"Iwadal": instructions for use, reviews, analogues
Modern people suffer more and more often from such a sleep disorder as insomnia. This state is characterized by insufficient duration, or unsatisfactory quality of sleep, or a combination of the listed phenomena that continue for a long time. 
The causes of this disorder can be different. More often to them carry strong overfatigue, noisy or too light premise, various diseases and other.
To eliminate insomnia, most people use sleeping pills. The most effective of them include the medicine "Ivadal".The instructions for use, analogs, properties and features of this medication will be described below.
Packaging, dosage form, description and composition
In what form is the sleeping pills "Iwadal" made? The medication for insomnia can be found in the form of white oblong tablets with a fault line, as well as engraving "SN 10" on one side. They are film-coated and contain an active ingredient such as zolpidem tartrate.
As additional components, the preparation in question includes lactose monohydrate, magnesium stearate, microcrystalline cellulose, hypromellose and sodium carboxymethyl starch. The composition of the film shell includes hypromellose, macrogol 400 and titanium dioxide.
You can buy this product in blisters, enclosed in cardboard bundles.
Pharmacodynamic characteristics of
What are Ivalad tablets? The instruction says that this is a hypnotic from the group of imidazopyridines. By their pharmacological activity, they are very close to benzodiazepines.
This medication has effects similar to other agents of the same group: anxiolytic, myorelaxing, hypnotic, sedative, amnestic and anticonvulsant. 
The principle of action of the drug under consideration is associated with a specific agonistic effect on the central ω-receptors that pertain to macromolecular GABA receptor complexes, which causes the opening of neuronal anion channels for the entry of chlorine.
The active substance of this drug selectively interacts with benzodiazepine receptors, so the sedative effect of the drug is already observed at low doses.
The patient zolpidem shortens the period of falling asleep, and also reduces the number of nocturnal awakenings, increases the total duration of sleep and improves its quality.
A sufficient concentration of this agent in the blood provides a sleep lasting 8 hours.
This preparation has low toxicity. Moreover, it does not cause addiction, does not contribute to anterograde amnesia, morning weakness and daytime drowsiness.
Kinetics of the drug
Is the sleeping pills "Iwadal" absorbed? Instructions for use, reviews report that when administered, the drug in question is rapidly absorbed from the digestive tract. The peak concentration of the drug in the blood is observed after 2.5 hours. Its bioavailability is 70%, and the connection with plasma proteins is 92%.
The drug is metabolized in the liver. Its inactive metabolites are excreted mainly with urine and feces for 2.5 hours.
Indications
What disorders require taking Ivalad tablets? The doctors' comments say that this medication is very effective at:
- nightly awakenings;
- chronic sleep disorders;
- situational and transient insomnia associated with stressful situations;
- sleep disorders, which are associated with a difficult process of falling asleep.
Contraindications
When should I not use sleeping pills Iwadal? Instruction for use reports such contraindications as:
- sleep apnea;
- respiratory failure is severe;
- is a minor age;
- pregnancy period in the first trimester;
- breastfeeding;
- hypersensitivity to the drug;
- deficiency of lactase, galactosemia, intolerance to galactose or glucose.
It should also be noted that only under strict indications the drug in question is prescribed in the second and third trimesters of pregnancy, with violations in the liver, as well as with addiction, alcoholism and myasthenia gravis.
Tablets "Iwadal": instruction for use
The given drug is taken orally just before bedtime. For people under 65, this medication is prescribed in a dose of 10 mg, and older than that age - 5 mg.
Duration of treatment with this remedy for situational insomnia is 2-4 days. With short-term insomnia, the drug is taken up to three weeks, but not more than one month.
The duration of therapy for chronic insomnia is determined by the doctor.
According to experts, the drug "Ivadal", whose analogs are listed below, can not be taken in high dosages and in combination with other hypnotics, including benzodiazepines. Also his long and continuous reception is forbidden.
Side effects of
Does it cause side effects of sleeping pills Iwadal? Consumer feedback reports that such reactions occur extremely rarely. Typically, they include the following:
- headaches;
- nightmarish dreams;
- memory impairment;
- daytime drowsiness;
- diplopia;
- gait violation;
- confusion;
- rash and itching on the skin;
- vomiting, abdominal pain and stool disorders.
Overdose with
tablets What signs of an overdose can Ivadal medication cause? Instruction for use says that in this case, there are violations of consciousness( inhibition and confusion), down to a coma, and also observed ataxia, hypotension and respiratory depression.
To eliminate such conditions, the victim is provoked with vomiting and washed the stomach. Sorbents are also prescribed and maintain the function of respiration.
Interaction with other
agents Can I combine sleeping pills with Ivadal with other medicines? Instruction for use informs that this product can not be used together with ethyl alcohol.
Respiratory depression and CNS can occur with the simultaneous use of barbiturates, neuroleptics, hypnotics, antidepressants with sedative action, morphine derivatives, antihistamines and antiepileptic drugs, as well as anesthesia drugs and antihypertensive agents of central action.
Special recommendations
Before prescribing a sleeping pill "Ivadal", it is necessary to establish the true cause of sleep disorders.
Preservation of insomnia for two weeks after initiation of therapy indicates the presence of mental disorders or abnormalities on the part of the National Assembly. To detect such abnormalities, the patient must be reassessed regularly.
The use of zolpidem in people with signs of depression requires caution.
The use of alcohol and other drugs with oppressive effects on the central nervous system, as well as taking medicines at elevated dosages increases the risk of abnormal behavior.
After a course of taking the drug for several weeks, there is a slight decrease in its hypnotic and sedative effects.
Analogues and price
The cost of sleeping pills "Ivadal" in the amount of 20 tablets can be 2600-3500 rubles. If necessary, the drug under consideration is replaced with drugs such as "Snovitel", "Hypnogen", "Zolpidem", "Zolsana", "Zonadin", "Sanvall", "Onria", "Nitrust".
Reviews
Insomnia significantly reduces the quality of life of any person. Modern sleeping pills are quite effective in treating chronic and short-term sleep disorders. One of them includes the drug "Ivadal".
According to consumers' reviews, this means even in the minimum dose promotes the speediest onset of sleep. Moreover, after awakening the medication does not cause a feeling of lethargy, weakness and fatigue.
Most patients use this medication situationally, that is, as needed. 
Consumers claim that this drug is well tolerated with strict adherence to the regime and does not cause dependence.