Is Zopiclone compatible with breastfeeding? Do we have alternatives for Zopiclone?

Zopiclone

February 22, 2016 (Very Low Risk)

Cyclopyrrolone with sedative effects, anxiolytic, amnesic, anticonvulsant and relaxing similar to those of benzodiazepines muscle.
Used as a hypnotic for insomnia.

It is excreted in breast milk in clinically non-significant amount.

It can produce dependence and withdrawal symptoms if stopped abruptly.

It is recommended to check for sedation or lack of appetite in infants.

Alternatives

We do not have alternatives for Zopiclone since it is relatively safe.

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.

Writings

  • ζοπλικόνη (Greek)
  • زوبيكلون (Arabic)
  • Зопиклон (Cyrillic)
  • 佐匹克隆 (Chinese)
  • ゾピクロン (Japanese)
  • C17H17ClN6O3 (Molecular formula)

References

  1. Sanofi. Zopiclone. Drug Summary. 2014 Full text (in our servers)
  2. Zopiclone Drugbank.com 2013 Full text (in our servers)
  3. AEMPS. Zopiclona. Ficha técnica 2013 Full text (in our servers)
  4. Drover DR. Comparative pharmacokinetics and pharmacodynamics of short-acting hypnosedatives: zaleplon, zolpidem and zopiclone. Clin Pharmacokinet. 2004Abstract
  5. Pons G, Rey E, Matheson I. Excretion of psychoactive drugs into breast milk. Pharmacokinetic principles and recommendations. Clin Pharmacokinet. 1994Abstract
  6. Matheson I, Sande HA, Gaillot J. The excretion of zopiclone into breast milk. Br J Clin Pharmacol. 1990Abstract
  7. Gaillot J, Heusse D, Hougton GW, Marc Aurele J, Dreyfus JF. Pharmacokinetics and metabolism of zopiclone. Pharmacology. 1983Abstract
  8. Gaillot J, Heusse D, Hougton GW, Marc Aurele J, Dreyfus JF. Pharmacokinetics and metabolism of zopiclone. Int Pharmacopsychiatry. 1982Abstract