Page last updated: 2024-11-06

zopiclone and Substance Withdrawal Syndrome

zopiclone has been researched along with Substance Withdrawal Syndrome in 41 studies

zopiclone: S(+)-enantiomer of racemic zopiclone; azabicyclo(4.3.0)nonane; a nonbenzodiazepine; one of the so-called of Z drugs (zopiclone, eszopiclone, zolpidem, and zaleplon) for which there is some correlation with tumors; was term of zopiclone 2004-2007
zopiclone : A pyrrolo[3,4-b]pyrazine compound having a 4-methylpiperazine-1-carboxyl group at the 5-position, a 5-chloropyridin-2-yl group at the 6-position and an oxo-substituent at the 7-position.

Substance Withdrawal Syndrome: Physiological and psychological symptoms associated with withdrawal from the use of a drug after prolonged administration or habituation. The concept includes withdrawal from smoking or drinking, as well as withdrawal from an administered drug.

Research Excerpts

ExcerptRelevanceReference
"Zopiclone was resumed at a lower dose and delirium resolved completely."5.33Zopiclone withdrawal: an unusual cause of delirium in the elderly. ( Chiu, PK; Chu, LW; Wong, CP, 2005)
"A double-blind study comparing zopiclone and triazolam, in 48 healthy, chronic insomniacs, was undertaken in two centers to compare the hypnotic and withdrawal effects of both compounds."5.06A comparison of the efficacy, safety and withdrawal effects of zopiclone and triazolam in the treatment of insomnia. ( Bourgouin, J; Fleming, JA; Mayes, C; McClure, DJ; Phillips, R, 1990)
" Only few controlled studies have characterized the effect of discontinuation of their chronic use on sleep and quality of life."2.90Withdrawal from long-term use of zopiclone, zolpidem and temazepam may improve perceived sleep and quality of life in older adults with primary insomnia. ( Kivelä, SL; Lähteenmäki, R; Neuvonen, PJ; Partinen, M; Puustinen, J; Räihä, I; Vahlberg, T, 2019)
"92 outpatients (≥55 years) with primary insomnia, long-term BZDA use as hypnotics (mean duration of BZDA use 9."2.87Long-term persistence of withdrawal of temazepam, zopiclone, and zolpidem in older adults: a 3-year follow-up study. ( Aarnio, P; Kivelä, SL; Lähteenmäki, R; Neuvonen, PJ; Nurminen, J; Partinen, M; Puustinen, J; Räihä, I; Vahlberg, T, 2018)
" As impaired muscle strength and balance are risk factors for falls, we examined the effects of hypnotic withdrawal on handgrip strength and balance in older adult outpatients during and after long-term use of temazepam, zopiclone and zolpidem (here collectively referred to as "benzodiazepines")."2.79Handgrip strength and balance in older adults following withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotics. ( Kivelä, SL; Lähteenmäki, R; Lyles, A; Neuvonen, PJ; Nurminen, J; Partinen, M; Puustinen, J; Räihä, I; Vahlberg, T, 2014)
"Rebound effects after withdrawal from hypnotics are believed to trigger their chronic use and to enhance the risk of tolerance and dependence."2.70A double-blind, randomized and placebo-controlled study on the polysomnographic withdrawal effects of zopiclone, zolpidem and triazolam in healthy subjects. ( Backhaus, J; Berger, M; Feige, B; Hohagen, F; Hornyak, M; Riemann, D; Voderholzer, U, 2001)
"Twenty-four volunteers (19 women and five men) with insomnia and a history of chronic use of benzodiazepine hypnotics participated in a randomized, double blind, controlled clinical trial."2.69The effects of substituting zopiclone in withdrawal from chronic use of benzodiazepine hypnotics. ( Hacohen, D; Herer, P; Lavie, P; Pat-Horenczyk, R, 1998)
" In this double-blind study in geriatric patients, drugs were administered during 3 weeks and the therapeutic effects of zopiclone at optimal dosage (5 or 7."2.67Efficacy and safety of zopiclone and triazolam in the treatment of geriatric insomniacs. ( Bourgouin, J; Elie, R; Frenay, M; Le Morvan, P, 1990)
"Zopiclone was associated with feelings of being troubled, tense, antagonistic and bored whereas temazepam produced drowsiness, clumsiness, dreaminess and sadness."2.66Subjective effects during administration and on discontinuation of zopiclone and temazepam in normal subjects. ( Frcka, G; Lader, M, 1987)
"Former substance abusers and psychiatric patients appear to be at greatest risk."2.45Comparative tolerability of newer agents for insomnia. ( Zammit, G, 2009)
" This review of relevant literature has revealed a lack of documentation on the adverse effects of zopiclone."2.40[Adverse effects of zopiclone]. ( Bramness, JG; Olsen, H, 1998)
"Zopiclone-treated patients reported themselves to be less impaired by daytime sedation than patients treated with the medium- and long-acting hypnosedatives flurazepam, nitrazepam and flunitrazepam."2.40A comparative assessment of the risks and benefits of zopiclone: a review of 15 years' clinical experience. ( Hajak, G, 1999)
"The aim of this study was to assess the effect of withdrawal from the long-term use of temazepam, zopiclone or zolpidem as hypnotics drugs (here referred to as BZD) on cognitive performance."1.40Effect of withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotic agents on cognition in older adults. ( Kivelä, SL; Lähteenmäki, R; Lyles, A; Neuvonen, PJ; Partinen, M; Polo-Kantola, P; Puustinen, J; Räihä, I; Salo, P; Vahlberg, T, 2014)
"Zopiclone was resumed at a lower dose and delirium resolved completely."1.33Zopiclone withdrawal: an unusual cause of delirium in the elderly. ( Chiu, PK; Chu, LW; Wong, CP, 2005)
"While one patient had a polysubstance abuse there was no evidence for an abuse history in the other patient."1.30[Dependency of non-benzodiazepine hypnotics. Two case reports]. ( Antonijevic, IA; Sonntag, A; Steiger, A; Ströhle, A, 1999)
"Furthermore, the patient suffered from convulsion on two occasions following abrupt withdrawal of zopiclone."1.28Misuse of zopiclone and convulsions during withdrawal. ( Aranko, K; Henriksson, M; Hublin, C; Seppäläinen, AM, 1991)
"Eleven chronic insomniacs participated in the study where both EEG sleep recordings and a subjective rating scale were used to evaluate drug effects."1.28Long term efficacy and withdrawal of zopiclone: a sleep laboratory study. ( le Morvan, P; Pecknold, J; Wilson, R, 1990)
"Zopiclone was self-administered by rhesus monkeys relatively frequently by the intravenous route; the infrequent intragastric rate was similar to or slightly higher than with diazepam."1.26Dependence potential of zopiclone studied in monkeys. ( Yanagita, T, 1982)

Research

Studies (41)

TimeframeStudies, this research(%)All Research%
pre-19908 (19.51)18.7374
1990's18 (43.90)18.2507
2000's8 (19.51)29.6817
2010's7 (17.07)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Marsden, J1
White, M1
Annand, F1
Burkinshaw, P1
Carville, S1
Eastwood, B1
Kelleher, M1
Knight, J1
O'Connor, R1
Tran, A1
Willey, P1
Greaves, F1
Taylor, S1
Puustinen, J4
Lähteenmäki, R4
Nurminen, J2
Vahlberg, T4
Aarnio, P1
Partinen, M4
Räihä, I4
Neuvonen, PJ4
Kivelä, SL4
Hahn, M1
Roll, SC1
Polo-Kantola, P1
Salo, P1
Lyles, A2
Zammit, G1
Kristensen, Ø1
Pasareanu, AR1
McMahon, LR1
Jerussi, TP1
France, CP1
Kuntze, MF1
Bullinger, AH1
Mueller-Spahn, F1
Wong, CP1
Chiu, PK1
Chu, LW1
Flynn, A1
Cox, D1
Belleville, G1
Morin, CM1
Siriwardena, AN1
Qureshi, MZ1
Dyas, JV1
Middleton, H1
Orner, R1
Bechelli, LP1
Navas, F1
Pierangelo, SA1
Wickstrøm, E2
Barbo, SE2
Dreyfus, JF2
Jerkø, D2
Kleiven, R2
Slåttbrekk, R2
Stray Tønnesen, JN2
Yanagita, T2
Kato, S1
Dorian, P2
Sellers, EM2
Kaplan, H2
Hamilton, C2
Shapiro, CM1
MacFarlane, JG1
MacLean, AW1
Lemoine, P1
Ohayon, MM1
Jones, IR1
Sullivan, G1
Bramness, JG1
Olsen, H1
Pat-Horenczyk, R1
Hacohen, D1
Herer, P1
Lavie, P1
Ströhle, A1
Antonijevic, IA1
Steiger, A1
Sonntag, A1
Feige, B2
Voderholzer, U2
Riemann, D2
Hohagen, F2
Berger, M2
Hajak, G1
Harter, C1
Piffl-Boniolo, E1
Rave-Schwank, M1
Hornyak, M1
Backhaus, J1
Kajaste, S1
Palomäki, H1
Aranko, K1
Henriksson, M1
Hublin, C1
Seppäläinen, AM1
Kelly, F1
O'Grady, J1
Champey, Y1
Pecknold, J1
Wilson, R1
le Morvan, P2
Fleming, JA1
McClure, DJ1
Mayes, C1
Phillips, R1
Bourgouin, J2
Elie, R1
Frenay, M1
Mouret, J1
Ruel, D1
Maillard, F1
Bianchi, M2
Musch, B1
Lader, M1
Frcka, G1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Development of a Coordinated, Community-Based Medication Management Model for Home-Dwelling Aged in Primary Care[NCT02545257]191 participants (Actual)Interventional2015-09-30Completed
Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia[NCT04986007]70 participants (Anticipated)Interventional2021-09-01Enrolling by invitation
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

6 reviews available for zopiclone and Substance Withdrawal Syndrome

ArticleYear
Medicines associated with dependence or withdrawal: a mixed-methods public health review and national database study in England.
    The lancet. Psychiatry, 2019, Volume: 6, Issue:11

    Topics: Acetamides; Adolescent; Adult; Aged; Analgesics; Analgesics, Opioid; Antidepressive Agents; Azabicyc

2019
Comparative tolerability of newer agents for insomnia.
    Drug safety, 2009, Volume: 32, Issue:9

    Topics: Azabicyclo Compounds; Clinical Trials as Topic; Drug Interactions; Humans; Hypnotics and Sedatives;

2009
[Adverse effects of zopiclone].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 1998, May-20, Volume: 118, Issue:13

    Topics: Azabicyclo Compounds; Drug Tolerance; Humans; Hypnotics and Sedatives; Piperazines; Substance Withdr

1998
A comparative assessment of the risks and benefits of zopiclone: a review of 15 years' clinical experience.
    Drug safety, 1999, Volume: 21, Issue:6

    Topics: Animals; Azabicyclo Compounds; Benzodiazepines; Clinical Trials as Topic; Humans; Hypnotics and Seda

1999
[Advantages and disadvantages of sleeping pills].
    Duodecim; laaketieteellinen aikakauskirja, 1991, Volume: 107, Issue:18

    Topics: Azabicyclo Compounds; Benzodiazepines; Humans; Hypnotics and Sedatives; Piperazines; Sleep Initiatio

1991
Zopiclone: another carriage on the tranquilliser train.
    Lancet (London, England), 1990, Mar-03, Volume: 335, Issue:8688

    Topics: Azabicyclo Compounds; Humans; Hypnotics and Sedatives; Piperazines; Sleep Initiation and Maintenance

1990

Trials

17 trials available for zopiclone and Substance Withdrawal Syndrome

ArticleYear
Long-term persistence of withdrawal of temazepam, zopiclone, and zolpidem in older adults: a 3-year follow-up study.
    BMC geriatrics, 2018, 06-15, Volume: 18, Issue:1

    Topics: Aged; Azabicyclo Compounds; Double-Blind Method; Female; Follow-Up Studies; Humans; Hypnotics and Se

2018
Withdrawal from long-term use of zopiclone, zolpidem and temazepam may improve perceived sleep and quality of life in older adults with primary insomnia.
    Basic & clinical pharmacology & toxicology, 2019, Volume: 124, Issue:3

    Topics: Aged; Aged, 80 and over; Azabicyclo Compounds; Double-Blind Method; Female; Humans; Hypnotics and Se

2019
Handgrip strength and balance in older adults following withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotics.
    BMC geriatrics, 2014, Nov-21, Volume: 14

    Topics: Aged; Aged, 80 and over; Azabicyclo Compounds; Female; Follow-Up Studies; Hand Strength; Humans; Hyp

2014
Hypnotic discontinuation in chronic insomnia: impact of psychological distress, readiness to change, and self-efficacy.
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2008, Volume: 27, Issue:2

    Topics: Acetamides; Adaptation, Psychological; Adult; Aged; Anxiety; Attitude to Health; Azabicyclo Compound

2008
A comparative study of zopiclone and flunitrazepam in insomniacs seen by general practitioners.
    Pharmacology, 1983, Volume: 27 Suppl 2

    Topics: Adolescent; Adult; Azabicyclo Compounds; Clinical Trials as Topic; Double-Blind Method; Family Pract

1983
Evaluation of zopiclone physical dependence liability in normal volunteers.
    Pharmacology, 1983, Volume: 27 Suppl 2

    Topics: Adult; Anxiety; Azabicyclo Compounds; Double-Blind Method; Hemodynamics; Humans; Hypnotics and Sedat

1983
A comparative study of zopiclone and flunitrazepam in insomniacs seen by general practitioners.
    International pharmacopsychiatry, 1982, Volume: 17 Suppl 2

    Topics: Adolescent; Adult; Azabicyclo Compounds; Clinical Trials as Topic; Double-Blind Method; Family Pract

1982
Evaluation of zopiclone physical dependence liability in normal volunteers.
    International pharmacopsychiatry, 1982, Volume: 17 Suppl 2

    Topics: Adult; Anxiety; Azabicyclo Compounds; Double-Blind Method; Electroencephalography; Hemodynamics; Hum

1982
Alleviating sleep-related discontinuance symptoms associated with benzodiazepine withdrawal: a new approach.
    Journal of psychosomatic research, 1993, Volume: 37 Suppl 1

    Topics: Adult; Azabicyclo Compounds; Benzodiazepines; Female; Humans; Hypnotics and Sedatives; Male; Middle

1993
Is hypnotic withdrawal facilitated by the transitory use of a substitute drug?
    Progress in neuro-psychopharmacology & biological psychiatry, 1997, Volume: 21, Issue:1

    Topics: Adolescent; Adult; Aged; Azabicyclo Compounds; Female; Humans; Hypnotics and Sedatives; Male; Middle

1997
The effects of substituting zopiclone in withdrawal from chronic use of benzodiazepine hypnotics.
    Psychopharmacology, 1998, Volume: 140, Issue:4

    Topics: Adult; Anti-Anxiety Agents; Azabicyclo Compounds; Double-Blind Method; Female; Flunitrazepam; Follow

1998
Independent sleep EEG slow-wave and spindle band dynamics associated with 4 weeks of continuous application of short-half-life hypnotics in healthy subjects.
    Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 1999, Volume: 110, Issue:11

    Topics: Adult; Azabicyclo Compounds; Double-Blind Method; Electroencephalography; Humans; Hypnotics and Seda

1999
A double-blind, randomized and placebo-controlled study on the polysomnographic withdrawal effects of zopiclone, zolpidem and triazolam in healthy subjects.
    European archives of psychiatry and clinical neuroscience, 2001, Volume: 251, Issue:3

    Topics: Adult; Azabicyclo Compounds; Dose-Response Relationship, Drug; Double-Blind Method; Electroencephalo

2001
A comparison of the efficacy, safety and withdrawal effects of zopiclone and triazolam in the treatment of insomnia.
    International clinical psychopharmacology, 1990, Volume: 5 Suppl 2

    Topics: Adolescent; Adult; Azabicyclo Compounds; Double-Blind Method; Female; Humans; Hypnotics and Sedative

1990
Efficacy and safety of zopiclone and triazolam in the treatment of geriatric insomniacs.
    International clinical psychopharmacology, 1990, Volume: 5 Suppl 2

    Topics: Aged; Aged, 80 and over; Arousal; Azabicyclo Compounds; Dose-Response Relationship, Drug; Double-Bli

1990
Zopiclone versus triazolam in insomniac geriatric patients: a specific increase in delta sleep with zopiclone.
    International clinical psychopharmacology, 1990, Volume: 5 Suppl 2

    Topics: Aged; Aged, 80 and over; Arousal; Azabicyclo Compounds; Delta Rhythm; Double-Blind Method; Electroen

1990
Subjective effects during administration and on discontinuation of zopiclone and temazepam in normal subjects.
    Pharmacopsychiatry, 1987, Volume: 20, Issue:2

    Topics: Adult; Anti-Anxiety Agents; Anxiety; Arousal; Azabicyclo Compounds; Female; Humans; Hypnotics and Se

1987

Other Studies

18 other studies available for zopiclone and Substance Withdrawal Syndrome

ArticleYear
A patient with acute mania after discontinuation of lithium.
    Medizinische Monatsschrift fur Pharmazeuten, 2016, Volume: 39, Issue:9

    Topics: Azabicyclo Compounds; Bipolar Disorder; Drug Interactions; Drug Substitution; Drug Therapy, Combinat

2016
Effect of withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotic agents on cognition in older adults.
    European journal of clinical pharmacology, 2014, Volume: 70, Issue:3

    Topics: Aged; Azabicyclo Compounds; Cognition; Female; Follow-Up Studies; Humans; Hypnotics and Sedatives; M

2014
Effect of withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotic agents on cognition in older adults.
    European journal of clinical pharmacology, 2014, Volume: 70, Issue:3

    Topics: Aged; Azabicyclo Compounds; Cognition; Female; Follow-Up Studies; Humans; Hypnotics and Sedatives; M

2014
Effect of withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotic agents on cognition in older adults.
    European journal of clinical pharmacology, 2014, Volume: 70, Issue:3

    Topics: Aged; Azabicyclo Compounds; Cognition; Female; Follow-Up Studies; Humans; Hypnotics and Sedatives; M

2014
Effect of withdrawal from long-term use of temazepam, zopiclone or zolpidem as hypnotic agents on cognition in older adults.
    European journal of clinical pharmacology, 2014, Volume: 70, Issue:3

    Topics: Aged; Azabicyclo Compounds; Cognition; Female; Follow-Up Studies; Humans; Hypnotics and Sedatives; M

2014
[Zopiclone and convulsions].
    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke, 2010, Jun-17, Volume: 130, Issue:12

    Topics: Adult; Azabicyclo Compounds; Humans; Hypnotics and Sedatives; Male; Piperazines; Seizures; Substance

2010
Stereoselective discriminative stimulus effects of zopiclone in rhesus monkeys.
    Psychopharmacology, 2003, Volume: 165, Issue:3

    Topics: Administration, Oral; Animals; Anti-Anxiety Agents; Azabicyclo Compounds; Diazepam; Discrimination L

2003
Excessive use of zopiclone: a case report.
    Swiss medical weekly, 2002, Sep-07, Volume: 132, Issue:35-36

    Topics: Aged; Azabicyclo Compounds; Dose-Response Relationship, Drug; Drug Administration Schedule; Drug Ove

2002
Zopiclone withdrawal: an unusual cause of delirium in the elderly.
    Age and ageing, 2005, Volume: 34, Issue:5

    Topics: Aged; Azabicyclo Compounds; Delirium; Female; Humans; Hypnotics and Sedatives; Piperazines; Substanc

2005
Dependence on zopiclone.
    Addiction (Abingdon, England), 2006, Volume: 101, Issue:6

    Topics: Aged; Azabicyclo Compounds; Female; Humans; Hypnotics and Sedatives; Piperazines; Seizures; Sleep In

2006
Magic bullets for insomnia? Patients' use and experiences of newer (Z drugs) versus older (benzodiazepine) hypnotics for sleep problems in primary care.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 2008, Volume: 58, Issue:551

    Topics: Acetamides; Adolescent; Adult; Aged; Aged, 80 and over; Attitude to Health; Azabicyclo Compounds; Be

2008
Comparison of the reinforcing properties of zopiclone and triazolam in former alcoholics.
    International pharmacopsychiatry, 1982, Volume: 17 Suppl 2

    Topics: Adult; Alcoholism; Anti-Anxiety Agents; Azabicyclo Compounds; Capsules; Double-Blind Method; Electro

1982
Dependence studies on zopiclone.
    NIDA research monograph, 1983, Volume: 43

    Topics: Animals; Azabicyclo Compounds; Barbiturates; Behavior, Animal; Diazepam; Humans; Hypnotics and Sedat

1983
Dependence potential of zopiclone studied in monkeys.
    International pharmacopsychiatry, 1982, Volume: 17 Suppl 2

    Topics: Administration, Oral; Animals; Azabicyclo Compounds; Barbital; Diazepam; Female; Humans; Hypnotics a

1982
Physical dependence on zopiclone: case reports.
    BMJ (Clinical research ed.), 1998, Jan-10, Volume: 316, Issue:7125

    Topics: Adult; Azabicyclo Compounds; Female; Humans; Hypnotics and Sedatives; Male; Middle Aged; Piperazines

1998
[Dependency of non-benzodiazepine hypnotics. Two case reports].
    Der Nervenarzt, 1999, Volume: 70, Issue:1

    Topics: Adult; Azabicyclo Compounds; Benzodiazepines; Depression; Humans; Hypnotics and Sedatives; Male; Mid

1999
[Development of drug withdrawal delirium after dependence on zolpidem and zoplicone].
    Psychiatrische Praxis, 1999, Volume: 26, Issue:6

    Topics: Anxiety Disorders; Azabicyclo Compounds; Drug Therapy, Combination; Female; Humans; Hypnotics and Se

1999
Misuse of zopiclone and convulsions during withdrawal.
    Pharmacopsychiatry, 1991, Volume: 24, Issue:4

    Topics: Adult; Azabicyclo Compounds; Depressive Disorder; Humans; Hypnotics and Sedatives; Male; Piperazines

1991
Zopiclone.
    Lancet (London, England), 1990, Apr-28, Volume: 335, Issue:8696

    Topics: Azabicyclo Compounds; Humans; Piperazines; Product Surveillance, Postmarketing; Sleep Initiation and

1990
Long term efficacy and withdrawal of zopiclone: a sleep laboratory study.
    International clinical psychopharmacology, 1990, Volume: 5 Suppl 2

    Topics: Adult; Arousal; Azabicyclo Compounds; Electroencephalography; Female; Humans; Hypnotics and Sedative

1990
Zopiclone discontinuation: review of 25 studies assessing withdrawal and rebound phenomena.
    International clinical psychopharmacology, 1990, Volume: 5 Suppl 2

    Topics: Azabicyclo Compounds; Dose-Response Relationship, Drug; Electroencephalography; Female; Humans; Hypn

1990