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FDA Prescription Therapeutic Agent • Prescription (Rx)

Eszopiclone

Brand Names: Lunesta

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-09-24 • RxNorm RxCUI 485442 • 6 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Eszopiclone Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

86%
Patient “Worth It” (15)
$12.03
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Eszopiclone

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Dr. Vance (AI Pharmacology & Interaction Agent)

Eszopiclone Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 485442 • NDC 71335-2698

Eszopiclone tablets are indicated for the treatment of insomnia. In controlled outpatient and sleep laboratory studies, eszopiclone tablets administered at bedtime decreased sleep latency and improved sleep maintenance. The clinical trials performed in support of efficacy were up to 6 months in duration. The final formal assessments of sleep latency and maintenance were performed at 4 weeks in the 6-week study (adults only), at the end of both 2-week studies (elderly only) and at the end of the 6-month study (adults only). Eszopiclone tablets are indicated for the treatment of insomnia.

12.1 Mechanism of Action The mechanism of action of eszopiclone as a hypnotic is unclear; however, its effect could be related to its interaction with GABA-receptor complexes at binding domains located close to or allosterically coupled to benzodiazepine receptors.

Following administration (1 mg/1 Tablet, Film Coated), Eszopiclone achieves Approximately 50% to 62% enteral uptake across labeled Eszopiclone strengths bioavailability and maximum serum exposure occurs 2–4 hours after eszopiclone dosing onset, governed by a Steady-state plasma equilibrium reached over 9–17 hour t½ intervals for Eszopiclone terminal half-life through predominantly hepatic biotransformation with renal elimination of polar eszopiclone conjugates.

Before initiating Eszopiclone at 1 mg/1 Tablet, Film Coated, clinical safety checklists rule out 4 contraindications; eszopiclone tablets are contraindicated in patients who have experienced complex sleep behaviors after taking eszopiclone tablets .; eszopiclone tablets are contraindicated in patients with known hypersensitivity to eszopiclone.. Logged tolerability patterns center on nausea (9.1% of reports), headache (8.5% of reports), insomnia (6.6% of reports).

Key Monitored Interactions:
Potent CYP3A4 Inhibitors (Azoles, Clarithromycin, Ritonavir) Major

Azole antifungals or ritonavir can markedly raise Eszopiclone plasma peaks; dose reduction may be warranted.

CNS Depressants, Sedatives & Opioids Major

Concurrent opioid, benzodiazepine, or alcohol intake amplifies drowsiness and respiratory suppression with Eszopiclone.

Half-Life
Steady-state plasma equilibrium reached over 9–17 hour t½ intervals for Eszopiclone
Bioavailability
Approximately 50% to 62% enteral uptake across labeled Eszopiclone strengths
Metabolism & Clearance
Predominantly hepatic biotransformation with renal elimination of polar Eszopiclone conjugates
Clinical Onset
Maximum serum exposure occurs 2–4 hours after Eszopiclone dosing

Standard Adult Titration & Dosages

1 mg/1 Tablet, Film Coated 3 mg/1 Tablet, Coated 1 mg/1 Tablet, Coated 3 mg/1 Tablet, Film Coated 2 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • 4 CONTRAINDICATIONS
  • Eszopiclone tablets are contraindicated in patients who have experienced complex sleep behaviors after taking eszopiclone tablets .
  • Eszopiclone tablets are contraindicated in patients with known hypersensitivity to eszopiclone.

Logged Side-Effect Incidence (15 Reports)

Nausea 9.1%
Headache 8.5%
Insomnia 6.6%
Fatigue 5.8%
Dizziness 5.8%
Diarrhea 4.5%
Elena Rostova (AI Biostatistician & openFDA Quant)

Eszopiclone Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (15)
Nausea FAERS: 9.1% • Logs: 9.1%
Fatigue FAERS: 5.8% • Logs: 5.8%
Diarrhea FAERS: 4.5% • Logs: 4.5%
Headache FAERS: 8.5% • Logs: 8.5%
Insomnia FAERS: 6.6% • Logs: 6.6%
Dizziness FAERS: 5.8% • Logs: 5.8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Eszopiclone)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
What the Latest Evidence Really Says About Comparative effects of pharmacological interventions for the acute and long-term

Eszopiclone and lemborexant had a favorable profile, but eszopiclone might cause substantial side effects and safety data on lemborexant were inconclusive.

Lancet (London, England) • 2022-07-16 • Meta-Analysis
Multi-cohort 92/100 PMID 35843245 ↗
Can This Approach Help? Inside the Latest Research on Cognitive Behavioral Therapy Alone or in Combination with Eszopiclone in Comorbid

In patients with COMISA, the combination of eszopiclone with BBTI resulted in comparable improvement in sleep quality of life to that achieved with BBTI-only therapy.

The Psychiatric quarterly • 2025-12-15 • Randomized Controlled Trial
Multi-cohort 82/100 PMID 40202618 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Eszopiclone Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 485442
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0871/unit (~$2.61/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 15 Anonymous DotMD Community Micro-Logs $12.03 / mo View logs ↓
Sesame Direct Cash-Pay Prescriber Network (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $29.00 consult Program details
Virtual Psychiatric Medication Management (Licensed Telehealth Cash Program) State-licensed clinician review • ~1d mail fulfillment $39.00 consult Program details

Eszopiclone Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Eszopiclone RxNorm Concept ID 485442 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0871 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $12.03 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 86.00% Worth It (15 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Eszopiclone Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Eszopiclone integrating DailyMed SPL (2025-09-24), CMS NADAC ($0.0871/unit), and 15 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Eszopiclone community threads and patient logs by age, biological sex, dosage, and treatment duration.

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