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Eszopiclone
Eszopiclone, popularly known as Lunesta an effective medication to help you fall asleep faster and stay asleep throughout the night. As a sedativehypnotic, it's great for treating insomnia. Common side effects like dry mouth, lightheadedness, or a bit of a metallic taste.
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Frequently Asked Questions
Can a pregnant woman safely use Eszopiclone?
Pregnancy could bring insomnia along, but here's the catch eszopiclone falls under Pregnancy Category C, meaning potential risks exist. So, always consult your doctor before using it.
Can I take Eszopiclone for a long period?
Usually not, unless your doctor says otherwise. Tolerance to the medicine can develop, and longterm use might lead to psychological or physical dependence.
Could Eszopiclone make me do things while asleep?
Yeah, scary but true. There have been cases of people engaging in activities like eating, driving, or even sex while not fully awake when on medications like eszopiclone.
Does Eszopiclone have any contraindications?
Yes, eszopiclone is not to be used if you have severe liver disease, sleep apnea, or if you're allergic to the medication.
I missed a dose of Eszopiclone, what should I do?
It?s a bedtime pill. Forgotten to take the dose before bedtime? Simply skip it. Never pop the pill if you're not about to sleep for 7 to 8 hours.
Will Eszopiclone make me feel groggy the next day?
Possible. Eszopiclone may cause nextday drowsiness. Always make sure you have 7 to 8 hours for a full night?s sleep when you take it.
Comprehensive Drug Guide
How Does Eszopiclone Work?
Eszopiclone is a cyclopyrrolone, which works by interacting with the GABABZ receptor complex in the brain. GABA is one of the body's natural relaxants, and thus the medication helps lower brain activity, aiding sleep.
What is Eszopiclone Used For?
FDA indications: The star performer for shortterm treatment of insomnia. Eszopiclone helps you fall asleep faster, get longer sleep and reduces the number of times you wake up at night.
Offlabel uses: Eszopiclone isn't just a onetrick pony! It can also help with the offlabel management of sleeprelated problems in various disorders, including Parkinson's Disease.
Common Dosages
Tablets: 1mg, 2mg, 3mg
Typical Dosing
FDA Approved Indications
- Start with a racer bullet of 1 mg, right before hitting the sack. Depending on tolerability, the doctor may increase the dose to 23 mg.
Off-Label Uses
- They might find a perfect start with a 1 mg dose. There you go, counting sheep!
Who Shouldn't Take Eszopiclone?
- People with severe liver disease
- Individuals having sleep apnea or severe breathing problems
- Those allergic to eszopiclone or any similar medicines like zaleplon, zolpidem, and others
- Children, younger adults, or individuals who have engaged in activities like eating, driving, making phone calls, or having sex while not fully awake after taking eszopiclone or similar medications
- Pregnant, planning to conceive, or breastfeeding women (make sure to talk with your healthcare provider about potential risks)
Advice From The Pharmacist
- Make sure you have at least 78 hours dedicated to sleeping when you take this medication.
- Avoid taking eszopiclone with or right after a highfat or heavy meal. It might slow down the action of this medicine.
- A big NO to alcohol when you?re on eszopiclone! It can add to the dizziness or drowsiness caused by the drug.
- Be mindful of certain activities like driving or operating machinery that require alertness as eszopiclone can make you drowsy, even the day after you take it.
- Don?t discontinue the medication suddenly without talking to your doctor. It can lead to withdrawal symptoms, especially if you've been using it for a long time.
- Memory issues or mood/behavior changes, like anxiety, agitation, or hallucinations may occur. If they do, keep your doc in the loop.
Side Effects of Eszopiclone
Common Side Effects
- Common side effects: dizziness, dry mouth, lightheadedness, or a bitter/metallic taste in your mouth.
Uncommon/Severe Side Effects
- Uncommon side effects: forgetfulness, ?sleepdriving?, binge eating while halfawake, or engaging in other activities without memory creepy, but manageable!
- Rare side effects: Rash, itchiness, swelling, or trouble breathing are severe and require immediate medical attention. Weird sleep behaviors like sleepeating, sleepwalking, or sleepdriving need immediate reporting to the doctor.
- Serious side effects: breathing issues, anaphylaxis, or abnormal thoughts and behaviors.
Risks and Warnings of Eszopiclone
- Eszopiclone is not for the long run. If your insomnia doesn?t improve even after 7 to 10 days, it warrants a chat with your doc. Changes in the dose, medication, or certain evaluations may be considered.
- Allergic reactions, angioedema, and anaphylaxis can occur ? requires an abrupt halt and medical assistance if signs like hives; difficulty breathing; swelling of your face, lips, tongue, or throat arise.
- A risk of ?doing things? while not fully awake looms around eszopiclone, like sleepwalking, sleepdriving, etc. Ensure your family is aware of these possibilities.
- Depression or mental illness may worsen with eszopiclone; be sure to keep your mental health provider in the loop.
Interactions with Eszopiclone
Common Drug Interactions
- Diphenhydramine
- Omeprazole
- Fluoxetine
- Erythromycin
- Ketoconazole
Alternatives to Eszopiclone
- Zolpidem
- Zaleplon
- Triazolam
- Temazepam
- Ramelteon