Siesta
Generic Name
Eszopiclone
Manufacturer
Incepta Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| siesta 3 mg tablet | ৳ 4.00 | ৳ 40.00 |
Description
Overview of the medicine
Siesta 3 mg Tablet contains Eszopiclone, a non-benzodiazepine hypnotic, used for the treatment of insomnia. It helps individuals fall asleep faster and stay asleep longer.
Uses & Indications
Dosage
Adults
Initial dose 1 mg once daily immediately before bedtime. The dose can be increased to 2 mg or 3 mg if clinically indicated. Maximum recommended dose is 3 mg.
Elderly
Initial dose 1 mg once daily immediately before bedtime. Max dose 2 mg for elderly.
Renal_impairment
No dosage adjustment necessary for mild to moderate renal impairment. Use with caution in severe renal impairment.
How to Take
Oral administration. Take immediately before going to bed, and only if you are able to get a full night's sleep (7 to 8 hours) before you need to be active again. Do not take with or immediately after a heavy, high-fat meal.
Mechanism of Action
Eszopiclone is a nonbenzodiazepine hypnotic that is a pyrrolopyrazine derivative of the cyclopyrrolone class. It is thought to act by interacting with the GABA-A receptor complex at a site distinct from, but allosterically coupled to, the benzodiazepine binding site. This interaction enhances the effect of GABA, an inhibitory neurotransmitter, leading to sedative, hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties.
Pharmacokinetics
Onset
Within 30-60 minutes.
Excretion
Excreted primarily in the urine, with a small amount in feces, mainly as metabolites. Less than 10% is excreted as unchanged drug.
Half life
Approximately 6 hours.
Absorption
Rapidly absorbed after oral administration. Peak plasma concentrations are reached within approximately 1 hour.
Metabolism
Extensively metabolized by oxidation and demethylation via cytochrome P450 (CYP3A4 and CYP2E1) pathways, primarily in the liver.
Side Effects
Contraindications
- •Known hypersensitivity to Eszopiclone or any component of the formulation.
- •Patients who have experienced complex sleep behaviors (e.g., sleepwalking, sleep-driving, engaging in other activities while not fully awake) after taking Eszopiclone.
- •Severe hepatic impairment.
Drug Interactions
CYP3A4 Inducers (e.g., Rifampicin)
May decrease Eszopiclone levels, reducing efficacy.
CYP3A4 Inhibitors (e.g., Ketoconazole, Itraconazole)
May increase Eszopiclone levels, leading to increased sedation. Dose adjustment may be necessary.
CNS Depressants (e.g., Alcohol, other hypnotics, opioids)
Additive CNS depressant effects, increasing risk of respiratory depression, profound sedation, and coma.
Storage
Store in a cool, dry place, below 30°C. Protect from light and moisture. Keep out of reach of children.
Overdose
Symptoms of overdose include excessive sedation, confusion, ataxia, slurred speech, respiratory depression, and coma. Treatment is primarily supportive; gastric lavage or activated charcoal may be considered if ingested recently. Flumazenil may be considered in severe cases, but has not been evaluated in Eszopiclone overdose.
Pregnancy & Lactation
Pregnancy Category C. Should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus. It is unknown if Eszopiclone is excreted in human milk; caution should be exercised when administered to a nursing mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months from manufacturing date.
Availability
Pharmacies, Hospitals
Approval Status
FDA approved
Patent Status
Patent expired
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Global Brand Names
International brand names for this medicine
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