinery, talk to your prescriber.
Family planning and pregnancy
Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.
In the case of Zopiclone:
- you should only take this medicine during pregnancy if your doctor thinks that you need it
- if you become pregnant, or think you have become pregnant while taking Zopiclone, you must contact your prescriber
- if you take this medicine during the late stages of pregnancy or during labour, your baby may have some problems immediately after birth
- if you repeatedly take this medicine during the late stages of pregnancy your baby may come to be physically dependent on Zopiclone. This may lead to your baby having withdrawal symptoms from Zopiclone after birth
You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.
If the decision is that you should not have Zopiclone, then you should discuss whether there is an alternative medicine that you could take during pregnancy.
Breast-feeding
Certain medicines can pass into breast milk and may reach your baby through breast-feeding.
In the case of Zopiclone:
- women who are breast-feeding should not take this medicine
Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. If you wish to breast-feed you should discuss with your prescriber whether there are any other medicines you could take which would also allow you to breast-feed. You should not stop this medicine without taking advice from your doctor.
Taking other medicines
If you are taking more than one medicine they may interact with each other. At times your prescriber may decide to use medicines that interact, in other cases this may not be appropriate.
The decision to use medicines that interact depends on your specific circumstances. Your prescriber may decide to use medicines that interact, if it is believed that the benefits of taking the medicines together outweigh the risks. In such cases, it may be necessary to alter your dose or monitor you more closely.
Tell your prescriber the names of all the medicines that you are taking so that they can consider all possible interactions. This includes all the medicines which have been prescribed by your GP, hospital doctor, dentist, nurse, health visitor, midwife or pharmacist. You must also tell your prescriber about medicines which you have bought over the counter without prescriptions.
The following medicines may interact with Zopiclone:
- carbamazepine
- clarithromycin
- erythromycin
- itraconazole
- ketoconazole
- phenobarbital
- phenytoin
- rifampicin
- ritonavir
The following types of medicine may interact with Zopiclone:
- CNS depressants such as antipsychotics, hypnotics, anxiolytics, sedatives, antidepressants, narcotic analgesics, antiepileptics, anaesthetics and sedative antihistamines
- cytochrome P450 enzyme inhibitors and inducers
If you are taking Zopiclone and one of the above medicines or types of medicines, make sure your prescriber knows about it.
Complementary preparations and vitamins
Medicines can interact with complementary preparations and vitamins.
Make sure you tell your prescriber the names of all the complementary preparations and vitamins that you are taking or are planning to take.
Your prescriber can then decide whether it is appropriate for you to take combinations that are known to interact.
In the case of Zopiclone:
- this medicineinteracts with St. John's Wort
If you have been prescribed Zopiclone you should only take something on the above list on the specific advice of your prescriber or pharmacist.