Andante instructions for use
- Andante instructions for use
Andante is a drug from the group of sleeping pills.
The active ingredient is the substance zaleplon. The drug is available in dosages of 5 and 10 mg in 7 capsules per pack.
The excipients are: titanium dioxide, cellulose, magnesium stearate.
The use of the drug Andante contributes to the provision of hypnotic, sedative, as well as a slight anticonvulsant and muscle relaxant effect. The medicine helps to reduce the time of falling asleep and prolongs the duration of sleep.
Dosage, method of application
The capsule must be taken orally before bedtime, not earlier than 2 hours after the last meal.
- The recommended dosage for adults is 10 mg of the drug.
- The recommended dosage for patients of older age groups is 5 mg. This is due to the greater sensitivity of older people to sleeping pills.
- The daily dosage for patients with a history of liver failure (mild and moderate) is 5 mg. This is due to the slow removal of the drug from the patient.
- In case of development of renal failure there is no need for dosage adjustment.
The maximum daily dose of the drug is 10 mg. Patients who use Andante should be aware that re-taking the drug overnight and exceeding the recommended dose is not recommended.
The duration of the use of Andante capsules should not exceed 14 days.
In the event that the patient takes the drug in a dosage of 5 mg or 10 mg for 14 days, then the drug is not addictive and has the necessary therapeutic effect.
Self-medication with this drug is not recommended.
Addiction and addiction
If the drug is taken for more than 14 days or in a high dosage, then there is a risk of developing addiction to the drug and reducing its therapeutic effects.
If the drug is used in a high dose over a long period of time, then the risk of developing psychological and physical dependence increases. In this case, abrupt withdrawal of capsules can cause the development of such adverse reactions: headache and muscle pain, a state of increased anxiety, tension, anxiety, irritability, confusion.
After discontinuation of the drug may develop such effects as insomnia (pronounced form), the development of anxiety, anxiety, mood disorders.
In the case of an overdose of the drug was not observed the development of conditions that threaten the patient's life. This applies to those cases where the drug was not used in conjunction with alcoholic beverages (ethanol), as well as in combination with drugs that have a depressant effect on the central nervous system.
Symptoms of overdose can be the following states: the development of drowsiness, confusion, lethargy. In severe cases, the risk of developing ataxia, respiratory disorders, lowering blood pressure, coma increases. In case of overdose, consult a doctor immediately!
If the patient is conscious and less than 1 hour has passed since taking the drug, it is necessary to promptly induce vomiting.
If the patient is unconscious, then gastric lavage is performed and the ambulance is called as soon as possible. Additionally, you should monitor the state of respiratory and cardiac activity.
The substance flumazenil can be used as an antidote.
Indications for use
The use of the drug is indicated for severe forms of sleep disorders and sleep, which provoke fatigue and decreased performance.
The use of the drug is contraindicated in the case of severe renal and pulmonary insufficiency, with sleep apnea syndrome, with severe myasthenia gravis.
The safety of the use of the drug Andante in patients younger than 18 years has not been identified.
The drug is prescribed with extreme caution in the case of the development of chronic alcoholism and drug dependence (including in history), in chronic pulmonary insufficiency, depressive states.
Taking the drug may contribute to the development of side effects from:
- Gastrointestinal: nausea, upset stool, abdominal pain, vomiting.
- Central nervous system: the development of weakness, headache, irritability, irritability, anxiety.
In some cases, capsules can cause an allergic reaction.
Use during pregnancy
The use of the drug Andante in the period of carrying a child, as well as breastfeeding is contraindicated.
In the event that the drug is used by a woman of childbearing age, she should take into account the need for immediate treatment to the doctor if pregnancy occurs while taking this medicine. From the planning of children at the time of taking the capsules Andante should refrain.
When using the drug in the 3rd trimester of pregnancy increases the risk of negative effects on the fetus. In newborns whose mothers used the drug during pregnancy, physical dependence on the drug can be detected. There is also a risk of withdrawal.
Interaction with other drugs
Andante may interact with certain groups of drugs.
Simultaneous use of drugs from the group of opioid analgesics leads to the development of a euphoric state with the subsequent occurrence of drug dependence.
Simultaneous use with rifampicin, carbamazepine and phenobarbital derivatives can lead to a decrease in the pharmacological effect of Andante.
The simultaneous use of drugs that include ketoconazole and erythromycin can cause an increase in the sedative effects of Andante. In this case, you may need a dose adjustment of the drug.
Andante has no effect on the pharmacological effect of drugs Warfarin and Digoxin. Reducing the dosage in this case is not required.
The interaction of Andante with drugs, which include ibuprofen was not detected.
Impact on the management of transport mechanisms
The drug contributes to the provision of a sedative effect, so for the duration of treatment it is worth refraining from controlling the transport mechanisms, as well as doing work that requires increased concentration of attention.
In the event that, against the background of short-term use of the drug Andante, there is no noticeable improvement in the patient’s health, then it is necessary to re-examine and, as necessary, change the treatment strategy.
Patients with lactose intolerance should take into account that this substance is part of the drug.
Taking the drug may contribute to the development of psychomotor disorders that develop several hours after taking the capsule. For this reason, Andante intake should be carried out when the patient has the opportunity and conditions for uninterrupted sleep for at least 4 hours after taking the capsule.
Reception of the drug should be immediately stopped in case of the development of increased aggressiveness, anxiety and anxiety, irritability, hallucinations. Patients of older and younger age groups are most susceptible to such disorders.
During treatment with the drug is not strongly recommended the use of alcoholic beverages.
Andante cannot act as a major component of the treatment of psychosis.
This medicine is not recommended for use in the treatment of depressive conditions, as Andante may provoke suicide attempts. Patients with a history of depression, this tool prescribes the minimum effective dose (5 mg) for a short period of time. The medication should be administered under the constant supervision of the attending physician.
Storage of this medication should be carried out in a dark, dry place, protected from children and exposure to sunlight at a temperature not exceeding 30 degrees.
An analogue of Andante is Zaleplon. If it is necessary to select a replacement, it is recommended to consult a doctor.
The cost of the drug Andante for the period of August 2015 is formed as follows:
- Capsules 5 mg, 7 pcs. - 140-160 rubles.
- Capsules 10 mg, 7 pcs. - 420-440 rubles.