Zopiclone is used to treat a certain sleep problem
(insomnia). It may help you fall asleep faster, stay asleep longer, and
reduce the number of times you wake up during the night. Getting better
sleep makes you feel well rested and improves your energy level. Zopiclone
belongs to a class of drugs known as sedatives/hypnotics. It acts in your
brain to produce a calming effect.
This medication is usually limited to short-term
treatment periods of 7 to 10 days or less.
Read the Patient Information Leaflet if available from
your pharmacist before you start taking zopiclone and each time you get a
refill. If you have any questions, ask your doctor or
pharmacist.
Take this medication by mouth as directed by your
doctor, usually once nightly just before bedtime. The dosage is based on
your medical condition, age, other medications you may be taking, and
response to treatment. Be sure to tell your doctor and pharmacist about all
the products you use (including prescription drugs, nonprescription drugs,
and herbal products).
To reduce your risk of side effects, your doctor will
direct you to start this medication at a low dose and gradually increase
your dose if needed. Follow your doctor's instructions carefully. Do not
take more of this medication than prescribed because your risk of side
effects will increase.
Although unlikely, this drug may rarely cause temporary
memory loss. To avoid this effect, do not take a dose of this drug unless
you have time for a full night's sleep of at least 7 to 8 hours. This
amount of time is needed for your body to get over the effects of this
drug. For example, do not take zopiclone to help you sleep during an
overnight plane flight of less than 7 to 8 hours.
If you suddenly stop using this medication, you may have
withdrawal symptoms (such as stomach/muscle cramps, shaking, sweating,
anxiety, vomiting, rare seizures). To help prevent withdrawal, your doctor
may lower your dose slowly. Withdrawal is more likely if you have used
zopiclone for a long time or in high doses. Tell your doctor or pharmacist
right away if you have withdrawal.
When this medication is used for a long time, it may not
work as well. Talk with your doctor if this medication stops working
well.
Though it helps many people, this medication may
sometimes cause addiction. This risk may be higher if you have a substance
use disorder (such as overuse of or addiction to drugs/alcohol). Take this
medication exactly as prescribed to lower the risk of addiction. Ask your
doctor or pharmacist for more details.
You may have trouble sleeping the first few nights after
you stop taking this medication. This is called rebound insomnia and it is
normal. It will usually go away after 1 to 2 days. If this effect
continues, contact your doctor.
Tell your doctor if your condition lasts after 7 to 10
days, or if it gets worse.
See also Warning section.
Dizziness, lightheadedness, bitter taste, dry mouth, or
stomach upset may occur. If any of these effects last or get worse, tell
your doctor or pharmacist promptly.
This medication may make you sleepy during the day. Tell
your doctor if you have daytime drowsiness. Your dose may need to be
adjusted.
To reduce the chance of falling, remember to get up
slowly when rising from a sitting or lying position.
Remember that this medication has been prescribed
because your doctor has judged that the benefit to you is greater than the
risk of side effects. Many people using this medication do not have serious
side effects.
Tell your doctor right away if you have any serious side
effects, including:
- fast/pounding heartbeat
- memory loss
- loss of coordination
- mental/mood/behavior changes (such as new/worsening
depression, abnormal thoughts, rare thoughts of suicide, confusion,
anxiety, restlessness, aggression)
A very serious allergic reaction to this drug is rare.
However, get medical help right away if you notice any symptoms of a
serious allergic reaction, including:
- rash
- itching/swelling (especially of the face/tongue/throat)
- severe dizziness
- trouble breathing
This is not a complete list of possible side effects. If
you notice other effects not listed above, contact your doctor or
pharmacist.
In the US - Call your doctor for medical advice about side effects.
You may report side effects to FDA at 1-800-FDA-1088 or at
www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about
side effects. You may report side effects to Health Canada at
1-866-234-2345.
See also Warning section.
Before taking zopiclone, tell your doctor or pharmacist
if you are allergic to it; or to eszopiclone; or if you have any other
allergies. This product may contain inactive ingredients, which can cause
allergic reactions or other problems. Talk to your pharmacist for more
details.
Before using this medication, tell your doctor or
pharmacist your medical history, especially of:
- lung/breathing problems (such as asthma, emphysema, sleep
apnea)
- a certain muscle disease (myasthenia gravis)
- personal or family history of a substance use disorder (such
as overuse of or addiction to drugs/alcohol)
- mental/mood/behavior disorders (such as depression,
personality disorders, confusion)
- personal or family history of sleepwalking
- kidney disease
- liver disease
The effects of this drug can last even after you wake up
the next day. If you did not get 7 to 8 hours of sleep or took other
medications that made you sleepy or are more sensitive to this drug, you
may feel alert but not think clearly enough to drive. Alcohol or marijuana
(cannabis) can also make you more sleepy. Wait at least 12 hours after
taking this drug before driving, and do not drive, use machinery, or do
anything that needs alertness until you can do it safely. Avoid alcoholic
beverages. Talk to your doctor if you are using marijuana
(cannabis).
Before having surgery, tell your doctor or dentist about
all the products you use (including prescription drugs, nonprescription
drugs, and herbal products).
Older adults may be more sensitive to the effects of
this drug, especially extreme drowsiness, dizziness, increased risk for
falls, memory loss, confusion, fast/pounding heartbeat.
Tell your doctor if you are pregnant or plan to become
pregnant. You should not become pregnant while using zopiclone. Zopiclone
may harm an unborn baby. This drug may cause withdrawal symptoms and other
problems in a newborn baby when used for a long time during pregnancy or
near the time of delivery. If you become pregnant, talk to your doctor
right away about the risks and benefits of this medication.
This medication passes into breast milk and may have
undesirable effects on a nursing infant. Breastfeeding is not recommended
while using this medication. Consult your doctor before
breastfeeding.
Drug interactions may change how your medications work
or increase your risk for serious side effects. This document does not
contain all possible drug interactions. Keep a list of all the products you
use (including prescription/nonprescription drugs and herbal products) and
share it with your doctor and pharmacist. Do not start, stop, or change the
dosage of any medicines without your doctor's approval.
A product that may interact with this drug
is:
The risk of serious side effects (such as slow/shallow
breathing, severe drowsiness/dizziness) may be increased if this medication
is taken with other products that may also cause drowsiness or breathing
problems. Tell your doctor or pharmacist if you are taking other products
such as opioid pain or cough relievers (such as codeine, hydrocodone),
alcohol, marijuana (cannabis), other drugs for sleep or anxiety (such as
alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol,
cyclobenzaprine), or antihistamines (such as cetirizine,
diphenhydramine).
Check the labels on all your medicines (such as allergy
or cough-and-cold products) because they may contain ingredients that cause
drowsiness. Ask your pharmacist about using those products
safely.
Zopiclone is very similar to eszopiclone. Do not use
medications containing eszopiclone while using zopiclone.
If someone has overdosed and has serious symptoms such
as passing out or trouble breathing, call 911. Otherwise, call a poison
control center right away. US residents can call 1-800-222-1222. Canada
residents can call 1-844-764-7669. Symptoms of overdose may include:
slow/shallow breathing, trouble speaking, a deep sleep from which you
cannot be awakened.
Do not share this medication with others. Sharing it is
against the law.
As you get older, your sleep pattern may naturally
change and your sleep may be interrupted several times during the night.
Consult your doctor or pharmacist for ways to improve your sleep without
medication, such as avoiding caffeine and alcohol close to bedtime,
avoiding daytime naps, and going to bed at the same time each
night.
If you miss a dose, do not take it unless you have time
to sleep for 7 to 8 hours afterward. (See also How to Use
section.)
Store at room temperature away from light and moisture.
Do not store in the bathroom. Keep all medications away from children and
pets.
Do not flush medications down the toilet or pour them
into a drain unless instructed to do so. Properly discard this product when
it is expired or no longer needed. Consult your pharmacist or local waste
disposal company.