Chronic insomnia is a long-term sleep disorder that makes it difficult for individuals to fall asleep, stay asleep, or wake up feeling rested—despite having the opportunity to sleep. In the UK, it's estimated that around 1 in 3 people experience insomnia at some point, but when symptoms persist for three nights a week for three months or longer, it is considered chronic.
People with chronic insomnia often report:
Difficulty falling asleep at night
Waking up frequently during the night
Rising too early and not being able to get back to sleep
Feeling tired or groggy during the day
Difficulty concentrating or remembering things
This condition can be caused by stress, anxiety, medical conditions, medication side effects, or even poor sleep habits. Over time, untreated insomnia can seriously affect both physical and mental health—leading to low mood, irritability, weakened immunity, and poor performance at work or school.
If you're struggling with persistent sleep problems, it's important to seek guidance—either through your GP, a NHS sleep clinic, or approved treatments like Zopiclone, under medical supervision.
Zopiclone, marketed under the brand name Zimovane, is a type of non-benzodiazepine hypnotic. Despite not being chemically related to benzodiazepines, it acts in a similar way to help initiate and maintain sleep. Zopiclone is approved in the UK for the short-term treatment of insomnia, usually for a duration of no more than 2 to 4 weeks. This medication is prescribed when sleep problems are severe, disabling, or causing extreme distress.
Zopiclone works by interacting with gamma-aminobutyric acid (GABA) receptors in the brain. GABA is a neurotransmitter that inhibits excessive brain activity, promoting calmness and relaxation. By enhancing the effects of GABA, zopiclone:
Helps individuals fall asleep faster.
Reduces night-time awakenings
Increases overall sleep duration
Improves sleep quality over the short term
However, prolonged use can lead to tolerance (reduced effectiveness) and dependence, which is why it’s only recommended for short-term use.
Zopiclone is typically prescribed for short-term treatment of insomnia, especially when other methods like sleep hygiene and lifestyle changes haven’t worked. It’s most suitable for adults who:
Zopiclone is usually prescribed for 7 to 14 nights, just enough to reset your sleep cycle. It’s not meant for long-term use due to the potential for dependency and reduced effectiveness over time.
While Zopiclone is effective for short-term relief of insomnia, it’s not suitable for everyone. Certain individuals should avoid this medication due to potential health risks or interactions.
Standard dose: 3.75mg to 7.5mg taken right before bed.
Elderly or sensitive patients: Start with 3.75mg.
Maximum duration: 2-4 weeks (to avoid dependence).
Metallic taste in mouth (reported by ~30% of users).
Daytime drowsiness (affects focus and coordination).
Dry mouth, dizziness, or headaches.
Dependence & addiction (even after a few weeks).
Memory problems & confusion (especially in elderly).
Withdrawal symptoms (rebound insomnia, anxiety).
If you’re concerned about risks, consider:
Cognitive Behavioral Therapy for Insomnia (CBT-I) – Gold standard for chronic insomnia.
Sleep restriction therapy – Trains your brain to associate bed with sleep.
Melatonin (Circadin) – For over-55s with sleep maintenance issues.
Promethazine (Phenergan) – A milder, non-addictive antihistamine.
Valerian root – Mild sedative effects.
Magnesium glycinate – Promotes muscle relaxation.
Lavender oil – Reduces anxiety-related insomnia.
Zopiclone can be effective for short-term insomnia, but it must be used responsibly under medical supervision.
Always consult your GP before starting or stopping zopiclone.
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Meet Dr. John Wood, a distinguished figure in the field of medicine whose career spanned over 25 years and left an indelible mark on patient care. Though he has retired from active clinical practice, his passion for healthcare remains as vibrant as ever. Dr. Wood’s extensive knowledge and experience are now channeled into our pharmacy's blog, where he shares insights that educate and empower our valued customers. His contributions not only reflect his commitment to public health but also help demystify complex medical topics for everyday readers.
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