Hipnodem
Hipnodem Uses, Dosage, Side Effects, Food Interaction and all others data.
Hipnodem, a pyrazolopyrimidine, is a sedative and hypnotic agent structurally unrelated to the benzodiazepines and other sedative-hypnotic agents. It is shown to interact with GABA subtype A complex by binding selectively to benzodiazepine type 1 receptor. It reduces sleep latency without affecting sleep duration.
Hipnodem is a nonbenzodiazepine hypnotic from the pyrazolopyrimidine class and is indicated for the short-term treatment of insomnia. While Hipnodem is a hypnotic agent with a chemical structure unrelated to benzodiazepines, barbiturates, or other drugs with known hypnotic properties, it interacts with the gamma-aminobutyric acid-benzodiazepine (GABABZ) receptor complex. Subunit modulation of the GABABZ receptor chloride channel macromolecular complex is hypothesized to be responsible for some of the pharmacological properties of benzodiazepines, which include sedative, anxiolytic, muscle relaxant, and anticonvulsive effects in animal models. Hipnodem also binds selectively to the CNS GABAA-receptor chloride ionophore complex at benzodiazepine(BZ) omega-1 (BZ1, ο1) receptors.
Trade Name | Hipnodem |
Availability | Prescription only |
Generic | Zaleplon |
Zaleplon Other Names | Zaleplon |
Related Drugs | amitriptyline, lorazepam, melatonin, zolpidem, diphenhydramine, Ativan |
Type | |
Formula | C17H15N5O |
Weight | Average: 305.3339 Monoisotopic: 305.127660127 |
Protein binding | Approximately 60% (in vitro plasma protein binding). |
Groups | Approved, Illicit, Investigational |
Therapeutic Class | Benzodiazepine hypnotics, Benzodiazepine sedatives |
Manufacturer | |
Available Country | Argentina |
Last Updated: | September 19, 2023 at 7:00 am |
![Hipnodem Hipnodem](https://www.medicinesfaq.com/media/png/hipnodem.png)
Uses
Hipnodem is used for the short-term treatment of insomnia. Hipnodem has been shown to decrease the time to sleep onset for up to 30 days in controlled clinical trials.
Hipnodem is also used to associated treatment for these conditions: Insomnia
How Hipnodem works
Hipnodem exerts its action through subunit modulation of the GABABZ receptor chloride channel macromolecular complex. Hipnodem also binds selectively to the brain omega-1 receptor located on the alpha subunit of the GABA-A/chloride ion channel receptor complex and potentiates t-butyl-bicyclophosphorothionate (TBPS) binding.
Dosage
Hipnodem dosage
The dose of Hipnodem should be individualized. The recommended dose of Hipnodem for most non elderly adults is 10 mg. For certain low weight individuals, 5 mg may be a sufficient dose. Although the risk of certain adverse events associated with the use of Hipnodem appears to be dose dependent, the 20 mg dose has been shown to be adequately tolerated and may be considered for occasional patient who does not benefit from a trial of lower dose. Dosage above 20 mg has not been adequately evaluated and is not recommended.Hipnodem should be taken immediately before bedtime. Taking Hipnodem with or immediately after a heavy, high fat meal results in slower absorption and would be expected to reduce the effect of Hipnodem on sleep latency. Elderly patients and debilitated patients appear to be more sensitive to the effects of hypnotic, and respond to 5 mg of Hipnodem. The recommended dose for these patients is therefore 5 mg, doses over 10 mg are not recommended. For patients with mild to moderate renal impairment no dose adjustment is necessary.An initial dose of 5 mg should be given to patients concomitantly taking Cimetidine because ZalHipnodem clearance is reduced in this population.
Side Effects
Side effects of Hipnodem appear to be dose related. So, it is important to use the lowest possible effective dose, specially in the elderly. The side effects are usually mild and transient, the most common are diarrhoea, nausea, vomiting, vertigo, headache, asthenia, nightmare etc.
Toxicity
Side effects include abdominal pain, amnesia, dizziness, drowsiness, eye pain, headache, memory loss, menstrual pain, nausea, sleepiness, tingling, weakness
Precaution
Timing of drug administration: Hipnodem should be taken immediately before bedtime or after the patient has gone to bed.Use in the elderly and/or debilitated patients: Impaired motor and/or cognitive performance after repeated exposure or unusual sensitivity to sedative/hypnotic drugs is a concern in the treatment of elderly and/or debilitated patients. A dose of 5 mg is recommended for elderly patients to decrease the possibility of side effects. Elderly and/or debilitated patients should be monitored closely.Use in patients with concomitant illness: Hipnodem should be used with caution in patients with diseases or conditions that could affect metabolism or haemodynamic responses. Although preliminary studies did not reveal respiratory depressant effects at hypnotic doses of Hipnodem in normal subjects, caution should be observed if Hipnodem is prescribed to patients with compromised respiratory function, because sedative/hypnotic have the capacity to depress respiratory drive. However, patients with compromised respiration due to preexisting illness should be monitored carefully. The dose of Hipnodem should be reduced to 5 mg in patients with mild to moderate hepatic impairment. It is not recommended for use in patients with severe hepatic impairment.Renal impairment patients: No dose adjustment is necessary in patients with mild to moderate renal impairment. Hipnodem has not been adequately studied in patients with severe renal impairment.Use in patients with depression: As with other sedative or hypnotic drugs, Hipnodem should be administered with caution to patients exhibiting signs or symptoms of depression
Interaction
Hipnodem has been shown to have minimal effects on the kinetic of Warfarin, Imipramine, Ethanol, Ibuprofen, Diphenhydramine, Thioridazine, and Digoxin.
Food Interaction
- Avoid alcohol. Ingesting alcohol may increase the CNS depressant effects of zaleplon.
- Do not take with or immediately after a high-fat meal. The effects of zaleplon are reduced when taken with a high-fat meal.
[Moderate] GENERALLY AVOID: Alcohol may potentiate some of the pharmacologic effects of zaleplon.
Use in combination may result in additive central nervous system depression and
ADJUST DOSING INTERVAL: Administration of zaleplon with a high-fat or heavy meal may delay the onset of hypnotic effects.
In healthy adult subjects, administration of zaleplon with a high-fat meal resulted in a 2-hour delay in the time to reach peak plasma drug concentration (Tmax) and a 35% reduction in the peak plasma drug concentration (Cmax) compared to fasting.
Hipnodem systemic exposure (AUC) and elimination half-life were not significantly affected.
MANAGEMENT: Patients receiving zaleplon should be advised to avoid the consumption of alcohol.
For faster sleep onset, zaleplon should not be administered with or immediately after a high-fat or heavy meal.
Hipnodem Drug Interaction
Moderate: aripiprazole, duloxetine, escitalopram, eszopiclone, pregabalin, alprazolam, cetirizineUnknown: amphetamine / dextroamphetamine, zolpidem, ubiquinone, omega-3 polyunsaturated fatty acids, metoprolol, esomeprazole, albuterol, montelukast, cyanocobalamin, ascorbic acid, ergocalciferol, cholecalciferol, lisdexamfetamine
Hipnodem Disease Interaction
Major: alcohol intox, depression, drug dependence, liver diseaseModerate: glaucoma, liver disease, resp depression, renal dysfunction
Volume of Distribution
- 1.4 L/kg
Elimination Route
Absorption Hipnodem is rapidly and almost completely absorbed following oral administration.
Half Life
Approximately 1 hour
Clearance
- 1 L/h/kg
Elimination Route
Hipnodem is metabolized primarily by the liver and undergoes significant presystemic metabolism. After oral administration, zaleplon is extensively metabolized, with less than 1% of the dose excreted unchanged in urine. Renal excretion of unchanged zaleplon accounts for less than 1% of the administered dose.
Pregnancy & Breastfeeding use
Pregnancy: There are no studies of Hipnodem in pregnant women; therefore, it is not recommended for use in women during pregnancy. Hipnodem has no established use in labour and delivery.Lactation: A study in lactating mothers indicated that the clearance and half-life of Hipnodem is similar to that in young normal subjects. A small amount of Hipnodem is excreted in breast milk, with the highest excreted amount occurring during a feeding at approximately 1 hour after Hipnodem administration. Since the small amount of the drug from breast milk may result in potentially important concentrations in infants, and because the effects of Hipnodem on a nursing infant are not known, it is not recommended in nursing mothers.
Contraindication
Hipnodem is contraindicated in patients with known hypersensitivity to any of its components.
Special Warning
Special Patient Group: Patients on cimetidine should receive initial dose of 5 mg at bedtime.Hepatic Impairment:
- Mild to moderate: 5 mg at bedtime.
- Severe: Contraindicated.
Paediatric use
: The safety and effectiveness of Hipnodem in paediatric patients have not been established.
Innovators Monograph
You find simplified version here Hipnodem
Hipnodem contains Zaleplon see full prescribing information from innovator Hipnodem Monograph, Hipnodem MSDS, Hipnodem FDA label
FAQ
What is Hipnodem used for?
Hipnodem is used on a short-term basis to treat insomnia (difficulty falling asleep).Hipnodem does not help you to stay asleep longer or decrease the number of times that you awaken during the night. .
What type of the Hipnodem?
Hipnodem is in a class of medications called hypnotics. It works by slowing activity in the brain to allow sleep.
What are the side effect of Hipnodem?
Hipnodem may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- drowsiness
- dizziness
- lightheadedness
- lack of coordination
- numbness, burning, or tingling in the hands or feet
- headache
- loss of appetite
- vision problems
- eye pain
- sensitivity to noise
- distorted sense of smell
- painful menstrual periods
Can I take Hipnodem every night?
You should take Hipnodem every night since Hipnodem is taken only at bedtime, you will not be on a frequent dosing schedule.
Can I drink alcohol while taking Hipnodem?
You should avoid the use of alcohol while being treated with Hipnodem. Alcohol can increase the nervous system side effects of Hipnodem such as dizziness and drowsiness.
Is Hipnodem safe during pregnancy?
Hipnodem is not recommended for pregnant women unless the doctor believes the benefits outweigh the potential risks.
is Hipnodem safe during breastfeeding?
If a doctor or health visitor says that your baby is healthy, it's safe to take Hipnodem while breastfeeding. Hipnodem passes into breast milk in very small amounts.
Can I drive after taking Hipnodem?
FDA approves new label changes and dosing for Hipnodem products and a recommendation to avoid driving the day after using Ambien CR.
Does Hipnodem make me tired ?
You may still feel sleepy the morning after taking the medication.
Can I take take on empty stomach?
It is better to take this medicine on an empty stomach and only when you are ready for bed. Do not take your medicine more often than directed
How much Hipnodem does it take to overdose?
Individuals have fully recovered from Hipnodem overdoses of greater than 200 mg (10 times the maximum recommended dose of Hipnodem).
How long does it take for Hipnodem to work?
Hipnodem takes about 20 to 30 minutes for them to start working.
Does Hipnodem cause memory loss?
Dizziness, drowsiness, short-term memory loss, or lack of coordination may occur, especially during the first 2 hours after you take the medication.
Can I take Hipnodem for a long time?
Do not take Hipnodem for longer than 5 weeks without your doctor's advice.Hipnodem is for short-term use only.