Kraj: Kanada
Język: angielski
Źródło: Health Canada
ZOPICLONE
SUN PHARMA CANADA INC
N05CF01
ZOPICLONE
5MG
TABLET
ZOPICLONE 5MG
ORAL
250ML
Prescription
MISCELLANEOUS ANXIOLYTICS SEDATIVES AND HYPNOTICS
Active ingredient group (AIG) number: 0122562002; AHFS:
APPROVED
2011-12-01
Page 1 of 39 PRODUCT MONOGRAPH Pr TARO-ZOPICLONE Zopiclone Tablets, House Standard 5 mg and 7.5 mg Hypnotic and Sedative Sun Pharma Canada Inc. Date of Revision: 126 East Drive June 26, 2020 Brampton, Ontario L6T 1C1 Submission Control No.: 239547 Page 2 of 39 NAME OF DRUG Pr TARO-ZOPICLONE Zopiclone Tablets, 5 mg and 7.5 mg Hypnotic and Sedative WARNING: RISKS FROM CONCOMITANT USE WITH OPIOIDS Concomitant use of zopiclone and opioids may result in profound sedation, respiratory depression, coma, and death (see WARNINGS, Risks from concomitant use of opioids and benzodiazepines or other CNS depressants). · Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. · Limit dosages and duration to the minimum required. · Follow patients for signs and symptoms of respiratory depression and sedation. ACTIONS, CLINICAL PHARMACOLOGY Zopiclone, a cyclopyrrolone derivative, is a short-acting hypnotic agent. Zopiclone 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 GABA A 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 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 Przeczytaj cały dokument