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Sonata
zaleplon

PACKAGE LEAFLET: INFORMATION FOR THE USER


Sonata 5 mg hard capsules zaleplon


Read all of this leaflet carefully before you start taking this medicine because it contains important information for you.


What is in this leaflet

  1. What Sonata is and what it is used for

  2. What you need to know before you take Sonata

  3. How to take Sonata

  4. Possible side effects

  5. How to store Sonata

  6. Contents of the pack and other information


  1. What Sonata is and what it is used for


    Medicinal product no longer authorised

    Sonata belongs to a class of substances called benzodiazepine-related medicinal products, which consists of preparations with hypnotic actions.


    Sonata will help you to sleep. Sleeping problems do not usually last long, and most people only need a short course of treatment. The duration of treatment should usually vary from a few days to two weeks. If you still have problems sleeping after you have finished your capsules, contact your doctor again.


  2. What you need to know before you take Sonata Do not take Sonata

    • if you are allergic to zaleplon or any of the other ingredients of this medicine (listed in section 6).

    • if you have sleep apnoea syndrome (stopping breathing for short periods while asleep).

    • if you have severe kidney or liver problems.

    • if you have myasthenia gravis (very weak or tired muscles).

    • if you have severe breathing or chest problems.


      If you are in any doubt about whether you have any of these conditions, do ask your doctor. Children and adolescents under 18 years of age must not take Sonata.


      Warnings and precautions

      Talk to your doctor or pharmacist before taking Sonata.

    • Never drink alcohol while you are being treated with Sonata. Alcohol can increase the undesirable effects of any medicine taken to help you sleep.

    • Use with extreme caution if you have ever been addicted to medicines or alcohol.

    • If you are taking any medicines belonging to the sleep inducing group, including Sonata, there is a possibility that you may become dependent on them. Once physical dependence has developed, abrupt termination of treatment may be accompanied by withdrawal symptoms.

      These may consist of headaches, muscle pain, extreme anxiety, tension, restlessness, confusion and irritability.

    • Do not use Sonata or any other sleeping medicine for longer than your doctor tells you to.

    • Do not use a second dose of Sonata within a single night.

    • If your sleeplessness persists or worsens after a short course of Sonata treatment contact your doctor.

    • There is a chance that you may experience a certain type of temporary memory loss (amnesia) and lack of coordination when taking sleep medicines. This can usually be avoided if you remain inactive for at least 4 hours after taking Sonata.

    • There is a chance that you may experience somnambulism (sleepwalking), including eating or driving while not fully awake with no memory of the event. If you experience these events, contact your doctor immediately.

    • Reactions like restlessness, agitation, irritability, aggressiveness, abnormal thinking, delusion, rages, nightmares, depersonalisation, hallucinations, psychoses, inappropriate behaviour, extroversion that seems out of character and other behavioural effects have been reported following use of any medicines belonging to the sleep inducing group, including Sonata. These reactions may be active substance-induced, spontaneous in origin, or a result of an underlying psychiatric or physical disorder. They are more likely to occur in the elderly. If you experience these events, contact your doctor immediately.

    • Rare cases of severe allergic reactions have been reported. An allergic reaction may include a rash, itching, difficulty breathing or swelling of the face, lips, throat or tongue, or nausea and vomiting. If you experience any of these events, contact your doctor immediately.


    Children and adolescents

    Do not give this medicine to children and adolescents under 18 years of age.


    Medicinal product no longer authorised

    Other medicines and Sonata


    Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Do not take any other medicines without asking your doctor or pharmacist first. This includes medicines that can be bought without a prescription. Some can cause drowsiness and should not be taken while taking Sonata.


    When Sonata is taken with other medicines that act on the brain, the combination may make you more drowsy than it should. Be aware that such combinations may cause you to feel drowsy the next day. These medicines include: substances used in the treatment of mental conditions (antipsychotics, hypnotics, anxiolytics/sedatives, antidepressants), medicines used for strong pain relief (narcotic analgesics), medicines used for the treatment of seizures/convulsions (antiepileptic medicines), medicines used for loss of feeling/ insensibility (anaesthetics), and medicines used in the treatment of allergies (sedative antihistamines). Drinking alcohol while being treated with Sonata may also cause you to feel drowsy the next day. Never drink alcohol while you are being treated with Sonata (see “Warnings and precautions”).


    You should tell your doctor or pharmacist if you are taking cimetidine (a stomach medicine) or erythromycin (an antibiotic).


    Sonata with food, drink and alcohol


    It is not recommended that you take Sonata with or immediately after eating a large meal as it may work more slowly. Swallow the capsule(s) with a small glass of water. Never drink alcohol while you are being treated with Sonata (see “Warnings and precautions”).

    Pregnancy and breast-feeding


    If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine. Sonata should not be taken at these times because there are not enough clinical data available to assess its safety during pregnancy and breast-feeding.


    Driving and using machines


    Sonata may make you feel drowsy, cause loss of concentration or memory or muscle weakness. This feeling may be even worse when you sleep for less than 7 to 8 hours after taking your medication or if you are already taking another central nervous system depressant or if you are drinking alcohol (see ‘other medicines and Sonata’). If affected do not drive or operate machinery.


    Sonata contains lactose.

    If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicinal product.


  3. How to take Sonata


    Always take this medicine exactly as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.


    Medicinal product no longer authorised

    The usual dose for adults is 10 mg just before going to bed, or after you have gone to bed and you are having difficulty falling asleep. You should not take a second dose within a single night.


    There are different doses for people who are 65 or older, and those who have mild to moderate liver problems:

    65 or older: Take one 5 mg capsule

    Mild to moderate liver problems: Take one 5 mg capsule


    Sonata has been designed, so that if the contents of the capsule are dissolved in liquid, the liquid will change colour and become cloudy.


    If you take more Sonata than you should


    Contact a doctor immediately and say how many capsules you have taken. Do not go unaccompanied to seek medical help.


    If an overdose has been taken you may become increasingly drowsy very quickly, with high doses probably leading to a coma.


    If you forget to take Sonata


    Just take your next capsule at the usual time, then go on as before. Do not try and catch up on the doses you have missed.


    If you stop taking Sonata


    On stopping treatment, your original sleeplessness may return and you may experience symptoms such as mood changes, anxiety, and restlessness. If you suffer from these symptoms, ask your doctor for advice.


    If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

  4. Possible side effects


    Like all medicines, this medicine can cause side effects, although not everybody gets them. If you notice any of the following, or any other changes in your health, do tell your doctor as soon as possible.


    The frequency of possible side effects listed below is defined using the following convention: very common (affects more than 1 user in 10)

    common (affects 1 to 10 users in 100)

    uncommon (affects 1 to 10 users in 1,000)

    rare (affects 1 to 10 users in 10,000)

    very rare (affects less than 1 user in 10,000)

    not known (frequency cannot be estimated from the available data)


    Side effects that may occur commonly: drowsiness; memory difficulties; sensations like tingling, e.g. in the extremities (paraesthesia); painful menstruation.


    Medicinal product no longer authorised

    Uncommon side effects include: dizziness; weakness; reduced coordination of movements; unsteadiness and/or falls (ataxia); decreased concentration; apathy; restlessness; depression; agitation; irritability; confusion; abnormal thinking and behaviour (extroversion that seems out of character, decreased inhibition, aggressiveness, rages, delusion, depersonalisation, psychosis); nightmares; hallucinations; double vision or other sight problems; increased sensitivity to noise (hyperacusis); smell disorder (parosmia); speech disorders, including slurred speech; numbness, e.g. in the extremities (hypoaesthesia); nausea; decreased appetite; increased sensitivity to light (sunlight, UV light); feeling vaguely ill (malaise).


    In very rare cases, allergic reactions, some severe, sometimes with difficulty in breathing, have been reported and may require immediate medical care. An allergic reaction may also include a rash, itching, or swelling of the face, lips, throat or tongue.


    Increases in transaminases (a group of liver enzymes occurring naturally in the blood) have been reported, which may be a sign of liver problems.


    If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.


    Reporting of side effects

    image

    If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the national reporting system listed in Appendix V. By reporting side effects you can help provide more information on the safety of this medicine.


  5. How to store Sonata


    Keep this medicine out of the sight and reach of children.


    Do not use this medicine after the expiry date which is stated on the carton after EXP. The expiry date refers to the last day of that month.


    This medicinal product does not require any special temperature storage conditions. If you have any further questions, please consult your doctor or pharmacist.

    Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.


  6. Contents of the pack and other information What Sonata contains

The active substance in each Sonata hard capsule is zaleplon 5 mg.


The other ingredients are microcrystalline cellulose, pregelatinised starch, silicon dioxide, sodium lauryl sulphate, magnesium stearate, lactose monohydrate, indigo carmine (E132), titanium dioxide (E171).


Ingredients of the capsule shell: gelatin, titanium dioxide (E171), red iron oxide (E172), yellow iron oxide (E172), black iron oxide (E172) and sodium lauryl sulphate. Printing inks on the shell contain the following (gold ink SB-3002): shellac, ammonium hydroxide, yellow iron oxide (E172).


What Sonata looks like and contents of the pack


Sonata 5 mg hard capsules, which contain a light blue powder, have a light brown cap and white body, with gold imprint “5 mg”. They are packed in blisters. Each pack contains 7, 10 or 14 hard capsules. Not all pack sizes may be marketed.


Marketing Authorisation Holder and Manufacturer


Medicinal product no longer authorised

Marketing Authorisation holder: Meda AB

Pipers väg 2A

S-170 73 Solna Sweden

Manufacturer:

MEDA Manufacturing GmbH Neurather Ring 1

51063 Cologne

Germany


For any information about this medicine, please contact the local representative of the Marketing Authorisation Holder.


België/Belgique/Belgien MEDA Pharma S.A./N.V. Chaussée de la Hulpe 166/ Terhulpsesteenweg 166

B-1170 Brussels

Tél/Tel: +32 2 5 04 08 11

Lietuva

Meda Pharma SIA Veiverių 134

LT – 46352 Kaunas Tel.: +370 37 330 509


България

ТП Меда Фармасойтикалс Ул. Одрин 71-75, ет.2, ап 7

1303 София

Тел.: +359 2 4177977

Luxembourg/Luxemburg MEDA Pharma S.A./N.V. Chaussée de la Hulpe 166/ Terhulpsesteenweg 166

B-1170 Brussels Belgique/Belgien Tél/Tel: +32 2 5 04 08 11

Česká republika MEDA Pharma s.r.o. Kodaňská 1441/46 CZ 100 10 Praha 10

Tel: +420 234 064 203

Magyarország

MEDA PHARMA Hungary Kereskedelmi Kft. H-1139 Budapest

Váci ut 91

Tel.: +36 1 236 3410


Danmark Meda A/S Solvang 8

DK-3450 Allerød Tlf: +45 44 52 88 88

Malta

Alfred Gera & Sons Ltd. 10, Triq il-Masġar

Qormi QRM 3217

Tel: +356 2092 4000


Deutschland

MEDA Pharma GmbH & Co. KG Benzstraße 1

D-61352 Bad Homburg v.d.H. Tel: + 49 6172 888 01

Nederland

MEDA Pharma B.V. Krijgsman 20

NL-1186 DM Amstelveen Tel: +31 20 751 65 00


Eesti

Meda Pharma SIA Narva mnt 11D

EE - 10151 Tallinn, Eesti Tel. + 372 6261 025

Norge Meda A/S

Askerveien 61 N-1384 Asker

Tlf: +47 66 75 33 00


Ελλάδα

MEDA Pharmaceuticals AE

Ευρυτανίας 3

Medicinal product no longer authorised

GR-15231 Χαλάνδρι-Αττική Τηλ: +30 210 6 77 5690

Österreich

MEDA Pharma GmbH Guglgasse 15

A-1110 Wien

Tel: + 43 1 86 390 0


España

MEDA Pharma S.A.U. Avenida de Castilla, 2

Parque Empresarial San Fernando Edificio Berlin

E-28830 San Fernando de Henares (Madrid) Tel: +34 91 669 93 00

Polska

Meda Pharmaceuticals Sp. z o.o. Al. Jana Pawła II nr 15

PL-00-828 Warszawa Tel: +48 22 697 7100


France

MEDA PHARMA SAS

25 Bd. de l´Amiral Bruix F-75016 Paris

Tél : +33 156 64 10 70

Portugal

MEDA Pharma Produtos Farmacêuticos SA Rua do Centro Cultural 13

P-1749-066 Lisboa Tel: +351 21 842 0300


Hrvatska

Medical Intertrade d.o.o. Dr. Franje Tudmana 3 10431 Sveta Nedelja

Tel: +385 1 3374 010

România

MEDA Pharmaceuticals Switzerland GmbH Reprezentanta Romania

Calea Floreasca 141-143, et.4 014467 Bucuresti

Tel.: +40 21 230 90 30

Ireland

Meda Health Sales Ireland Limited, Unit 34/35, Block A,

Dunboyne Business Park, Dunboyne

Co. Meath

Tel: +353 1 802 66 24

Ísland Meda AB Box 906

S-170 09 Solna Svíþjóð.

Sími: +46 8 630 1900

Slovenija

MEDA Pharmaceuticals Switzerland GmbH, Podružnica Ljubljana

Cesta 24. junija 23 Ljubljana

Tel: +386 59 096 951


Slovenská republika MEDA Pharma spol. s r.o.. Trnavská cesta 50

SK-821 02 Bratislava

Tel: +421 2 4914 0171


Italia

Meda Pharma S.p.A. Viale Brenta, 18

I-20139 Milano

Tel: +39 02 57 416 1

Suomi/Finland Meda Oy

Vaisalantie 4/ Vaisalavägen 4 FI-02130 Espoo/ Esbo Puh/Tel: +358 20 720 9550


Κύπρος

MEDA Pharmaceuticals AE

Ευρυτανίας 3

GR-15231 Χαλάνδρι-Αττική Ελλάδα

Τηλ: +30 210 6 77 5690

Sverige Meda AB Box 906

S-170 09 Solna

Tel: +46 8 630 1900


Medicinal product no longer authorised

Latvija

Meda Pharma SIA Vienības gatve 109 LV-1058 Riga, Latvia Tel.: +371 67616137

United Kingdom

Meda Pharmaceuticals Ltd. Skyway House

Parsonage Road Takeley

Bishop's Stortford CM22 6PU - UK

Tel: +44 845 460 0000


This leaflet was last approved in