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Silenor is a sleep medicine used to treat insomnia, specifically in people who have trouble staying asleep.
How does this medication work?
Silenor works by decreasing the time you spend awake after falling asleep, thereby increasing your time asleep.
What are the beneficial effects of this medication and when should I begin to have results?
What: Silenor may help you stay asleep throughout the night.
When: Everyone responds differently to treatment, so try to be patient and follow your healthcare provider's directions. It is important that you take Silenor exactly as your healthcare provider has prescribed.
How do I know it is working?
If you are able to fall asleep faster than you normally would and do not wake up as often during the night, Silenor is likely working effectively. Your healthcare provider may ask you questions from time to time to assess your sleep pattern.
The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: nausea, sleepiness, upper respiratory infection.
Less common side effects may include:
Abnormal thoughts and behavior, worsening of your depression, or suicidal thoughts or actions.
Getting up out of bed while not being fully awake and engaging in activities that you do not know you are doing (such as driving a car ["sleep-driving"], making and eating food, talking on the phone, having sex, or sleep-walking).
Do not use Silenor if you are allergic to it or any of its ingredients.
Do not take Silenor if you are taking an antidepressant medication called a monoamine oxidase inhibitor (MAOI) (such as phenelzine) or have taken any within the past 14 days.
Do not take Silenor if you have glaucoma (high pressure in the eye that is not being treated) or trouble urinating.
Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Silenor. Also, talk to your healthcare provider about your complete medical history, especially if you have liver or lung disease; severe sleep apnea (stopping breathing temporarily during sleep); a history of drug or alcohol abuse or addiction; depression, mental illness, or suicidal thoughts; or are pregnant, plan to become pregnant, or are breastfeeding.
The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: The recommended dose is 6 milligrams (mg) once a day. If you are over 65 years of age, your healthcare provider may start you on a 3-mg once a day dose.
Take Silenor exactly as prescribed by your healthcare provider. Do not change your dose or stop taking Silenor without first talking to your healthcare provider.
Take Silenor within 30 minutes of bedtime. After taking it, you should confine your activities to those necessary to prepare for bed.
Do not take Silenor within 3 hours of a meal. It may not work well, or may make you sleepy the next day if you take it with or right after a meal.
Do not take Silenor unless you can get a full night of sleep before you must be active again.
Do not drink alcohol while taking Silenor.
Do not drive or engage in other activities that require complete alertness after taking Silenor until you feel fully awake.
If Silenor is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Silenor with the following: alcohol, certain allergy medicines (antihistamines) or other medicines that can make you sleepy or affect your breathing, cimetidine or other medicines that can affect certain liver enzymes, MAOIs or tolazamide.
The effects of Silenor during pregnancy are unknown. Silenor can be found in your breast milk if you take it while breastfeeding. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
If you miss a dose of Silenor, take it as soon as you remember. However, if it is almost time for your next dose, skip the one you missed and return to your regular dosing schedule. Do not take two doses at once.
Store at room temperature. Protect from light.
In the event of a medical emergency call your doctor or 9-1-1 immediately. In the event of overdose, call your doctor or poison control for further instructions.
National Poison Control#: Call 1-800-222-1222
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