Category C—Based on animal data, may cause fetal harm
RID 1.5%; probably safe, but studies incomplete
Start at 1mg qhs, max dose 2 mg
2019 BEE℞S Recommendation: Avoid. Nonbenzodiazepine benzodiazepine receptor agonist hypnotics (ie, Z drugs) have adverse events similar to those of benzodiazepines in older adults (eg, delirium, falls, fractures); increased emergency room visits/ hospitalizations; motor vehicle crashes; minimal improvement in sleep latency and duration.
No dosage adjustment necessary.
No dosage adjustment for mild-moderate impairment; for severe impairment start at 1 mg, max dose 2 mg
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Last updated March 25 2019 15:25:58. Disclaimer: This website does not provide medical advice, nor is it a substitute for clinical judgment.