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Generic Eszopiclone Information
Introduction
Eszopiclone is a centrally acting hypnotic agent prescribed for the short‑term management of insomnia. It belongs to the medication groups of General health and Sleeping Aids and is widely used in Hong Kong for patients who have difficulty initiating or maintaining sleep. The active compound is eszopiclone, and the drug is supplied by a range of manufacturers worldwide, including the original developer Sun Opson Pharma. In addition to its primary indication for insomnia, eszopiclone may be considered in certain off‑label contexts such as adjustment of sleep disturbances secondary to shift work or jet lag, provided that a qualified health professional deems it appropriate.
What is Eszopiclone?
Eszopiclone is a synthetic cyclopyrrolopyrazine that acts as a selective positive modulator of the γ‑aminobutyric acid type A (GABAA) receptor complex. It was first approved in the United States in 2004 under the brand name Lunesta and later marketed in many countries by Sun Opson Pharma and its affiliates.
Eszopiclone is the generic version of Lunesta, containing the same active compound Eszopiclone. Our online pharmacy provides this generic alternative as a cost‑effective treatment option. Generic versions are pharmaceutically equivalent to the brand‑named product, delivering identical therapeutic outcomes while reducing financial burden for patients in Hong Kong.
How Eszopiclone Works
Eszopiclone binds to a distinct site on the GABAA receptor complex that contains the α1, α2, α3, and α5 subunits. By enhancing the affinity of GABA—the chief inhibitory neurotransmitter in the central nervous system—for its receptor, eszopiclone increases chloride ion influx, leading to neuronal hyperpolarisation and a reduction in cortical arousal.
Key pharmacokinetic points:
- Onset of action: Clinical effects are typically observed within 30 minutes after oral administration, facilitating rapid sleep onset.
- Duration: The half‑life ranges from 5 to 7 hours in healthy adults, providing sufficient sleep maintenance throughout the night while allowing morning alertness for most patients.
- Metabolism: Hepatic oxidation via CYP3A4 and CYP2E1 produces inactive metabolites that are eliminated primarily in the urine.
The combination of rapid onset and moderate duration makes eszopiclone suitable for treating both sleep onset and sleep maintenance insomnia.
Conditions Treated with Eszopiclone
- Primary insomnia: Defined as difficulty initiating sleep, maintaining sleep, or experiencing non‑restorative sleep for at least three nights per week over a three‑month period. Insomnia prevalence in Hong Kong is estimated at 12–18 % among adults, with higher rates in older populations.
- Sleep maintenance problems: Patients who awaken frequently during the night and have trouble returning to sleep benefit from the sustained receptor activity of eszopiclone.
- Shift‑work related sleep disorder (off‑label): When conventional sleep hygiene fails, clinicians may use eszopiclone on a short‑term basis to align circadian rhythms with atypical work schedules.
The drug’s efficacy is supported by multiple randomized, double‑blind trials demonstrating significant improvements in total sleep time, sleep latency, and sleep efficiency compared with placebo.
Suitable Candidates for Eszopiclone Treatment
- Adults ≥ 18 years with a validated diagnosis of insomnia who have not responded adequately to non‑pharmacologic measures such as cognitive‑behavioral therapy for insomnia (CBT‑I) or sleep hygiene education.
- Patients with comorbid psychiatric or medical conditions (e.g., depression, chronic pain) where insomnia is a prominent symptom, provided that the underlying condition is stable and not contraindicated for hypnotic use.
- Short‑term users: Guidelines in Hong Kong recommend limiting continuous use to 4–6 weeks to minimise dependence risk.
Contraindications / cautionary scenarios
- Severe hepatic impairment (Child‑Pugh class C) because clearance is markedly reduced.
- Known hypersensitivity to eszopiclone or any excipients.
- Pregnancy, lactation, or women of child‑bearing potential not using effective contraception; animal studies have shown fetal risk at high exposures.
- History of substance use disorder, complex sleep‑related behaviours (e.g., sleep‑walking, sleep‑driving), or severe depression with suicidal ideation.
Physicians must assess each individual’s medical history, concomitant medications, and lifestyle factors before initiating therapy.
Risks, Side Effects, and Interactions
Common
- Drowsiness or somnolence (especially on the first night).
- Unpleasant taste or metallic sensation in the mouth.
- Dry mouth.
- Headache.
- Dizziness or light‑headedness on standing.
These events typically occur within the first few days of therapy and often diminish with continued use, provided the dose is appropriate.
Rare
- Complex sleep behaviours such as sleep‑walking, sleep‑driving, or performing other activities while not fully awake.
- Allergic reactions including rash, pruritus, or angioedema.
- Mood changes such as irritability, anxiety, or depressive symptoms.
Patients experiencing any of these should contact a healthcare professional promptly.
Serious
- Respiratory depression when combined with other central nervous system depressants (e.g., opioids, benzodiazepines, alcohol).
- Severe hypersensitivity leading to anaphylaxis.
- Suicidal ideation or worsening of depression.
Immediate medical attention is required for any serious adverse event.
Clinically Relevant Drug–Drug Interactions
- CYP3A4 inhibitors (ketoconazole, itraconazole, ritonavir, clarithromycin) may increase eszopiclone plasma concentrations; dose reduction or avoidance is advised.
- CYP3A4 inducers (rifampin, carbamazepine, phenytoin, St. John’s wort) can reduce efficacy; higher doses may be necessary but should be managed by a clinician.
- Concomitant CNS depressants (benzodiazepines, barbiturates, antihistamines, muscle relaxants) amplify sedative effects and increase fall risk, especially in the elderly.
- Alcohol markedly enhances sedation and impairs psychomotor performance; patients must avoid alcohol while taking eszopiclone.
Always disclose the full medication list to the prescriber to prevent harmful interactions.
Practical Use: Dosing, Missed Dose, Overdose
- Standard adult dosing: 1 mg tablet taken orally once nightly, within 30 minutes before bedtime, and only when the patient can dedicate 7–8 hours to sleep.
- Elderly or hepatic‑impaired patients: Initiate at 1 mg; consider reducing to .5 mg if tolerability is an issue.
- Missed dose: If a dose is forgotten, skip it and resume the regular schedule the following night. Taking a dose early (e.g., earlier in the evening) increases the risk of next‑day drowsiness.
- Overdose: Symptoms may include profound sedation, respiratory depression, and coma. Immediate emergency treatment includes supportive airway management, monitoring of vital signs, and possible administration of activated charcoal if ingestion was recent.
- Food interactions: A high‑fat meal may delay absorption slightly but does not affect overall exposure; patients should avoid heavy meals immediately before bedtime to reduce gastro‑esophageal reflux risk.
- Alcohol precautions: Even moderate alcohol intake can potentiate the hypnotic effect, leading to unsafe impairment; abstinence from alcohol on the night of dosing is strongly recommended.
Adherence to these practical guidelines helps maximise therapeutic benefit while minimising adverse outcomes.
Buying Eszopiclone from Our Online Pharmacy
Patients in Hong Kong seeking a reliable source of eszopiclone can obtain the medication through our online pharmacy. Our service offers several advantages tailored to the local market:
- Affordability: Generic eszopiclone is priced near the manufacturer’s cost, providing a budget‑friendly alternative to brand‑name Lunesta.
- Verified quality: All products are sourced from licensed overseas manufacturers that meet international Good Manufacturing Practice (GMP) standards.
- Discreet, reliable delivery: Orders are packaged securely and delivered to your address within 7 days via express courier for a nominal fee, or in approximately 3 weeks using regular airmail. Tracking information is provided for every shipment.
- Online‑only access: Our pharmacy broker model connects you with overseas licensed pharmacies, enabling access to medications that may be scarce or unavailable through local retail chains.
- Privacy‑focused service: We uphold strict data protection policies, ensuring that personal health information remains confidential throughout the purchasing process.
By choosing our online pharmacy, Hong Kong residents gain a safe, cost‑effective pathway to obtain eszopiclone when conventional channels are limited.
FAQ
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Is eszopiclone available in both brand‑name and generic forms in Hong Kong?
Yes. The original brand‑name formulation, Lunesta, is marketed in many countries, while generic versions containing the identical active compound are widely distributed. Generic eszopiclone offers the same therapeutic effect at a lower price. -
What is the typical appearance of an eszopiclone tablet?
Generic tablets are usually round, white to off‑white, and scored for easy splitting. The imprint varies by manufacturer but commonly includes the dosage (e.g., “1 mg”) and a manufacturer code. -
Does eszopiclone require any special storage conditions in Hong Kong’s humid climate?
The medication should be stored at room temperature (15‑30 °C) in a dry place, protected from direct sunlight and moisture. Keeping the bottle tightly closed helps maintain stability in humid environments. -
Can I travel internationally with eszopiclone in my carry‑on luggage?
Yes, provided you carry the medication in its original packaging with a clear label and, if possible, a copy of the prescription or a doctor’s note. This helps avoid customs delays, especially when entering or leaving jurisdictions with strict drug regulations. -
Are there any known differences in formulation between eszopiclone sold in the United States and Asia?
The active ingredient remains the same worldwide; however, inactive excipients such as fillers, binders, or coating agents may vary. These differences are generally clinically insignificant but could affect patients with specific allergies. -
What is the legal status of importing a personal supply of eszopiclone into Hong Kong?
Hong Kong permits personal import of a reasonable quantity for personal use, typically up to a three‑month supply, provided the medication is for a legitimate medical purpose and is not a controlled substance. Importers should retain documentation proving the intended use. -
Does eszopiclone affect routine drug testing for employment?
Standard workplace drug panels do not include eszopiclone, as it is not a controlled substance in most jurisdictions. However, specialized tests for sleep medications can detect its presence if specifically requested. -
How long has eszopiclone been on the market, and what key trials support its use?
Eszopiclone was first approved in 2004. Large phase III trials, such as the 12‑week, double‑blind, placebo‑controlled studies involving over 1,000 participants, demonstrated significant reductions in sleep latency and increased total sleep time without substantial rebound insomnia. -
Can eszopiclone be taken together with antihistamines for allergic rhinitis?
While occasional combined use is not contraindicated, both agents cause sedation and may amplify drowsiness. Patients should assess their alertness before engaging in activities requiring full concentration, such as driving. -
Is there any evidence that eszopiclone improves sleep quality in patients with chronic pain?
Some clinical observations suggest that improving sleep can indirectly reduce pain perception, but eszopiclone is not specifically indicated for pain management. Its primary role remains the treatment of insomnia; adjunct pain therapies should be addressed separately.
Glossary
- GABAA receptor
- A ligand‑gated chloride channel in the central nervous system that mediates inhibitory neurotransmission when activated by gamma‑aminobutyric acid (GABA).
- Half‑life
- The time required for the plasma concentration of a drug to decrease by 50 %. For eszopiclone, the half‑life is typically 5–7 hours in healthy adults.
- CYP3A4
- An enzyme of the cytochrome P450 family responsible for metabolising many drugs, including eszopiclone. Inhibitors or inducers of CYP3A4 can alter eszopiclone’s plasma levels.
- Complex sleep behaviour
- Unusual activities performed while partially asleep, such as sleep‑walking, sleep‑driving, or eating, which have been reported with some hypnotic agents.
⚠️ Disclaimer
The information provided about Eszopiclone is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Eszopiclone for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Information about ordering Generic Eszopiclone in online pharmacy asia
Please note that this medicine is a generic version of Eszopiclone.One can buy Generic Eszopiclone online by accepting the following conditions:
- Buyer is above or equal 18 years old;
- Buyer does't have any contraindications to eszopiclone and fully familiar with medication Eszopiclone;
- No paper instructions about side effect warnings or usage directions are sent with Generic Eszopiclone medication. They are available online on our website for information purposes only;
- Ordered medication will be shipped in anonymous discreet package without disclosing its content;
Please note we may not guarantee worry free delivery to some countries where strict customs rules may apply. If you have questions please call us or use Live chat. After you place your order we may call you back for verification purposes. We may also call you back if we suspect that there may be a problems with delivery to your country. Please also refer to our FAQ page for more details. Below is a sample list of safe counties in Asia where delivery is usually worry free: Australia, New Zealand, Malaysia, Singapore, Philippines, Indonesia, Thailand, Japan, South Korea, China, Hong Kong, Pacific islands and many others outside of asia.