Kan jag ta Amitriptylin och Zopiklon tillsammans?

You should only take these two medicines together if your doctor is specifically aware you are using both and has told you to do so.

Tar amitriptyline och zopiclone together can make you feel extremely drowsy, dizzy, and confused.

Varför detta händer

Both medicines work by slowing down the activity in your central nervous system (your brain and nerves).

Amitriptyline is a tricykliskt antidepressivt medel with sedative properties, and zopiclone is a 'Z-drug' used for sleep.

When used together, their sedative effects add up (an additive effect), making the overall impact much stronger than taking either medicine alone.

Hur man vet om du har en läkemedelsinteraktion

You may be experiencing an interaction between amitriptyline and zopiclone if:

• You feel excessively sleepy, drowsy, or sedated during the day.

• You experience confusion, dizziness, or difficulty concentrating.

• You notice trouble with coordination or balance, increasing the risk of falls.

• You have memory problems or unusual behaviour.

• Breathing becomes slower or shallower than usual, especially at night.

• Symptoms appear shortly after taking both medicines together.
  

Vad du bör göra

If you have any of the above symptoms, you should:

• Speak to your GP or pharmacist for advice on safe use and dosing.

• Do not stop amitriptyline or zopiclone suddenly unless instructed by a healthcare professional.

• Seek urgent medical help if you experience severe drowsiness, breathing difficulties, or confusion.

• Avoid driving or operating machinery until you know how the combination affects you.

• Tell your healthcare professional about all other medicines and supplements you are taking.

If you are prescribed both, take them exactly as directed, usually right before bed. Do not drive, operate machinery, or drink any alcohol while using this combination. If you feel excessively sleepy the next day or have trouble breathing, contact your doctor immediately.

Viktiga försiktighetsåtgärder

Suicidtankar och humörförändringar

Amitriptylin kan öka risken för självmordstankar eller självskada, särskilt när man börjar behandlingen eller ändrar doser. Sök omedelbart medicinsk hjälp om ditt humör förändras eller om du känner dig deprimerad.

Drowsiness and coordination

Both medicines cause significant drowsiness and impaired coordination. This effect is much stronger when they are taken together, significantly increasing the risk of falls and accidents. Do not drive or operate machinery until you know how they affect you.

Complex sleep behaviours

Zopiclone can cause you to get out of bed while not fully awake and do activities you do not remember (such as sleep-walking, driving, or preparing food). Stop taking it immediately if this happens.

Hjärtrytmrubbningar

Amitriptyline can affect your heart rhythm. It must be used with extreme caution if you have a history of heart disease, particularly a recent heart attack or an irregular heartbeat (arrhythmia).

Varningar för mat och dryck

Alkohol

You must avoid or strictly limit alcohol while taking these medicines. Both amitriptyline and zopiclone cause drowsiness and slow your reactions. Alcohol significantly increases these effects, which can lead to dangerous levels of sedation, breathing difficulties, and an increased risk of falls or accidents.

Caffeine (Coffee, tea, energy drinks)

Caffeine is a stimulant that works against the sedative effects of zopiclone. Consuming caffeine, especially in the evening, can make zopiclone less effective at helping you sleep.

Användning av andra läkemedel

Tar du flera mediciner? Vår Interaktionskontroll för läkemedel hjälper dig att kontrollera om dina receptbelagda läkemedel, receptfria läkemedel och kosttillskott är säkra att ta tillsammans. Sök enkelt efter dina läkemedel för att se potentiella interaktioner och vad du kan göra åt dem.

Ansvarsfriskrivning

Denna information är endast avsedd för allmän utbildning och bör inte användas som en ersättning för professionell medicinsk rådgivning. Rådfråga alltid din läkare, apotekare eller annan kvalificerad vårdpersonal innan du fattar beslut om dina mediciner. Individuella omständigheter kan variera, och endast en vårdpersonal som känner till din medicinska historia kan ge personlig vägledning.