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Before Using Imovane

Imovane may cause a special type of memory loss or amnesia. When this occurs, a person does not remember what has happened during the several hours between use of Imovane and the time when its effects wear off. This is usually not a problem since most people fall asleep after taking Imovane. In most instances, memory problems can be avoided by taking Imovane only when you are able to get a full night's sleep (7 to 8 hours) before you need to be active again. Be sure to talk to your doctor if you think you are having memory problems.

In deciding to use Imovane, the risks of taking Imovane must be weighed against the good it will do. This is a decision you and your doctor will make.

Proper Use of Imovane
Take Imovane only as directed by your doctor . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If too much Imovane is taken, it may become habit-forming (causing mental or physical dependence).

Do not take Imovane when your schedule does not permit you to get a full night's sleep (7 to 8 hours) . If you must wake up before this, you may continue to feel drowsy and may experience memory problems, because the effects of Imovane have not had time to wear off.

Precautions While Using Imovane
If you think you need to take Imovane for more than 7 to 10 days, be sure to discuss it with your doctor. Insomnia that lasts longer than this may be a sign of another medical problem.

Imovane will add to the effects of alcohol and other CNS depressants (medicines that cause drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using Imovane.

Imovane may cause some people, especially older persons, to become drowsy, dizzy, lightheaded, clumsy or unsteady, or less alert than they are normally. Even though Imovane is taken at bedtime, it may cause some people to feel drowsy or less alert on arising. Make sure you know how you react to Imovane before you drive, use machines, or do anything else that could be dangerous if you are dizzy, or are not alert or able to see well .

If you develop any unusual and strange thoughts or behavior while you are taking Imovane, be sure to discuss it with your doctor. Some changes that have occurred in people taking Imovane are like those seen in people who drink alcohol and then act in a manner that is not normal. Other changes may be more unusual and extreme, such as confusion, worsening of depression, hallucinations (seeing, hearing, or feeling things that are not there), suicidal thoughts, and unusual excitement, nervousness, or irritability.

If you will be taking Imovane for a long time, do not stop taking it without first checking with your doctor. Your doctor may want you to gradually reduce the amount of Imovane you are taking before stopping completely. Stopping Imovane suddenly may cause withdrawal side effects.

After taking Imovane for insomnia, you may have difficulty sleeping (rebound insomnia) for the first few nights after you stop taking it.

If you think you or someone else may have taken an overdose of Imovane, get emergency help at once . Taking an overdose of Imovane or taking alcohol or other CNS depressants with Imovane may lead to breathing problems and unconsciousness. Some signs of an overdose of Imovane are clumsiness or unsteadiness, mental or mood changes, severe drowsiness, or unusual tiredness or weakness.

Side effects of Imovane
Along with its needed effects, Imovane may cause some unwanted effects. Although not all of these side effects with Imovane may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

More common side effects of Imovane
Confusion - more common in older adults; clumsiness or unsteadiness - more common in older adults; daytime anxiety and/or restlessness; difficulty with coordination - more common in older adults; mood or mental changes

Less common side effects of Imovane
Drowsiness (severe); shortness of breath; difficult or labored breathing; tightness in chest; wheezing; skin rash; aggressiveness; behavior changes

Rare side effects of Imovane
Memory problems - more common in older patients; behavior or mental changes

Symptoms of Imovane overdose:

Get emergency help immediately if any of the following symptoms of overdose occur:

Clumsiness; unsteadiness; mental or mood changes; drowsiness (severe); unusual tiredness or weakness; sluggishness; reduced physical activity; unusual sleepiness; loss of consciousness

Imovane may cause you to have a coated tongue, bad breath, or a bitter taste. These effects are to be expected when you are taking Imovane.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Imovane Abuse

Imovane and other sedative hypnotic drugs are detected frequently in cases of people suspected of driving under the influence of drugs. Other drugs including the benzodiazepines and zolpidem are also found in high numbers of suspected drugged drivers. Many drivers have blood levels far exceeding the therapeutic dose range suggesting a high degree of abuse potential for benzodiazepines, zolpidem and zopiclone.

Imovane has cross tolerance with barbiturates and is able to suppress barbiturate withdrawal signs. Imovane is frequently self administered intravenously in studies on monkeys suggesting a high risk of abuse potential.

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