País: Canadà
Idioma: anglès
Font: Health Canada
ZOPICLONE
APOTEX INC
N05CF01
ZOPICLONE
5MG
TABLET
ZOPICLONE 5MG
ORAL
100
Prescription
MISCELLANEOUS ANXIOLYTICS SEDATIVES AND HYPNOTICS
Active ingredient group (AIG) number: 0122562002; AHFS:
APPROVED
2013-03-04
PRODUCT MONOGRAPH ZOPICLONE ZOPICLONE TABLETS, 5 MG AND 7.5 MG HYPNOTIC AND SEDATIVE APOTEX INC. 150 SIGNET DRIVE WESTON, ONTARIO DATE OF PREPARATION: M9L 1T9 MARCH 11, 2013 CONTROL NUMBER: 162856 Page 2 of 49 PRODUCT MONOGRAPH ZOPICLONE Zopiclone Tablets, 5 mg and 7.5 mg THERAPEUTIC CLASSIFICATION Hypnotic and Sedative ACTIONS AND CLINICAL PHARMACOLOGY Zopiclone, a cyclopyrrolone derivative, is a short-acting hypnotic agent. Zopiclone belongs to a novel chemical class, which is structurally unrelated to existing hypnotics. However, the pharmacological profile of zopiclone is similar to that of the benzodiazepines. Zopiclone pharmacological properties are: hypnotic, sedative, anxiolytic, anti-convulsant, muscle- relaxant. These effects are related to a specific agonist action at central receptors belonging to the GABAa macromolecular complex, modulating the opening of the chloride ion channel. In sleep laboratory studies of one to 21-day duration in man, zopiclone reduced sleep latency, increased the duration of sleep and decreased the number of nocturnal awakenings. Zopiclone delayed the onset of REM sleep but did not reduce consistently the total duration of REM periods. The duration of stage 1 sleep was shortened, and the time spent in stage 2 sleep increased. In most studies, stage 3 and 4 sleep tended to be increased, but no change and actual decreases have also Page 3 of 49 been observed. The effect of zopiclone on stage 3 and 4 sleep differs from that of the benzodiazepines which suppress slow wave sleep. The clinical significance of this finding is not known. With hypnotic drugs, the duration of hypnotic effect and the profile of unwanted effects may be influenced by the alpha (distribution) (t½α) and beta (elimination) (t½β) half-lives of the administered drug and any active metabolites formed. When half-lives are long, the drug or metabolite may accumulate during periods of nightly administration and be associated with impairments of cognitive and motor performance during waking hours. If half-lives Llegiu el document complet