DEM 5mg Tablet 10's

Introduction About DEM 5MG TABLET

DEM 5MG TABLET contains Zolpidem, which belongs to the group of medicines known
as Hypnotics. It is used in the short-term management of insomnia (sleeping
disorder) in adults (above 18 years of age). The person with insomnia problems
may have difficulty in sleeping, staying awake, or staying asleep, waking up too
early etc.

DEM 5MG TABLET is not recommended for use in patients who have or had myasthenia
gravis (muscle weakness), severe liver diseases, severe breathing problems,
sleep apnoea (serious breathing problem while sleeping), psychosis (mental
illness), somnambulism (sleepwalking) or abnormal behaviours after taking
hypnotic medication in past.

DEM 5MG TABLET should be used with caution in patients suffering from any heart
problems which include irregular heartbeat, depression, or any other mental
illness, in patients suffering from kidney disease, and in patients who have a
history of alcohol and drug abuse.

DEM 5MG TABLET is not recommended for use by pregnant and breastfeeding women.
DEM 5MG TABLET is not recommended for use in children below 18 years of age. DEM
5MG TABLET should be used with caution in elderly patients above age 65 years.
The common side effects of taking DEM 5MG TABLET are impaired memory,
hallucinations, sleeping problems that might get worse, headache, nightmares,
nausea, vomiting, feeling drowsy during the day, etc. Consult your doctor
immediately if any of your side effects get worse or if you experience abnormal
behaviour or develop suicidal thoughts.

Uses Of DEM 5MG TABLET

• Short-term management of Insomnia (sleeping disorder)

How DEM 5MG TABLET Works

DEM 5MG TABLET helps to manage insomnia. It works by increasing the level of a
chemical in the brain called GABA, which blocks or slows down the activity of
the brain to induce a calming effect.

How to use DEM 5MG TABLET

Take DEM 5MG TABLET as advised by your doctor. Do not crush or chew the medicine
while consuming it with water. Your doctor will decide the correct dosage, and
duration of the management for you depending on your age, body weight and
disease condition.

Side Effects Of DEM 5MG TABLET

Common

• feeling sleepy, dizzy or drowsy
• headache and fatigue or agitation
• poor memory, strange behaviour
• hallucinations, nightmares, depression
• sleeping problems might get worse
• diarrhoea, nausea, vomiting
• abdominal pain
• back pain
• respiratory infections

Uncommon

• excessive sweating
• restlessness, aggressive behaviour, confusion, irritation
• euphoria
• sleepwalking
• lack of concentration, speech problems
• itching or skin rash
• tremor
• blurred vision or double vision
• muscle pain, muscle spasms, weak muscles, neck pain
• change in appetite
• burning or creeping on skin, tingling, pricking, burning sensation, numbness
• changes in liver function tests

Rare

• less awareness of surroundings
• falling injuries (in elderly patients)
• changes in sexual drive
• urticaria
• itchy skin
• visual impairment
• delusions
• cholestasis (a liver condition in which the flow of bile from the liver is stopped
• signs include jaundice, rash, fever, or dark-coloured urine
• infection or injury to liver signs includes skin, eyes discoloration, pain in the abdomen, bloating, severe itching, pale or bloody stools, weakness, nausea, loss of appetite
• changes  the way you walk

Stop taking DEM 5MG TABLET and consult your doctor immediately in case you
experience any of the following:

• severe allergic reaction such as rash, itching, hives or urticaria, breathing difficulty and swallowing, swelling in throat, tongue, lips, and face

How To Manage Side Effects

Itchy skin:

Avoid taking hot showers as they can irritate the skin. Do not scratch the
affected area. Use sunscreen and protective clothing when going outdoors or use
unscented moisturizers to soothe and hydrate the skin. Contact your doctor if
the itching persists.

Headache:

Take rest and relax. Apply a pain-relieving balm on the head if needed. Contact
your doctor if your headache does not improve.

Dizziness or drowsiness:

Try to rest and relax. Get enough sleep. Avoid driving or operating machinery if
you feel drowsiness or dizziness. Avoid alcohol consum
dizziness or drowsiness. Contact your doctor if your dizziness or drowsiness
worsens.

Stomach pain:

Try to rest and relax. Eat small meals but take them frequently. Keep a heating
pad on your stomach. Contact your doctor if the stomach pain does not improve.

Diarrhoea:

Drink plenty of water or fruit juices to keep yourself hydrated. Don’t take any
medicine on your own to manage diarrhoea. Contact your doctor if the diarrhoea
gets worse.

Warning & Precautions

!### Pregnancy

DEM 5MG TABLET is not recommended for use by pregnant women as it may harm the
development of the baby. Such birth defects include cleft lip, cleft palate,
reduced foetal movement and foetal heart rate variability, muscle weakness, low
body temperature (hypothermia), difficulty feeding and breathing problems
(respiratory depression). Consult your doctor before taking DEM 5MG TABLET.

!### Breastfeeding

DEM 5MG TABLET is not recommended for use by breastfeeding women as it may pass
through breast milk. Consult your doctor before taking DEM 5MG TABLET.

!### Driving and Using Machines

Do not drive or operate any machines if your feel dizzy, drowsy, sleepy,
confused, blurring of vision, or less alert after taking DEM 5MG TABLET. Consult
your doctor for advice.

!### Alcohol

Do not consume alcohol while taking DEM 5MG TABLET as it can cause difficulty in
breathing or walking, or put you in a very deep sleep. Consult your doctor
before taking DEM 5MG TABLET.

!### Kidney

DEM 5MG TABLET should be used with caution in patients suffering from kidney
disease. Consult your doctor before taking DEM 5MG TABLET.

!### Liver

DEM 5MG TABLET is not recommended for use in patients with severe liver disease.
Consult your doctor before taking DEM 5MG TABLET.

!### Allergy

Do not take DEM 5MG TABLET if you are allergic to Zopiclone or lactose or other
lactose other ingredients in the medicine.

!### Lungs

DEM 5MG TABLET is not recommended for use in patients suffering from sleep
apnoea (severe breathing disorder in sleep) and in patients with severe
respiratory disorders or breathing difficulties. Consult your doctor before
taking DEM 5MG TABLET.

Heart Disease

DEM 5MG TABLET should be used with caution in patients suffering from heart
diseases including slow or uneven heartbeat. Consult your doctor before taking
DEM 5MG TABLET.

Others

DEM 5MG TABLET is not recommended for use if you have:

• myasthenia gravis (muscle weakness)
• mental illness or psychosis or depression

Before taking DEM 5MG TABLET, inform your doctor if you have:

• depression and any other mental illness
• drug abuse
• plans to take a blood test to check liver function
• thoughts of harming or killing yourself
• fits

Use in paediatrics:

DEM 5MG TABLET is not recommended for use in children below 18 years of age.
Consult your doctor before taking DEM 5MG TABLET.

Use in geriatrics:

DEM 5MG TABLET should be used with caution in patients more than 65 years of
age. Consult your doctor before taking DEM 5MG TABLET.

Interactions

A. Drug-Drug interactions:

Before taking DEM 5MG TABLET, inform your doctor if you are taking any of the
following medicine:

• antipsychotics such as clozapine, haloperidol, and chlorpromazine (medicines used to manage mental illness)
• antidepressants such as sertraline, venlafaxine, fluoxetine, bupropion, and desipramine (medicines used to manage depression)
• antiepile
• anaesthetics (medicines used to cause numbness or awareness)
• chlorphenamine, and promethazine (medicines used to manage hay fever or allergies)
• medicines used to induce calm or reduce anxiety or for managing sleep problems (hypnotics) Ex. diazepam, alprazolam, etc
• St. John’s Wort (a medicine used to manage depression and mood swings)
• skeletal muscle relaxants Ex. baclofen (a medicine used to relax muscles)
• opioids such as codeine, methadone, tramadol, pethidine, oxycodone, and morphine (medicines used for severe pain and cough)
• rifampicin (a medicine used to manage tuberculosis)
• ketoconazole, and itraconazole (medicines used to manage fungal infections)
• clarithromycin, erythromycin, ciprofloxacin (medicines used to manage bacterial infections)
• ritonavir (medicines used to manage HIV infection)
• fluvoxamine (medicines used to manage obsessive-compulsive disorder)

Overdosage:

If you or anybody else accidentally take too much DEM 5MG TABLET, consult your
doctor or visit the nearest hospital immediately. Symptoms of overdose are
drowsiness, confusion, sleeping deeply and possibly falling into a coma.

Synopsis

Drug	:	Zolpidem
Pharmacological Category	:	Hypnotic
Therapeutic Indication	:	Manages Insomnia
Dosage Forms	:	Tablet

More Information

• Keep DEM 5MG TABLET out of reach from children
• Store at room temperature below 25°C

FAQs About DEM 5MG TABLET

Can I take DEM 5MG TABLET every night?

Always take DEM 5MG TABLET as recommended by your doctor. It can be taken before
going to bed. Your doctor will decide the correct dosage and duration for you
depending on your age, body weight, and severity of your condition.

Can DEM 5MG TABLET affect my blood test results?

Yes, DEM 5MG TABLET can affect your blood sugar levels. Always inform your
doctor about the medication you are taking, before taking any blood tests.

Can DEM 5MG TABLET induce abnormal behaviour and suicidal thoughts?

Yes, DEM 5MG TABLET can cause abnormal behaviour and develop suicidal thoughts.
Consult your doctor immediately if you develop any behavioural or mental
abnormalities.

What are the side effects caused by DEM 5MG TABLET?

DEM 5MG TABLET may cause some side effects such as poor memory, hallucinations,
sleeping problems might get worse, headaches, nightmares, nausea, vomiting,
feeling drowsy during the day etc. Consult your doctor immediately if any of
your side effects get worse.

Is DEM 5MG TABLET a sleeping pill?

Yes, DEM 5MG TABLET is used to induce sleep. It helps to manage patients
suffering from insomnia. However, consult your doctor before taking DEM 5MG
TABLET.

Can DEM 5MG TABLET cause memory loss?

Yes, DEM 5MG TABLET may cause memory loss and difficulty to concentrate. Contact
your doctor if you get any symptoms.