How does this mylan zolpiclone work? What will it do for me?
Zopiclone belongs to the class of mylan zolpiclones called sedative-hypnotics. It is used for the short-term and symptomatic relief of sleep disturbances. This mylan zolpiclone is typically used to help induce sleep. Its effects can be felt within 1 hour.
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.
This mylan zolpiclone may be available under multiple brand names and/or in several different forms. Any specific brand name of this mylan zolpiclone may not be available in all of the forms or approved for all of the conditions discussed here.
As well, some forms of this mylan zolpiclone may not be used for all of the conditions discussed here.
Your doctor may have suggested this mylan zolpiclone for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this mylan zolpiclone, speak to your doctor. Do not stop taking this mylan zolpiclone without consulting your doctor.
Do not give this mylan zolpiclone to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this mylan zolpiclone if their doctor has not prescribed it.
What form(s) does this mylan zolpiclone come in?
Mylan-Zopiclone is no longer being manufactured for sale in Canada. For brands that may still be available, search under zopiclone. This article is being kept available for reference purposes only.
If you are using this mylan zolpiclone, speak with your doctor or pharmacist for information about your treatment options.
How should I use this mylan zolpiclone?
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 mylan zolpiclones.
This mylan zolpiclone 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 mylan zolpiclone 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 mylan zolpiclone that a person needs, such as body weight, other medical conditions, and other mylan zolpiclones.
If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the mylan zolpiclone without consulting your doctor.
It is important to take this mylan zolpiclone exactly as prescribed by your doctor. Do not take this mylan zolpiclone 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 mylan zolpiclone from your system. Wait at least 12 hours after taking this mylan zolpiclone before driving or engaging in other activities that require mental alertness.
Store this mylan zolpiclone at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of mylan zolpiclones in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of mylan zolpiclones that are no longer needed or have expired.
Who should NOT take this mylan zolpiclone?
Do not take this mylan zolpiclone if you:
- are allergic to zopiclone or any ingredients of this mylan zolpiclone
- 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 mylan zolpiclones for sleep
What side effects are possible with this mylan zolpiclone?
Many mylan zolpiclones can cause side effects. A side effect is an unwanted response to a mylan zolpiclone when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes this mylan zolpiclone. If you are concerned about side effects, discuss the risks and benefits of this mylan zolpiclone with your doctor.
The following side effects have been reported by at least 1% of people taking this mylan zolpiclone. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
- agitation (more common for seniors)
- bitter taste in mouth
- dry mouth
- it may cause drowsiness — use caution when driving;
- dryness of the mouth.
Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.
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 mylan zolpiclone 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
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this mylan zolpiclone.
Are there any other precautions or warnings for this mylan zolpiclone?
Before you begin using a mylan zolpiclone, be sure to inform your doctor of any medical conditions or allergies you may have, any mylan zolpiclones you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this mylan zolpiclone.
Alcohol and other mylan zolpiclones that cause drowsiness: People taking this mylan zolpiclone should not combine it with alcohol and avoid combining it with other mylan zolpiclones, 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 mylan zolpiclone is being used.
Behaviour changes: This mylan zolpiclone 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 mylan zolpiclone, contact your doctor immediately.
Family members or caregivers of people who are taking this mylan zolpiclone 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 mylan zolpiclone may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this mylan zolpiclone, and whether any special monitoring is needed.
Confusion: This mylan zolpiclone 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 mylan zolpiclone.
If this mylan zolpiclone is stopped suddenly, you may experience withdrawal symptoms such as anxiety, agitation, diarrhea, and hallucinations.
If you have been taking this mylan zolpiclone for a while, it should be stopped gradually as directed by your doctor.
Depression: Sedative mylan zolpiclones 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 mylan zolpiclone may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this mylan zolpiclone, 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 mylan zolpiclone 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 mylan zolpiclone.
Wait at least 12 hours after taking this mylan zolpiclone before driving or engaging in other activities that require mental alertness.
Kidney function: Kidney disease or reduced kidney function may cause this mylan zolpiclone to build up in the body, causing side effects. If you have kidney problems, you may require lower doses of this mylan zolpiclone.
Liver function: Liver disease or reduced liver function may cause this mylan zolpiclone to build up in the body, causing side effects.
If you have liver problems, you may require lower doses of this mylan zolpiclone.
Memory disturbance: Amnesia of varying severity has been reported following normal doses of mylan zolpiclones 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 mylan zolpiclones. 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 mylan zolpiclone 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 mylan zolpiclone during pregnancy has not been established. Zopiclone may cause harm to the developing baby if it is taken by the mother during pregnancy.
This mylan zolpiclone should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this mylan zolpiclone, contact your doctor immediately.
Breast-feeding: This mylan zolpiclone 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 mylan zolpiclone?
There may be an interaction between zopiclone and any of the following:
- anti-anxiety mylan zolpiclones (e.g., alprazolam, clonazepam, lorazepam)
- anticonvulsants (mylan zolpiclones used to prevent seizures; e.g., phenytoin, valproic acid, carbamazepine, gabapentin)
- antihistamines (e.g., cetirizine, doxylamine, diphenhydramine, hydroxyzine, loratadine)
- antipsychotic mylan zolpiclones (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 (mylan zolpiclones 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 mylan zolpiclones (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)
If you are taking any of these mylan zolpiclones, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
- stop taking one of the mylan zolpiclones,
- change one of the mylan zolpiclones to another,
- change how you are taking one or both of the mylan zolpiclones, or
- leave everything as is.
An interaction between two mylan zolpiclones does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
mylan zolpiclones other than those listed above may interact with this mylan zolpiclone. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal mylan zolpiclones you are taking. Also tell them about any supplements you take.
Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many mylan zolpiclones, you should let your prescriber know if you use them.
As with most mylan zolpiclones, this product should be stored at room temperature. Store it in a secure location where it will not be exposed to excessive heat, moisture or direct sunlight. Keep it out of reach of young children. Make sure that any leftover portion is disposed of safely.
It is important to tell the health professionals you consult:
- if you have a history of any other medical condition, whether you smoke and for women, if you are or want to become pregnant or breastfeeding;
- if you have allergies to any mylan zolpiclones or any other allergies (e.g. to food, latex, etc.);
- all mylan zolpiclones you are taking, prescription and non-prescription, including vitamins and natural products and supplements.
Is zopiclone a good sleeping pill?
Zopiclone is a type of sleeping pill that can be taken to treat bad bouts of insomnia. It helps you fall asleep more quickly, and also helps stop you waking up during the nigh
What is the best alternative to mylan Zopiclone?
Eszopiclone is effective in the treatment of insomnia, improving the severity of insomnia and demonstrating a favorable safety profile.
Treatment with eszopiclone also resulted in longer total sleep time and greater sleep efficiency by polysomnography than zopiclone.
What happens if you stay awake on mylan zopiclone?
Although people using the drug to aid sleep generally do not experience this taste until after they wake up, people who stay awake after using zopiclone experience the metallic taste during this semi-conscious state.
Can I take mylan zopiclone every night?
Zopiclone should be taken at the lowest dose possible for the shortest possible time. You may agree with your doctor not to take it every night, but perhaps every other night (alternate nights), so you do not get into the habit of taking it. You should take zopiclone just before going to bed.
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