Sanval - instruction , application reviews

Contents:

1. active substance

2. Product form

3. Composition

4. Indications

5. Contraindications

6. Dosing

7. Side effects

8. Cautions

9. drug interactions

10. Conditions and terms

Sanval - hypnotic drug withsedation.

active substance

Zolpidem (Zolpidem)

release form

The drug is available in the form of round, biconvex tablets, film-coated, 5 mg (pale pink) and 10 mg (white, with Valium on one side).Implemented tablets in blisters (10 units each) in packs of cardboard (1 or 2 blisters).

Composition

Sanval 5 mg

1 tab

zolpidem tartrate

5 mg

Excipients: microcrystalline cellulose, lacto

se monohydratesodium carboxymethyl starch, magnesium stearate, povidone, colloidal silicon dioxide.

shell composition: giproloza hypromellose, talc, macrogol 400 and titanium dioxide, carnauba wax, red iron oxide colorant.

Sanval 10 mg

1 tab

zolpidem tartrate

10 mg

Excipients: microcrystalline cellulose, lactose monohydrate, magnesium stearatesodium carboxymethyl starch, povidone, colloidal silicon dioxide.

shell composition: giproloza hypromellose, talc, Macrogol 400, carnauba wax, titanium dioxide.

Indications

Sanval prescribed for the following sleep disorders:

  • night and early awakening.
  • Difficulty falling asleep.

Contraindications Contraindications to the appointment of the drug are:

  • Chronic or severe acute liver failure.
  • Severe respiratory failure.
  • apnea syndrome during sleep.
  • Lactose intolerance, lactase deficiency, glucose-galactose malabsorption syndrome.
  • Hypersensitivity to the active ingredient or the excipients of the drug.
  • first trimester of pregnancy and during breastfeeding.
  • age of 18 years.

wary Sanval used for depression, mild to moderate form of liver failure, renal failure, mild to moderate form of respiratory failure, chronic obstructive pulmonary diseases, drug addiction, alcoholism, mental illness, myasthenia gravis, as well as during pregnancy (second andthe third trimester).

Dosing

The drug is taken orally 15-30 minutes after eating before going to bed.The tablets washed down with water.Dosages and treatment determined by the attending physician.

average daily dose for adults - 10 mg.If necessary, the dose was increased to 15 mg.The maximum permitted daily dose is 20 mg.

For patients with hepatic impairment and the elderly the initial dose is 5 mg.In the future (with good tolerability or absence of clinical effect) dose may be increased to 10 mg.

Duration of therapy should not exceed 4 weeks.When situational insomnia treatment varied from 2 to 5 weeks, while transient - from 2 to 5 days.Short courses of therapy do not require phasing out zolpidem.

Side effects

Application Sanvala may cause the following side effects:

  • Gastrointestinal: often - diarrhea;sometimes - abdominal pain, hiccups, flatulence, nausea, vomiting, gastroenteritis, dysphagia;rarely - increased levels of liver enzymes.
  • Cardiovascular system: seldom - cerebrovascular disorders, tachycardia, orthostatic hypotension, increased blood pressure.
  • Endocrine System: rarely - hyperglycemia.
  • Nervous system: often - a feeling of intoxication, sleepiness, dizziness, headache, increased insomnia, auditory and visual hallucinations, anterograde amnesia, nightmares, irritability, emotional lability, ataxia, vertigo;sometimes - tremor, headache, paresthesia, decreased concentration, confusion, euphoria, irritability;rarely - delirium, aggressiveness, somnambulism, psychosis, inappropriate behavior;very rarely - anger;the frequency is unknown - drug addiction, behavioral disorders, degeneration;to remove the drug - decreased libido, "rebound" insomnia, drug dependency.
  • Musculoskeletal: sometimes - arthritis, muscle weakness.
  • Skin and subcutaneous tissue: sometimes - excessive sweating, itching, rash, urticaria;rarely - pallor, angioedema.
  • bodies of: sometimes - diplopia.
  • Respiratory: sometimes - cough, bronchitis, dyspnea.
  • Other: often - general fatigue;sometimes - fever, peripheral edema, fall, injury.

Application Sanvala in high doses can cause these symptoms: lower blood pressure, respiratory depression, impaired consciousness (lethargy, confusion, coma), ataxia.

overdose Treatment includes gastric lavage, flumazenil (as an antidote) and symptomatic therapy.Hemodialysis is ineffective in this case.In marked initiate the introduction of sedatives unacceptable.

Cautions

drug should be taken 20-30 minutes before bedtime.The maximum permissible daily dose for the elderly and patients with impaired hepatic function is 10 mg.

Patients with myasthenia gravis during treatment Sanvalom should be under medical supervision, because the drug reduces muscle tone.People with a tendency to depression, should also be under close medical supervision, since the risk of suicidal behavior during treatment increases.

Long-term use of the drug increases the risk of drug dependence.The duration of treatment should be limited to 2-3 weeks (to a maximum of 4 weeks).With prolonged use of zolpidem cancellation treatment should be carried out gradually.

During therapy Sanvalom intake of alcoholic beverages is strictly prohibited.Also, during the period of treatment should refrain from driving motor vehicles and activities requiring psychomotor speed of reaction and high concentration.

Drug Interactions

Simultaneous administration of zolpidem and drugs which depress the central nervous system (for example, antitussives, opioid analgesics, hypnotics, neuroleptics, antidepressants, tranquilizers, antihistamines, clonidine), is likely to increase their inhibitory action on the central nervous system.

Sanvala combination of imipramine and chlorpromazine enhances the action of the latter.Also, chlorpromazine increases the frequency of occurrence of anterograde amnesia and may increase drowsiness.

antianxiety drugs used during treatment with zolpidem, increases the risk of drug dependence.

Flumazenil eliminates Sanvala hypnotic effect.

ritonavir and ketoconazole increase the sedative effect of the drug.Rifampicin

lowers serum concentration of zolpidem and hence its clinical effect.

Alcohol dampening effect of the drug on the central nervous system.

Conditions and terms

Store in a dry place out of direct sunlight and children, at room temperature not exceeding 25 ° C.

Shelf life - 3 years.After the expiration date printed on the packaging, drug taking is strictly prohibited.

Attention!

Product description posted on this page is a supplement and a simplified version of the official version of the annotations to the drug.The information is provided for informational purposes only and is not a guide to self-medication.Before using the product you should consult with a specialist and to get acquainted with the instructions approved by the manufacturer.

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