Sleep Discussion Guide

Preparing for your initial visit with your healthcare professional may improve the discussion about your specific sleep problem and treatment options. This can help you and your healthcare professional decide if you need to treat your sleep problem and if prescription LUNESTA may be right for you. This Discussion Guide is not meant to be a diagnostic tool, it's simply a reference tool that helps you give information to your healthcare professional.

Simply type in your answers (they will not be saved or shared). Then just print out the completed discussion guide and bring it with you when you see your healthcare professional. If you haven't tried LUNESTA, we also recommend you print out and bring our Free Trial Offer form by downloading the voucher.

If you would rather fill this out on paper, download a printable PDF of the Sleep Discussion Guide now.

About your difficulty sleeping

How much sleep are you getting each night?
How long have you been experiencing trouble sleeping?
How often do you have trouble sleeping?
Are you having trouble falling asleep, staying asleep, or both?
If you have trouble sleeping, how many times on average do you wake up in the middle of the night?
If you do wake up, for how long?

Impact on your day

Which of these are affected by your lack of sleep? (Check all that apply.)
 





Share any of the following with your healthcare professional if they apply to you:
 

What you're doing to treat the problem

Share with your healthcare professional the steps you've taken to get a better night's sleep. From the list below, check off what you're doing (or have tried).
 









Your medical history

This will give your healthcare professional a fuller picture of the state of your health. Start by listing all the prescription medicines, over-the-counter drugs, herbal supplements, and vitamins you’re taking. (If you need it, you will have extra space in your printout.)

Check off any of the following medical conditions you may have or add those not listed in the space provided on your printout.
 


Some additional questions to ask your healthcare professional

Select the questions below you want to appear in your own personal Discussion Guide. In your printout you will also have some space to take notes or fill in any more questions you may want to ask your healthcare professional.

About Sleep
 



Considering Treatment
 



About LUNESTA
 





Notes

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.

IMPORTANT SAFETY INFORMATION:
LUNESTA acts quickly, so take it right before bed, and only if you have 8 hours to devote to sleep. Until you know how you will react to LUNESTA, you should not drive or operate machinery. Call your healthcare professional 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 healthcare professional 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. For more information, please see the LUNESTA Medication Guide.

LUNESTA and LUNESTA Moth are registered trademarks of Sunovion Pharmaceuticals Inc. Sunovion Pharmaceuticals Inc. is a U.S. subsidiary of Dainippon Sumitomo Pharma Co. Ltd.
© 2012 Sunovion Pharmaceuticals Inc. All rights reserved.

 

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