fda strengthens warning about sleeping pill dangers...fda said at the time. dr. janet woodcock,...

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News Video Traffic Taking Action for You Sports Entertainment Marketplace Don't Waste Your Money Support Site Map Privacy Policy Terms of Use EEO FCC Public Files Public File Contact Scripps TV Station Group © 2019 The E.W. Scripps Co ADVERTISEMENT The #1 Plantar Fasciitis Shoe Shoes with the latest space age materials at unbelievable prices. Free shipping & returns. × ! Watch Local News Florida National Recalls Politics Investigations Driving Tampa Bay Forward Certain commonly used sleeping pills will now contain a new boxed warning alerting patients to possible serious or life-threatening behaviors that may result from taking these drugs, the US Food and Drug Administration announced Tuesday . The move follows several reports of rare but serious injuries and deaths resulting from sleepwalking, sleep- driving and other complex behaviors while sleeping, such as unsafe use of a stove. Eszopiclone (Lunesta), zaleplon (Sonata) and zolpidem (Ambien, Ambien CR, Edluar, Intermezzo and Zolpimist) will require the new boxed warnings, which are the most prominent of FDA cautions, the agency said. "These incidents can occur after the first dose of these sleep medicines or after a longer period of treatment, and can occur in patients without any history of these behaviors and even at the lowest recommended doses," Acting Commissioner Dr. Ned Sharpless said in the statement. The agency also says doctors should not prescribe these medicines to patients who have experienced such episodes after taking these drugs. Millions of Americans use sleeping pills, according to a US Centers for Disease Control and Prevention report : About 4% of adults have used prescription sleep aids in the past month. More adult women (5%) use prescription sleep aids than adult men (3.1%), while white adults (4.7%) are more likely to use the pills than black (2.5%). Not all sleep aids pose these risks, the FDA noted. The labels of sleeping drugs that contain eszopiclone, zaleplon or zolpidem already include a warning, the agency said. Together, the new boxed warning and the new rule against prescribing to at-risk patients are intended to emphasize existing warnings while suggesting that the risk of injury and death is serious. The FDA identified 66 reports of patients over the past 26 years who had taken either eszopiclone, zaleplon or zolpidem and then experienced serious injuries or death while not fully awake. Accidental overdoses, falls, burns, near-drowning, extreme temperature exposures leading to loss of limb, self-inflicted gunshot wounds and suicide attempts were among the 46 non-fatal injuries; 20 deaths occurred due to carbon monoxide poisoning, drowning, falls, hypothermia, car crashes and suicide. "Patients usually did not remember these events," a drug safety communication from the FDA said. "The underlying mechanisms by which these insomnia medicines cause complex sleep behaviors are not completely understood." Pfizer, drug maker of Sonata; Sandoz, maker of Ambien; and Sunovion, maker of Lunesta, did not respond to requests for comment. In 2013, the FDA required makers of sleeping pills with the active ingredient zolpidem to lower their recommended doses . At the time, researchers had found high blood levels of zolpidem in some patients the morning after they took doses affecting their cognitive skills, including their ability to drive. The FDA said then that lower doses of zolpidem would cut down on morning-after blood levels. The agency also noted that the recommended dosages should be lower for women, because they don't process zolpidem out of their systems as quickly as men, though doctors might also consider lowering doses for men. And patients using extended-release forms of these pills are at higher risk of next-morning impairment, according to the agency. All patients should be notified about possible "morning after" risks, the FDA said at the time. Dr. Janet Woodcock, director of the FDA's Center for Drug Evaluation and Research, said Tuesday that the agency has monitored these drugs since they were approved: eszopiclone was approved in 2004, zaleplon in 1999 and zolpidem in 1992. "We'll continue to monitor and evaluate these risks associated with insomnia medications and communicate with the public or consider further actions, as appropriate," she said. Copyright 2019 Cable News Network, Inc., a Time Warner Company. All rights reserved. ADVERTISEMENT NEWS " N AT I O N A L FDA strengthens warning about sleeping pill dangers Posted: 7:12 AM, May 01, 2019 Updated: 7:12 AM, May 01, 2019 By: CNN Newsource ! 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Page 1: FDA strengthens warning about sleeping pill dangers...FDA said at the time. Dr. Janet Woodcock, director of the FDA's Center for Drug Evaluation and Research, said Tuesday that the

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Certain commonly used sleeping pills will now contain a new boxedwarning alerting patients to possible serious or life-threatening behaviorsthat may result from taking these drugs, the US Food and DrugAdministration announced Tuesday . The move follows several reports ofrare but serious injuries and deaths resulting from sleepwalking, sleep-driving and other complex behaviors while sleeping, such as unsafe use ofa stove.

Eszopiclone (Lunesta), zaleplon (Sonata) and zolpidem (Ambien, AmbienCR, Edluar, Intermezzo and Zolpimist) will require the new boxedwarnings, which are the most prominent of FDA cautions, the agency said.

"These incidents can occur after the first dose of these sleep medicines orafter a longer period of treatment, and can occur in patients without anyhistory of these behaviors and even at the lowest recommended doses,"Acting Commissioner Dr. Ned Sharpless said in the statement.

The agency also says doctors should not prescribe these medicines topatients who have experienced such episodes after taking these drugs.

Millions of Americans use sleeping pills, according to a US Centers forDisease Control and Prevention report : About 4% of adults have usedprescription sleep aids in the past month. More adult women (5%) useprescription sleep aids than adult men (3.1%), while white adults (4.7%)are more likely to use the pills than black (2.5%).

Not all sleep aids pose these risks, the FDA noted.

The labels of sleeping drugs that contain eszopiclone, zaleplon orzolpidem already include a warning, the agency said. Together, the newboxed warning and the new rule against prescribing to at-risk patients areintended to emphasize existing warnings while suggesting that the risk ofinjury and death is serious.

The FDA identified 66 reports of patients over the past 26 years who hadtaken either eszopiclone, zaleplon or zolpidem and then experiencedserious injuries or death while not fully awake.

Accidental overdoses, falls, burns, near-drowning, extreme temperatureexposures leading to loss of limb, self-inflicted gunshot wounds andsuicide attempts were among the 46 non-fatal injuries; 20 deathsoccurred due to carbon monoxide poisoning, drowning, falls,hypothermia, car crashes and suicide.

"Patients usually did not remember these events," a drug safetycommunication from the FDA said. "The underlying mechanisms bywhich these insomnia medicines cause complex sleep behaviors are notcompletely understood."

Pfizer, drug maker of Sonata; Sandoz, maker of Ambien; and Sunovion,maker of Lunesta, did not respond to requests for comment.

In 2013, the FDA required makers of sleeping pills with the activeingredient zolpidem to lower their recommended doses . At the time,researchers had found high blood levels of zolpidem in some patients themorning after they took doses affecting their cognitive skills, includingtheir ability to drive.

The FDA said then that lower doses of zolpidem would cut down onmorning-after blood levels. The agency also noted that the recommendeddosages should be lower for women, because they don't process zolpidemout of their systems as quickly as men, though doctors might also considerlowering doses for men. And patients using extended-release forms ofthese pills are at higher risk of next-morning impairment, according to theagency.

All patients should be notified about possible "morning after" risks, theFDA said at the time.

Dr. Janet Woodcock, director of the FDA's Center for Drug Evaluation andResearch, said Tuesday that the agency has monitored these drugs sincethey were approved: eszopiclone was approved in 2004, zaleplon in 1999and zolpidem in 1992. "We'll continue to monitor and evaluate these risksassociated with insomnia medications and communicate with the publicor consider further actions, as appropriate," she said.

Copyright 2019 Cable News Network, Inc., a Time Warner Company. All rights reserved.

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FDA strengthens warning about sleepingpill dangersPosted: 7:12 AM, May 01, 2019 Updated: 7:12 AM, May 01, 2019

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