I will continue to use only one tablet till I see my doctor on monday and see if I could switch to ativans,these pills leave a funny taste in the mouth,without a sleeping aid it would be to hard to sleep under these meds, thanks for all the info.....
P.S. I have the 7.5 mg (little blue wonders), so the calculations I gave for half, quarter etc, would be little out. However, I wouldn't have made it through tx without them; I just wasn't sleeping at all.
I used zopiclone throughout tx. While it is habit forming, I was told it is the least habit forming of many of the sleepers.
I became quite adept at using it. I only ever used 1 tablet once, because a whole one -v- a half didn't seem to make too much difference with the length of sleep; i.e. using a half seemed to get me off for 2 - 4 hours, the same as using a whole one. Some nights I would sleep 6 hours with only a half; but because I was drinking so much water, I usually got up after 3 hours regardless. What I did like was that I seemed to get back to sleep okay (most of the time), and when I didn't, a late night snack and cuppa generally did the trick so I didn't have to resort to the other half.
To make this all possible, I got a pill cutter from the chemist, and cut it in half. I'd take a half, and leave the other half next to the bed if I needed it in the middle of the night (then I knew how much I'd taken). I'm now post tx, and during the week (while I'm working) I generally take a quarter, but weekends can manage without and will be cutting them out when I'm on holiday in a couple of weeks' time.
My nurse said to try to go without for at least 1 night a week while taking them. My specialist said to 'do whatever it takes' to get though the tx, and to take 2 if I needed to.
Another lady I knew on 48 weeks tx (I did 24), was taking 2 a night, but sometimes they just weren't working, so I do think that long time usage renders them less potent. I found them a Godsend and went from taking a half, to a third, to a quarter (with the help of the pill cutter). They would just relax me enough to let my body shut down.
I have to say, that I wasn't under the pressure of working during tx, so I had some very late nights (on the computer :-), and didn't go to bed until I started feeling tired; the zopiclone taken 45 minutes before heading for the bedroom, then I'd read a book while having a chamomile tea, and sleep was miraculously come. Good luck.
I looked this up, curious about the med, and have copied what I read and the link below. There is a dose limit mentioned. Maybe there is someone on call for your doc who will advise you. This drug is a hypnotic, and maybe a differerent class of sleep aid would work better for you.
I find that there is an element of anxiety in my mood (the Riba makes me feel hyper and unsettled) which is greatly increased since I've been on these tx drugs, and I take clonazepam for sleep. It's a relative of valium, or diazepam, and helps me relax so I can realize how tired I am, lol. jd mentioned lorazepam, these three drugs are all benzodiazepines.
Gosh, now it sounds like I'm trying to sell a class of drugs, but what I'm saying is that maybe a hypnotic is not the best type of sleep med, there are others which might work better. I don't like calling docs on weekends but that's why they make the big bucks. Or it could be a question for your visit.
Good luck, it's tough when you aren't sleeping well. Maybe there's something below that will help you.
Lapis
http://www.medbroadcast.com/drug_info_details.asp?brand_name_id=4715
Brand Name
CO Zopiclone
Common Name
zopiclone
DIN (Drug Identification Number)
02271931 CO ZOPICLONE 5 MG TABLET
02271958 CO ZOPICLONE 7.5 MG TABLET
How does this medication work? What will it do for me?
Zopiclone belongs to the class of medications called hypnotics. It is used for the short-term and symptomatic relief of sleep disturbances. Zopiclone can help with difficulty falling asleep, frequent awakenings during the night, or early morning awakenings. Zopiclone should usually not be taken for more than 7 to 10 consecutive days. It should be used only by people for whom disturbed sleep results in functioning problems during the day.
Your doctor may have suggested this medication for conditions other than the ones listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.
How should I use this medication?
The recommended adult dose of zopiclone ranges from 5 mg to 7.5 mg taken just before bedtime. Do not exceed this dose. This medication may be habit-forming and should be taken exactly as prescribed by your doctor. If you have been taking this medication regularly for an extended period of time, do not stop taking it suddenly without talking with your doctor.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones given here, do not change the way that you are taking the medication without consulting your doctor.
It is very important that you take this medication exactly as prescribed by your doctor. Do not take this medication when a full night's sleep is not possible before you would again need to be active and functional. Memory lapses may occur in such situations. Your body needs time to eliminate the medication from your system.
What form(s) does this medication come in?
5 mg
Each white-to-off-white, round tablet, with "Z5" on one side and a logo on the other side, contains zopiclone 5 mg. Nonmedicinal ingredients: calcium hydrogen phosphate, HPMC 2910/hypromellose 6cP, lactose monohydrate, macrogol/PEG 3000, magnesium stearate, potato starch dried, silicon dioxide, sodium starch glycolate, titanium dioxide and triacetine/glycerol triacetrate.
7.5 mg
Each blue, oval tablet, with "Z 7.5" on one side and a logo on the other side, contains zopiclone 7.5 mg. Nonmedicinal ingredients: calcium hydrogen phosphate, FD&C Blue No. 1/Billiant Blue FCF Aluminum Lake, macrogol/PEG 3350, magnesium stearate, polyvinyl alcohol (partially hydrolyzed), potato starch dried, silicon dioxide, sodium starch glycolate, talc and titanium dioxide.
Some medications may have other generic brands available. Always ask your doctor or pharmacist about the safety of switching between brands of the same medication.
Who should NOT take this medication?
Zopiclone should not be taken by anyone who:
* is allergic to zopiclone or any of the medications belonging to the benzodiazepine class or any of the ingredients of the medication
* has severe breathing difficulties
* has sleep apnea
Also, you can google the medicine safety sheet and read what it says about safe dosages. I did that before I upped my dose of temazepam.
I can't answer your question but I can tell you my experience.
I also take a sleep aid (temazepam 10mg) and have found that it was only working for about 3 hours. Recently I doubled the dose and am now getting much better quality and length of sleep. I believe you can't underestimate the importance of a good night's sleep while on tx, it makes the whole experience for more do-able. My worst days are the days I have not had enough sleep the previous night. I decided to up the dose for now, and when I stop tx I will start tapering off the sleepers. Prior to tx I never needed them.
Also, I have an antihistamine called phenergan that I use as an alternative when I don't want to take the sleepers for a couple of days. It makes me sleep very soundly but it is quite dehydrating and I find it can make me a bit grumpy in the mornings so I only use them now and then to prevent getting an addiction to the sleepers.
I don't think an extra half will do you any harm, esp as I have heard most people take the 7.5mg tabs of zopiclone.
Sorry, I don't know about increasing the dose of that med. Thought I would let you know that I found ativan (lorazepam) very helpful for uninterrupted sleep.
jd