Zopiclone is a widely prescribed medication in the UK for the short-term treatment of severe insomnia. It belongs to a class of drugs known as non-benzodiazepine hypnotics, which work by affecting the brain’s calming chemical, gamma-aminobutyric acid (GABA), to help individuals fall asleep more quickly and stay asleep throughout the night. Here’s a comprehensive guide on when and how to take zopiclone, along with important considerations and precautions.
Understanding Zopiclone
Zopiclone is specifically designed to address difficulties with falling asleep and staying asleep, which can significantly impact a person’s daily life. It is available in two strengths: 3.75mg and 7.5mg tablets, and in some cases, it can also be prescribed in a liquid form for those who have trouble swallowing tablets.
When to Take Zopiclone
Timing of Dose
Zopiclone should be taken immediately before bedtime. It takes approximately one hour to start working, so it is crucial to ensure you have at least 7-8 hours available to sleep after taking the medication. This helps in minimizing the risk of residual drowsiness the following day.
Dosage
The standard dose for adults is 7.5mg once daily, taken just before bed. However, for elderly patients or those with certain medical conditions such as liver or kidney disease, a lower dose of 3.75mg may be recommended initially. This lower dose can be increased to 7.5mg if necessary and under the guidance of a healthcare provider.
How Long to Take Zopiclone
Zopiclone is typically prescribed for short-term use, usually ranging from 2 to 4 weeks. This short duration is advised to prevent the body from becoming accustomed to the medication, which can lead to tolerance and dependency. Taking zopiclone for longer than the recommended period can result in the drug losing its effectiveness and increasing the risk of addiction.
Also Read: Is it OK to Take Zopiclone Every Night?
Important Considerations
Prescription Requirement
Zopiclone is a prescription-only medication and cannot be obtained without consulting a healthcare provider. It is essential to follow the doctor’s instructions carefully to ensure safe and effective use.
Potential Side Effects
Common side effects of zopiclone include a metallic taste in the mouth, dry mouth, and daytime sleepiness. Other side effects can include dizziness, drowsiness, and in some cases, increased risk of falls due to impaired balance and coordination. If you experience any of these side effects, it is crucial to avoid activities that require mental alertness, such as driving or operating heavy machinery.
Interactions with Other Medications
Zopiclone can interact with several other medications, including antipsychotics, antidepressants, anticonvulsants, anesthetics, antihistamines, opioids, and other hypnotic medications. It is vital to inform your doctor about all other medications you are taking to avoid potentially dangerous interactions.
Precautions
- Alcohol and Drugs: Avoid consuming alcohol or taking other drugs while on zopiclone, as this can enhance the sedative effects and lead to breathing problems and deep sleep from which it may be difficult to wake up.
- Pregnancy and Breastfeeding: Inform your doctor if you are pregnant or breastfeeding, as there have been reports of side effects and withdrawal symptoms in infants exposed to the drug.
- Respiratory Conditions: If you have sleep apnea or other respiratory conditions, zopiclone can exacerbate respiratory depression and trouble breathing. Similarly, it is generally not recommended for patients with myasthenia gravis.
- Epilepsy: Zopiclone can decrease the seizure threshold, so it is important to inform your doctor if you have epilepsy.
Driving and Operating Machinery
Zopiclone can impair driving ability even the morning after taking the medication. Research has shown that a single night-time dose of zopiclone can cause significant residual impairment in driving tests, equivalent to the effects of drink driving. Therefore, it is generally recommended to avoid driving or operating heavy machinery for at least 12 hours after taking zopiclone. If you feel dizzy or sleepy the following morning, you should not drive until you feel fit to do so.
Stopping Zopiclone
To prevent withdrawal symptoms, it is advisable to taper off zopiclone gradually rather than stopping it abruptly. Your healthcare provider will guide you on how to reduce the dose slowly. However, if you have been taking zopiclone for less than a month, you are unlikely to experience withdrawal symptoms.
Overdose
Taking more than the prescribed dose of zopiclone can be dangerous. Symptoms of an overdose include drowsiness, confusion, deep sleep, dizziness, light-headedness, floppy muscles, and difficulty breathing. If you suspect an overdose, it is crucial to seek immediate medical help. Do not drive yourself to the hospital; instead, ask someone to drive you or call for an ambulance.
Storage and Shelf Life
Zopiclone should be stored in a dry, cool place away from direct sunlight and below 77ºF. The medication has a shelf life of three years, and you should not take it after the expiration date listed on the package.
Conclusion
Zopiclone can be an effective solution for individuals struggling with severe insomnia, helping them fall asleep faster and stay asleep longer. However, it is crucial to use this medication under the strict guidance of a healthcare provider and adhere to the recommended dosage and duration.
Here are the key points to remember:
- Take zopiclone immediately before bedtime to ensure you have enough time to sleep.
- Follow the prescribed dose (usually 7.5mg for adults and 3.75mg for elderly or those with certain medical conditions).
- Use it for short-term periods (2-4 weeks) to avoid tolerance and dependency.
- Be aware of potential side effects and avoid activities requiring mental alertness if affected.
- Inform your doctor about other medications and health conditions to avoid dangerous interactions.
- Avoid driving or operating machinery for at least 12 hours after taking zopiclone.
- Taper off the medication gradually when stopping to prevent withdrawal symptoms.
By understanding and following these guidelines, you can safely and effectively use zopiclone to improve your sleep quality and overall well-being. Always consult with your healthcare provider for personalized advice and to determine if zopiclone is the right choice for your specific sleep needs.
Also Read: How Long Will I Sleep if I Take Zopiclone?
