Imovane 7.5mg Tablets
Clinical Summary
Quick overview from the medicine insert
Indication
Short-term treatment of insomnia.
Dosage (summary)
7.5 mg taken orally at bedtime, not to exceed 7.5 mg per day.
Onset of Action / Duration
Effects typically begin within 30 minutes and can last for 6 to 8 hours.
Special Populations
- Elderly patients may require a lower dose.
- Patients with hepatic impairment should use with caution.
- Patients with renal impairment may need dose adjustments.
Pregnancy & Breastfeeding
Use during pregnancy is not recommended unless clearly needed. Zopiclone is excreted in breast milk; caution is advised when administered to nursing mothers.
Key Drug Interactions
- CNS depressants (e.g., alcohol, benzodiazepines) may enhance sedative effects.
- CYP3A4 inhibitors (e.g., ketoconazole, erythromycin) may increase Zopiclone levels.
- CYP3A4 inducers (e.g., rifampicin, St. John's Wort) may decrease Zopiclone effectiveness.
Contraindications
- Hypersensitivity to Zopiclone or any of its components.
- Severe respiratory insufficiency.
- Sleep apnea syndrome.
- Myasthenia gravis.
Common side effects
- Drowsiness.
- Dizziness.
- Dry mouth.
- Headache.
- Unpleasant taste.
Counselling Points
- Advise patients to take the medication just before bedtime.
- Caution against operating machinery or driving after taking Zopiclone.
- Inform patients about the potential for dependence and withdrawal symptoms.
- Encourage patients to avoid alcohol while taking this medication.
Serious warnings
- Risk of dependence and withdrawal symptoms with prolonged use.
- May cause complex sleep-related behaviors (e.g., sleepwalking, sleep-driving).
- Use with caution in patients with a history of substance abuse.
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