Eszopiclone

Generic Name: eszopiclone

Over-the-Counter (OTC)

Brand Names:

Eszopiclone

Eszopiclone is a nonbenzodiazepine hypnotic agent, a pyrrolopyrazine derivative of the cyclopyrrolone class used for the treatment of insomnia.

Overview

Eszopiclone is a nonbenzodiazepine hypnotic agent, a pyrrolopyrazine derivative of the cyclopyrrolone class used for the treatment of insomnia.

Uses

Treatment of insomnia; decreases sleep latency and improves sleep maintenance.

Dosage

Adults: start 1 mg, may increase to 2-3 mg. Elderly/debilitated: max 2 mg. Severe hepatic impairment or potent CYP3A4 inhibitors: max 2 mg. Use the lowest effective dose.

Side Effects

Common: headache, unpleasant taste, somnolence, dizziness, dry mouth. Less common: hallucinations, confusion, anxiety, rash.

Interactions

Additive CNS effects with ethanol, benzodiazepines, opioids. CYP3A4 inhibitors (ketoconazole) increase exposure 2.2-fold. Inducers decrease effectiveness.

Warnings

CNS depressant effects; next-day impairment at higher doses; abnormal thinking/behavior changes; sleep-driving risk; anaphylaxis possible; withdrawal effects; use caution with elderly patients. Contraindicated in patients with known hypersensitivity to eszopiclone.

Pregnancy

Pregnancy Category C. No adequate studies in pregnant women. Animal studies showed no teratogenicity at doses studied. Unknown if excreted in breast milk.

Storage

Store at room temperature 20C to 25C (68F to 77F); excursions permitted to 15C to 30C.

Frequently Asked Questions

What is Eszopiclone used for?

Treatment of insomnia; decreases sleep latency and improves sleep maintenance.

What are the side effects of Eszopiclone?

Common: headache, unpleasant taste, somnolence, dizziness, dry mouth. Less common: hallucinations, confusion, anxiety, rash.

Can I take Eszopiclone during pregnancy?

Pregnancy Category C. No adequate studies in pregnant women. Animal studies showed no teratogenicity at doses studied. Unknown if excreted in breast milk.

What are the important warnings for Eszopiclone?

CNS depressant effects; next-day impairment at higher doses; abnormal thinking/behavior changes; sleep-driving risk; anaphylaxis possible; withdrawal effects; use caution with elderly patients. Contraindicated in patients with known hypersensitivity to eszopiclone.

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Medical Disclaimer

This drug information is for educational purposes only and should not replace professional medical advice. Drug information is sourced from the FDA National Drug Code Directory and Structured Product Labeling. Always consult with a healthcare provider before starting, stopping, or changing any medication.