Doctor Discussion Guide

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About My Sleep

Usually, I get hours of sleep per night,
and I have had trouble sleeping 
for the last  My main issue
is   I also wake up
times per night and usually stay awake for minutes / hours each
time. I currently take to help me sleep.

How It Affects Me

What parts of your life are affected by your lack of sleep?
Select all that apply to you.

Concentration
Job Performance
Relationships
Ability to
Function
Mood
Health
What Could Be Disturbing My Sleep

Things you do during the day and a few hours before bedtime can have an impact on how well you sleep at night. So can certain life events and your medical history. Select the ones that apply to you so you can discuss with your doctor.

DAYTIME HABITS:

Smoke
Cigarettes
Drink Alcohol
Exercise Regularly
Eat Spicy Foods
Drink Coffee/
Tea/Soda
Nap During the Day

NIGHTTIME HABITS (3-4 HOURS BEFORE BEDTIME):

Use Your Computer
Watch TV
Listen to Music
Eat Late Dinners
Work a Night Shift
Go to Bed at
the Same Time
Each Night

LIFE EVENTS:

New Job
Change in
Relationship Status
Relocation
Frequent Travel for Work or Pleasure
High Stress or Anxiety

MEDICAL HISTORY:

Take any Over-The-Counter or
Prescription Drugs
Have a History of Depression, Mental Illness or Suicidal Thoughts
Have a History of Drug or Alcohol Abuse or Addiction
Have Liver Disease
Are Pregnant,
Planning on
Becoming Pregnant,
or Breast-Feeding
Have any Other Type of Medical Condition
Other Questions to Ask:

Select any questions below that you’d like to discuss with your doctor.

  • Should I be concerned about my sleep problems?
  • What are the risks of sleep problems that persist?
  • What are the differences between prescription sleep medications and over-the-counter sleep treatments?
  • What kind of side effects can I expect from these medications?
  • Do you think a prescription sleep aid, such as LUNESTA® (eszopiclone) may be right for me?
  • How can I expect to feel the next morning after taking LUNESTA?
  • If I start taking LUNESTA, will I have to take it every night?
  • What are the most common side effects of LUNESTA?
  • Is there any other important safety information I should know?

IMPORTANT SAFETY INFORMATION
LUNESTA acts quickly, so take it right before bed, and only if you have 8 hours to devote to sleep. Do not take LUNESTA if you are allergic to anything in it. LUNESTA should not be taken together with alcohol. Until you know how you will react to LUNESTA, you should not drive or operate machinery. Call your doctor if your insomnia worsens or is not better within 7 to 10 days. This may mean that there is another condition causing your sleep problems. Walking, eating, driving or engaging in other activities while asleep without remembering it the next day have been reported. Other abnormal behaviors include aggressiveness, agitation, hallucinations and confusion. In depressed patients, worsening of depression including risk of suicide may occur. These risks may increase if you drink alcohol. Severe allergic reactions such as swelling of the tongue and throat occur rarely and may be fatal. Call your doctor if you experience these or any effects or reactions that concern you. LUNESTA, like most sleep medicines, carries some risk of dependency. Side effects may include unpleasant taste, headache, morning drowsiness and dizziness.

INDICATION
Lunesta® (eszopiclone) is a prescription sleep medicine used in adults for the treatment of a sleep problem called insomnia. Symptoms of insomnia include trouble falling asleep and waking up often during the night.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. For more information, please see the LUNESTA Medication Guide and Full Prescribing Information.