STILNOX 10 mg. 7 tablets
Stilnox has a hypnotic and sedative.
This medicinal product belongs to the benzodiazepine similar substances. For treatment of transient insomnia.
2. What you need to know before taking Stilnox
Do not take Stilnox
• if you are allergic to zolpidem or any of the other ingredients of this medicine
• difficulty in breathing;
• severe liver disease;
Warnings and Precautions
Talk to your doctor or pharmacist or nurse before taking Stilnox.
If treatment is insufficient effectively double dose.
The risk of dependence: in case of prolonged treatment, can develop physical and psychological dependence. There are several factors that contribute to the development of dependence: duration of treatment; dosage;
- Cases of addiction to other substances (drugs or alcohol)
Dependence may occur in patients who these factors are not present
Discontinuation of treatment can suddenly cause withdrawal syndrome. Appears after a few hours or days and is characterized by the following features: marked anxiety, insomnia, muscle pain, anxiety, irritation, headache, numbness and sensitivity of the fingers and toes, hypersensitivity to noise, light and touch, etc. .
Discontinuation of treatment should first be discussed with your doctor.
Gradually reducing the dose and increase the interval between doses is the best way to prevent withdrawal symptoms. The longer he was taking the medicinal product, the longer should be this period.
Regardless of gradual dose reduction is possible to show "resumed" insomnia (so-called "rebound" insomnia). It is not serious, as the recovery of the symptoms of a transitional nature and leads to initial reception of the product.
A few hours after administration of the drug can be observed memory disorders and psychomotor function.
To reduce these risks the medicinal product should be taken immediately before bedtime (see item 4) in the presence of conditions necessary for uninterrupted sleep a few hours.
In some patients, this medicine may cause effects opposite of the desired: insomnia, nightmares, agitation, nervousness, euphoria or irritability, tension, impaired consciousness, even potentially dangerous behavior (aggression towards yourself and others, behavioral disturbances and automatism in behavior).
Somnambulism and Associated behaviors:
Walking during sleep and other Associated behaviors "drive during sleep," the preparation and consumption of food, making phone calls, or having sex, with no memory of these events have been reported in patients who received zolpidem and were not fully awake.
Alcohol and other CNS-depressants with zolpidem simultaneously increase the risk of such behavior, and the use of zolpidem at doses higher than the recommended maximum. Discontinuation of zolpidem is strongly recommended in these patients (eg, "driving while asleep") because of the risk for the patients themselves and others.
If you notice any of these effects, contact your doctor.
Elderly patients should be very careful in the use of benzodiazepines and similar substances, due to the risk of sedation and / or muscle weakness, leading to injuries serious consequences.
This treatment administered alone can not solve the problems of insomnia. Seek advice to your doctor who will help you deal with the problem.
Strict medical supervision is necessary when using this product, especially in chronic liver disease, alcoholism, and respiratory failure.
If sleeplessness persists or worsens after a short period of treatment, consult your doctor.
This medicine does not cure depression. Should not be used alone in patients with depression, since it promotes the emergence of suitsidalni intentions (suicidal).
Children and adolescents
In patients aged less than 18 years the safety and efficacy of zolpidem have not been established.
As a precaution, it is recommended that use of zolpidem in pregnancy.
Stilnox with food and drink
Do not use alcohol during treatment.
Other medicines and Stilnox
Tell your doctor or pharmacist or nurse if you are taking, have recently taken or might take any other medicines.
Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, think you may be pregnant or planning to become pregnant, talk with your doctor or pharmacist before taking this medicine.
As a precaution, it is recommended that use of zolpidem during pregnancy .. If zolpidem is administered during the late phase of pregnancy or during labor, effects on the neonate, such as hypothermia, hypotonia and moderate respiratory distress can be expected due to the pharmacological effect of the product. Cases of severe respiratory distress in late pregnancy have been reported in neonates after the use of zolpidem with other depressants of the central nervous system.
In neonatal withdrawal syndrome was observed a few days or weeks after birth.
When prescribing zolpidem during pregnancy newborn should be closely monitored.
This medicine passes into breast milk and therefore breastfeeding is not recommended.
Driving and using machines
The ability to drive and use machines may be impaired due to drowsiness and impaired alertness. Any combination with other sedative or hypnotic drugs and alcohol should be avoided when driving or operating machinery. The risk of impaired vigilance is enhanced in the absence of sufficient sleep.
Stilnox contains lactose. If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this product.
3. How to take Stilnox?
Always Primea this medication exactly as prescribed by your doctor or pharmacist. If you are not sure, ask your doctor or pharmacist.
The recommended daily dose for adults is 10 mg. Be used immediately before bedtime.
Do not exceed the intake of one tablet daily. Strictly follow the instructions of your doctor.
Stilnox is intended for oral administration.
The dosage is determined strictly individual and can not be changed. Your doctor will find the optimal dose for you.
If insomnia persists, consult a physician.
Use in children and adolescents
Safety and efficacy of zolpidem in children aged up to 18 years have not been established. Therefore, zolpidem should not be prescribed to such patients.
If you take more dose Stilnox
Contact your doctor or the emergency department of the nearest hospital. If you forget to take Stilnox
Do not take a double dose to make up for a forgotten tablet. In case of failure of a dose, take the next as usual.
If you stop taking Stilnox
Discontinuation of treatment suddenly may cause withdrawal symptoms. Discontinuation of treatment should first be discussed with your doctor.
If you have any further questions on the use of this medicine, ask your doctor shi pharmacist or nurse.
4. Possible side effects
Like all medicines, this medicine can cause side effects, although not everybody gets them.
They depend on the intake and the sensitivity of the patient. Immune system
Not known: angioneurotic edema (severe allergic reaction which causes swelling of the face).
Common: drowsiness, headache, dizziness, exacerbated insomnia, loss of memory for subsequent events (ie. Pomegranate. Anterograde amnesia Hamnestichnite effects may be associated with inappropriate behavior). Not known: impaired consciousness.
Common: hallucinations, anxiety, nightmares, confusion, irritability, anxiety, aggression, delusions, anger, abnormal behavior, somnambulism (during sleep), dependence (withdrawal symptoms, or the effect of "renewed" insomnia, can be obtained after treatment discontinuation), libido disorders, depression. Most of these psychiatric side effects are related to paradoxical reactions.
Not known: skin rash (with or without itching), hyperhidrosis (excessive sweating).
General disorders Common: fatigue.
Not known: abnormal gait, drug tolerance, fall (especially in elderly patients and when zolpidem is not applied according to the recommended dose).
Eye disorders: Uncommon: diplopia.
Common: gastro-intestinal tract (diarrhea, nausea, vomiting, abdominal pain).
Respiratory, thoracic and mediastinal disorders
Uncommon: respiratory failure
Not known: increased liver enzymes
If you get any side effects, tell your doctor or pharmacist or nurse. This includes any possible effects not listed in this leaflet,.
5. How to store Stilnox?
Keep out of the reach and sight of children.
This medicinal product does not require any special storage conditions.
Do not use this medicine after the expiry date stated on the carton.
The expiry date refers to the last day of that month.
Do not use this medicine if you notice any visible sign of deterioration.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
6. Contents of the pack and other information
The active substance is zolpidemov tartrate. Each tablet contains 10 mg zolpidemov tartrate.
Other ingredients are: lactose, microcrystalline cellulose, methylhydroxypropyl cellulose, sodium starch glmkolat, magnesium stearate, titanium dioxide, polyoxyethylene glycol.
Stilnox looks like and contents of the pack?
White to off white, oblong, film-coated tablets scored rug and engraved on one side.
Stilnox is available in PVS / aluminum blisters in a carton containing :. - 7,10,14 and 20 tablets.
Not all pack sizes may be marketed.