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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 9, 2024 | 12:39 PM IST
Zolpirest-M Tablet is used in the treatment of insomnia. It contains Zolpidem and Melatonin which relaxes muscles, reduces anxiety, and helps to fall asleep. It may cause side effects such as nausea, headache, diarrhoea, drowsiness, and dizziness. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer

East West Pharma India Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Jan-27

for this medicine

About Zolpirest-M Tablet

Zolpirest-M Tablet is a combination medication containing 'sedative-hypnotics' used in the treatment of insomnia. Insomnia is a disorder of sleep that causes difficulty in falling asleep or staying asleep. It may be acute (short-term) or chronic (long-term) in nature due to various complications like stress, anxiety, and breathing problems.

Zolpirest-M Tablet contains Zolpidem and Melatonin, primarily used to treat insomnia. Zolpidem works by increasing the activity of GABA, which is a chemical messenger in the brain, acting as a natural nerve-calming agent, thereby inducing sleep. Melatonin is a natural hormone that helps to maintain the normal sleep cycle (waking up and falling asleep).  Thus, Zolpirest-M Tablet relaxes muscles, reduces anxiety, and helps to fall asleep.

Take Zolpirest-M Tablet as prescribed by your doctor. You are advised to take Zolpirest-M Tablet for as long as your doctor has prescribed it for you, depending upon your medical condition. Preferably take Zolpirest-M Tablet empty stomach and just before bedtime. In some cases, you may experience nausea, headache, diarrhoea, drowsiness, and dizziness. Most of these side effects of Zolpirest-M Tablet do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

If you are pregnant, planning to become pregnant, or breastfeeding, please inform your doctor before starting Zolpirest-M Tablet . Do not stop taking Zolpirest-M Tablet even if you feel better, as it may lead to unpleasant side effects. Zolpirest-M Tablet is known to cause drowsiness, so do not drive or operate machinery. Avoid consumption of alcohol as it may reduce the effectiveness of Zolpirest-M Tablet . Zolpirest-M Tablet should not be used for daily naps.

Uses of Zolpirest-M Tablet

Treatment of Insomnia (sleeplessness).

Medicinal Benefits

Zolpirest-M Tablet is a sleeping pill used to treat insomnia (difficulty in falling or staying asleep). Zolpidem increases the activity of GABA (a chemical messenger in the brain that acts as a natural nerve-calming agent) that is involved in inducing sleep. Melatonin is a natural hormone that helps to maintain the normal sleep cycle (waking up and falling asleep). Thus, Zolpirest-M Tablet relaxes muscles, reduces anxiety, and helps to fall asleep. Appropriate lifestyle changes are recommended along with Zolpirest-M Tablet to improve the quality of sleep.

Directions for Use

Swallow Zolpirest-M Tablet as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Zolpirest-M Tablet

  • Nausea
  • Headache
  • Diarrhoea
  • Drowsiness
  • Dizziness

Drug Warnings

Do not take Zolpirest-M Tablet if you are allergic to Zolpirest-M Tablet or any of its ingredients. If you notice that the tablets are not working as well as they did in the beginning of the treatment, please consult a doctor as you might have developed tolerance to Zolpirest-M Tablet , and dose adjustment may be required. Zolpirest-M Tablet contains Zolpidem, a category C pregnancy drug, and is not recommended for use during pregnancy as it may cause adverse effects in the baby after birth. If you are a breastfeeding mother, it is advised to consult a doctor before using Zolpirest-M Tablet . If you have kidney, liver, or breathing problems, severe muscle weakness, sleep apnoea (a severe condition in which breathing stops and starts repeatedly in sleep), and if you have a history of depression or mental illness, please inform your doctor before taking Zolpirest-M Tablet . Maintain a time gap of a minimum of 8 hours between taking Zolpirest-M Tablet and driving to reduce the risk of increased adverse effects.

Drug Interactions

Drug-Drug Interaction: Zolpirest-M Tablet may have interaction with high blood pressure-lowering medicines (metoprolol), opioid pain killers (hydrocodone), antidepressants (sertraline), antibiotics (ciprofloxacin, rifampicin), antifungal drugs (ketoconazole), anti-anxiety drugs (alprazolam), antiallergics/antihistamines (diphenhydramine), muscle relaxants (cyclobenzaprine), antiepileptic drugs (gabapentin), stomach ulcer medicines (cimetidine), hypnotics (midazolam).

Drug-Food Interaction: Zolpirest-M Tablet may interact with caffeine, St John’s wort (herbal medicine for treating depression) and may reduce the effectiveness of Zolpirest-M Tablet . Also, avoid alcohol intake as it may increase the risk of dependence, psychomotor impairment (slowdown of thought process and reduced physical movements), sleepwalking, or sleep-driving.

Drug-Disease Interaction: Do not take Zolpirest-M Tablet if you have severe liver disease, breathing problems, sleep apnoea (sudden stopping of breathing during sleep), severe muscle weakness, diabetes, kidney problems, or any history of depression or mental illness.

Drug-Drug Interactions Checker List

  • METOPROLOL
  • HYDROCODONE
  • SERTRALINE
  • CIPROFLOXACIN
  • RIFAMPICIN
  • KETOCONAZOLE
  • ALPRAZOLAM
  • DIPHENHYDRAMINE
  • CYCLOBENZAPRINE
  • GABAPENTIN
  • CIMETIDINE
  • MIDAZOLAM

Habit Forming

Yes

Diet & Lifestyle Advise

  • Do regular exercise during day time.
  • Do not take a nap during day time. Set regular timings to go to bed and wake up.
  • Relax at least 1 hour before bedtime by bathing with warm water, listening to music, or reading a book.
  • Make the bedroom dark and quiet, and ensure that your pillows and mattresses are comfortable.
  • Avoid watching tv, using mobiles or laptops just before bedtime.
  • Limit caffeine intake, including tea, coffee, hot chocolate, cola, and energy drinks, as it may reduce the effectiveness of Zolpirest-M Tablet .
  • Avoid alcohol consumption as it may increase the risk of psychomotor impairment (slowdown of thought process and reduced physical movements), dependence, sleepwalking, or sleep-driving.

Special Advise

  • You are advised to take Zolpirest-M Tablet on an empty stomach as taking Zolpirest-M Tablet with food may reduce the effect of Zolpirest-M Tablet .
  • If you are depressed or have depression in the past, please inform your doctor before taking Zolpirest-M Tablet as it may increase self-harming or suicidal thoughts.
  • If you notice any behavioural side effects such as delusions (false belief), nightmares, irritability, restlessness, aggressiveness, or hallucinations (hear, feel or see things that are actually not present), please contact your doctor.
  • If you are allergic to any sugars, inform your doctor as Zolpirest-M Tablet contains lactose.

Disease/Condition Glossary

Insomnia: It is a disorder of sleep associated with problems in falling asleep or staying asleep. It may be acute (short-term) or chronic (long-term) in nature. Acute insomnia may last from one night to a few weeks and occurs due to stress or life changes. Chronic insomnia may last from more than 3 nights per week to more than 3 months. Insomnia is mostly caused due to depression, stress, anxiety, jet lag, shift work, uncomfortable beds, chronic illness, caffeine, nicotine, alcohol intake, or certain medicines. It may be treated using sleeping pills, behaviour therapy, sleep habits changes, and identifying and treating chronic conditions.

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Alcohol

Unsafe

Avoid consumption of alcohol with Zolpirest-M Tablet as it may increase the risk of dependence, psychomotor impairment (slowdown of thought process, and reduced physical movements), sleepwalking, or sleep-driving.

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Pregnancy

Unsafe

Zolpirest-M Tablet contains Zolpidem, a Category C pregnancy drug, and is not recommended for use during pregnancy as it may cause adverse effects in the baby after birth.

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Breast Feeding

Unsafe

Avoid breastfeeding while taking Zolpirest-M Tablet as it may be excreted in breast milk.

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Driving

Unsafe

You may experience dizziness, drowsiness, confusion, decreased alertness, blurred, or double vision, especially the day after taking Zolpirest-M Tablet . Therefore, avoid driving if you feel drowsy or dizzy after taking Zolpirest-M Tablet .

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Liver

Caution

Take Zolpirest-M Tablet with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

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Kidney

Caution

Take Zolpirest-M Tablet with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

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Children

Caution

Zolpirest-M Tablet is not recommended for children below 18 years of age.

Country of origin

India

Manufacturer/Marketer address

16Th Floor, Godrej Bkc, Plot C, G Block, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051, India.
Other Info - ZOL0279

Author Details

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FAQs

Zolpirest-M Tablet is used in the treatment of insomnia.
Zolpirest-M Tablet is a sleeping pill used to treat insomnia (difficulty in falling or staying asleep). Zolpidem increases the activity of GABA (a chemical messenger in the brain that acts as a natural nerve-calming agent) that is involved in inducing sleep. Melatonin is a natural hormone that helps to maintain the normal sleep cycle (waking up and falling asleep)
No, Zolpirest-M Tablet is not recommended for depression patients as it may worsen the condition and increase self-harming or suicidal thoughts. Therefore, if you are suffering from depression or have a history of depression, please inform your doctor before taking Zolpirest-M Tablet .
You are recommended to take Zolpirest-M Tablet just before bedtime as it helps to sleep quickly and improves sleep quality. If you forget to take Zolpirest-M Tablet at night, do not take it in the day time as it may cause drowsiness, confusion and dizziness.
No, you are not recommended to take Zolpirest-M Tablet with hydrocodone or other opioid pain killers such as oxycodone, naloxone, and tramadol as co-administration of these medicines with Zolpirest-M Tablet may increase the risk of difficulty in breathing, drowsiness, coma, and even death. However, before using Zolpirest-M Tablet with any other medicines, you are advised to contact your doctor so that the dose may be adjusted to use safely.
Yes, Zolpirest-M Tablet may cause dependence (mental and physical effects caused due to compulsion of taking Zolpirest-M Tablet ) if used in high doses and for a prolonged time. This risk of dependency on Zolpirest-M Tablet increases in patients who have a history of drug or alcohol abuse.

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