"Somnol" preparation: instructions for use, analogues, reviews
Many of us have had problems sleeping at least once in our life. If this has become a commonplace for you and hinders your daily life, you can safely say that you have an upset of the natural physiological process of staying in a state with a minimum level of brain activity and a weak response to the world around you. Because of sleep disturbance, not only drowsiness appears, but mental balance and health deteriorates. If you have problems of this nature, you will be helped by the drug "Somnol".Indications for use, a description of the pharmacological action, reviews of doctors and patients, as well as no less effective analogs of the drug are discussed in this material.
Dosage form and composition
The drug in the network of pharmacies comes in the form of biconvex white tablets in a shell, on the front side of which there is a risk. They are packaged in blisters of 10 pieces. In one tablet, "Somnol" contains 7.5 mg of zopiclone, potato starch, magnesium stearate, anhydrous calcium hydrogen phosphate, sodium glycate, silicon dioxide, aerosil, as well as povidone and dye.
Farmakodinamika
The basic substance that is part of "Somnol" is a hypnotic, which belongs to a group of cyclopyrrolones. Zopiclone has a hypnotic, sedative, anticonvulsant, tranquilizing and miorelaksiruyuschee effect. These pharmacological effects are due to the action of the main substance on the receptors of the central nervous system.
When taking the drug, the main substance of which is zopiclone, the time of falling asleep and the frequency of nocturnal awakenings decreases, the length of sleep and its quality increase.
With prolonged treatment, up to 4 months, the drug "Somnol" is not addictive( the instruction for use indicates this).
Pharmacological action of
The main difference of "Somnol" from other hypnotic drugs is the presence in its composition of a chemical compound called zopiclone. This tool reduces the time of falling asleep, supports sleep after its onset, without disturbing the phase change and its quality. The effect of the drug comes in half an hour after its adoption and lasts for 6-8 hours, which coincides in time with the length of the normal, natural physiological process of staying in a state with minimal brain activity and a lower response to what is happening around.
Unlike barbiturates and benzodiazepines, there is almost no feeling of drowsiness and weakness when taking "Somnol".Instructions for use indicate that the half-life of the body does not exceed 3.5-6 hours, even with prolonged use, metabolites are not cumulated. The testimonies indicate that this remedy removes headaches, people with asthma suffer a decrease in frequency of night and morning attacks, as well as their duration and intensity.
"Somnol" preparation: instructions, indications for use
In what cases do you use the medication? The drug "Somnol" instruction recommends the use in case:
- Primary sleep disorders( problems with falling asleep, frequent awakenings at night, situational and transient forms of insomnia).
- Bronchial asthma, characterized by nocturnal and morning bouts. It is taken in conjunction with Teofillin.
- Secondary sleep disorders in mental disorders.
Way of administration and dose of
The preparation "Somnol" is taken orally( the instruction indicates this).Use the medication is recommended for a short time, no more than 4 weeks, taking into account the period of dose reduction. It is possible to increase the duration of therapy only after a second assessment of the patient's condition.
Treatment should be started with a minimum dosage, in no case should it exceed the maximum allowable dose.
The drug "Somnol" instruction for use recommends taking mainly before bedtime.
In case of disruption of the kidneys, treatment should begin with half a tablet( 3.75 mg), despite the fact that the cumulation of zopiclone and metabolites in renal failure is not noted.
For patients up to 65 years of age, the drug "Somnol" instructions for the use of a tablet of 7.5 mg recommends taking once a day.
In case of liver failure, treatment starts with 3.75 mg not more often than once a day, since the duration of excretion of medication in such patients is reduced. If necessary, the dosage can be increased to 7.5 mg, while the individual sensitivity to the constituent components of the drug must be taken into account.
With respiratory failure, treatment, as well as with impaired liver function, begins with 3.75 mg not more than once a day. This technique is also used for people over 65 years of age, if necessary, the dosage can be gradually increased.
Whatever the indications for the use of the drug "Somnol", the daily dose should not be more than 7.5 mg. With transient insomnia, treatment lasts no more than 5 days, and for a situational one - no more than 3 weeks. As for the chronic form, in such a situation the course of therapy is determined only by a specialist.
Drug Interaction
When simultaneous reception of the drug "Somnol" with neuroleptics, other drugs of hypnotics, anticonvulsant and sedative action, tranquilizers, antidepressants, opioid analgesics, anesthetics or erythromycin, the oppressive effect on the central nervous system is enhanced.
In the treatment of this medication in blood plasma, the concentration of trimipramine decreases and its effect diminishes.
The drug "Somnol" instructions for use prohibits the use of concomitantly with ethanol, as this may cause increased sedative effect of the main substance - zopiclone.
Side effects of
According to reviews of specialists and patients, treatment with "Somnol" can be accompanied by the following undesirable effects:
- Nervous system - drowsiness, a feeling of shattered sleep, headache, dizziness, depressed mood, loss of ability to remember events. As a result, the use of this hypnotic in some cases there are paradoxical reactions: increased irritability, which can develop into aggressiveness, coordination of movements, concentration of memory, speed of mental reactions decreases, consciousness becomes confused, depression appears. After the patient stops taking the drug "Somnol"( instructions, indications for use are given in this material), he may have a transient sleep disorder.
- Digestive tract - the normal activity of the stomach is disrupted, a metallic or bitter taste appears in the mouth.
- Laboratory indicators - in the blood serum hepatic transaminases and alkaline phosphatase are elevated.
- Immune system - allergic reactions appear in the form of hives, itchy skin, in rare cases - angioedema.
Contraindications to the use of
The use of the drug "Somnol" instruction does not allow:
- When hypersensitivity to the constituent components.
- Nightly respiratory movement.
- The average or severe degree of autoimmune neuromuscular disease.
- Respiratory, renal or hepatic insufficiency.
- Pregnancy.
- During lactation.
In addition, this hypnotic is contraindicated in children under the age of 18 years.
Do not forget that taking medication can cause dependence, there is also a development of withdrawal syndrome, so it is strictly forbidden to increase the dose and duration of treatment without consulting an experienced specialist.
Overdosing of
Symptoms of exceeding recommended doses depend on how much the central nervous system is suppressed. Most often there is drowsiness, less often a person falls into a coma. For first aid, the patient must be washed out of the stomach, take activated charcoal, if necessary, use symptomatic therapy in a hospital. Hemodialysis with an overdose of "Somnol" has an ineffective effect. As an antidote, you can use a drug from a group of detoxifying drugs - Flumazenil.
Special instructions
The drug "Somnol"( instructions for use, reviews are detailed in this material), patients with kidney and liver diseases and elderly people should be especially cautious. During the treatment period, the use of alcoholic beverages is strictly forbidden.
Under the influence of alcohol, the sedative effect of the hypnotic is increased. The combined use of these drugs causes drowsiness after awakening, which adversely affects the ability to drive.
Reception "Somnola" can lead to the development of mental and physical dependence. Such cases are extremely rare when the course of treatment does not exceed one month. If the dose and duration of administration of the drug were independently increased, the likelihood of the development of the dependence increases.
The risk also increases with the appointment of a hypnotic to people with personality changes and with a history of records of excessive consumption of alcoholic beverages and dependence on certain medications. The sudden stopping of taking sleeping pills in patients with addiction can lead to the development of withdrawal syndrome, which is characterized by the appearance of a sense of fear, headaches and muscle pains, confusion, internal tension. In rare cases, personality changes are observed, limbs become less sensitive, convulsions and hallucinations appear.
After discontinuation of treatment, it is possible to resume transient insomnia accompanied by one of the symptoms of withdrawal syndrome. Therefore, you need to complete therapy gradually.
If, after treatment, "Somnol" continues to experience problems with falling asleep or disturbing waking at night to avoid the appearance of anterograde amnesia, it is recommended to take a hypnotic immediately before going to bed.
Usage during pregnancy
The lack of clinical data is a significant reason to refuse taking "Somnol" in the first trimester of pregnancy. If necessary, the use of the drug in the last months of bearing a child is permissible, but only in minimum doses.
Zopiclone, which is part of "Somnol", in the third trimester of pregnancy can cause the fetus symptoms of hypothermia and hypotension, it should also be noted the likelihood of respiratory depression and excessive drowsiness. And in a newborn in the first days of life, there may be a manifestation of withdrawal symptoms.
If the drug is prescribed to women of childbearing age, they should be aware of the need to seek the advice of a specialist for deciding whether to discontinue treatment in the case of pregnancy planning.
Since the active substance "Somnola" is excreted in the mother's milk, taking the drug during breast-feeding can cause weakness and reduced tone in the newborn.
Storage and dispensing rules in pharmacies
Store the hypnotic drug in dry, not accessible places for children, where direct sunlight does not reach and where the air temperature does not exceed 25 degrees.
You can buy the medicine on average for 200 rubles and only if you have a prescription for a doctor, it is not intended for independent use.
Preparation "Somnol": instructions for use, analogues
Reviews of sleeping pills are contradictory. Some note that when taking medication they were able to get rid of insomnia, headaches and frequent nocturnal awakenings. Other patients believe that the drug did not relieve them of existing problems.
In any case, if the medicine is taken on the recommendation of a doctor, following the instructions clearly, the drug "Somnol" copes well with insomnia. Analogues, the indications for use of which may vary slightly, have no less effective effect. The most famous medicinal products of the same action are:
- Sonovan;
- "Imovan";
- "Andante";
- "Selofen";
- Zopiclone;
- Adorma;
- "Normason";
- Sonat;
- Donormil;
- "Piclon".