Lunesta

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Lunesta Prescription Information

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Lunesta TabletsThe following information is a summary about Lunesta. It is not intended to replace a doctor's instructions.

What Is Lunesta?
Lunesta is a prescription medicine for adults to treat insomnia where the problem is trouble falling asleep.



With the exception of Lunesta, all other prescription medications indicated for insomnia are classified as Schedule IV controlled substances by the DEA. Additionally, Lunesta is the first prescription insomnia medication with a new therapeutic mechanism of action in 35 years.

How Should I Take Lunesta?
Take Lunesta by mouth within 30 minutes of going to bed. Do not take Lunesta with or right after a high fat meal.

Who Should Not Take Eszopiclone?
You should not take Lunesta if you have any of the following conditions:

  • are allergic to ramelteon or any of its ingredients
  • have severe liver disease
  • What Are The Risks?
    The following are the major potential risks and side effects of Eszopiclone therapy. However, this list is not complete. The following are the major potential risks and side effects of Lunesta therapy:

  • Worsening of insomnia, mental, or behavior changes. These may happen if your insomnia is caused by a mental or medical problem. Your healthcare professional should check you carefully for other health problems before prescribing Lunesta. Tell your healthcare professional if you develop:
    • Worse insomnia.
    • Mental problems including thoughts of harming yourself.
    • Behavior changes.
    • Drowsiness.  Lunesta may affect your ability to drive or do other dangerous activities. Do not do these activities after taking Lunesta.  After taking Lunesta, do only activities needed to get ready for bed. 
    • Affect reproductive hormones.  Lunesta may affect the reproductive hormones by increasing prolactin and potentially decreasing testosterone levels. This may cause missed monthly periods, nipple drainage, decreased sex drive, or problems getting pregnant.  Your healthcare professional may do blood tests to check your hormone levels if you have any of these symptoms. 
  • Some common side effects that may occur with Lunesta include: headache, daytime sleepiness, dizziness, tiredness, nausea, worsening insomnia, colds.
  • What Should I Tell My Healthcare Professional?
    Before you start taking Lunesta, tell your healthcare professional if you:

  • Have or had liver disease.
  •  
  • Have breathing problems when you sleep (severe sleep apnea) or a lung disease called severe chronic obstructive pulmonary disease (COPD).  Lunesta is not recommended if you have these problems.
  •  
  • Are trying to become pregnant, already pregnant, or are breastfeeding.
  •  

    Can Other Medicines or Food Affect Eszopiclone?
    Lunesta and certain other medicines can interact with each other. Tell your healthcare professional about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Some medicines may affect how Lunesta works or Lunesta may affect how your other medicines work. Know the medicines you take. Keep a list of them with you to show your healthcare professional.

    Especially, tell your healthcare professional if you take: fluvoxamine, rifampin (Rifadin), ketoconazole (Nizoral), fluconazole (Diflucan).

    Tell your healthcare provider if you drink alcohol.  Alcohol may increase the side effects with Lunesta.



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