What is this medication and its most common uses?Intermezzo is a medicine used for the treatment of insomnia, specifically for people who have difficulty returning to sleep after waking up in the middle of the night.
Intermezzo is a federally controlled substance because it has abuse potential.
What should I know when beginning and continuing on this medication?How does this medication work?
Intermezzo works by decreasing the time it takes you to fall back asleep after middle of the night awakenings.
What are the beneficial effects of this medication and when should I begin to have results?
What: Intermezzo may help you fall asleep faster after waking up in the middle of the night.
When: For most patients, Intermezzo acts quickly and therefore should be taken while you are in bed and only if you have at least 4 hours of sleep left before you have to wake up. If your insomnia gets worse or is not better within 7 to 10 days, call your healthcare provider, as this may mean that there is another condition causing your sleep problems.
How do I know it is working?
If you are able to fall asleep faster than you normally would after waking up in the middle of the night, Intermezzo is likely working effectively. Your healthcare provider may ask you questions from time to time to assess your sleep pattern.
What are the possible side effects of this medication?The following is not a full list of side effects. Side effects cannot be anticipated. If any develop or change in intensity, tell your healthcare provider as soon as possible. Only your healthcare provider can determine if it is safe for you to continue taking this medication.
More common side effects may include: headache, nausea, fatigue.
Less common side effects may include:
Mental and physical dependence can occur. Keep Intermezzo in a safe place to prevent misuse and abuse. Selling or giving away Intermezzo can harm others, and is against the law.
Serious allergic reactions with symptoms such as swelling of your tongue or throat; trouble breathing or swallowing; or nausea and vomiting.
Getting up out of bed while not being fully awake and engaging in activities that you do not know you are doing (such as driving a car ["sleep-driving"], making and eating food, talking on the phone, having sex, or sleep-walking).
Abnormal thoughts and behavior with symptoms such as being more outgoing than usual, increased aggressiveness, confusion, agitation, hallucinations, anxiety, worsening of your depression, or suicidal thoughts or actions.
Who should not take this medication?Do not take Intermezzo if you are allergic to it or any of its ingredients.
What should I tell my healthcare provider before I take the first dose of this medication?Tell your healthcare provider about all prescription, over-the-counter, and herbal medications you are taking before beginning treatment with Intermezzo. Also, talk to your healthcare provider about your complete medical history, especially if you have kidney or liver disease, lung disease, or breathing problems (such as sleep apnea [stopping breathing temporarily during sleep] or myasthenia gravis [a disease characterized by long-lasting fatigue and muscle weakness]); have ever abused or have been addicted to alcohol, prescription medicines, or street drugs; or if you have a history of depression, mental illness, or suicidal thoughts.
What is the usual dosage?The information below is based on the dosage guidelines your healthcare provider uses. Depending on your condition and medical history, your healthcare provider may prescribe a different regimen. Do not change the dosage or stop taking your medication without your healthcare provider's approval.
Adults: The recommended dose is 1.75 milligrams (mg) for women and 3.5 mg for men, once a night as needed.
If you are elderly or have liver impairment, your healthcare provider may adjust your dose appropriately.
How should I take this medication?Take Intermezzo exactly as prescribed by your healthcare provider.
Take Intermezzo while you are in bed and only if you have at least 4 hours of sleep left before you have to wake up.
Place the tablet under your tongue and allow it to break apart completely. Do not swallow it whole.
Do not take Intermezzo with or right after a meal. Intermezzo may help you fall asleep faster if you take it on an empty stomach.
What should I avoid while taking this medication?Do not take Intermezzo if you drank alcohol that evening or before bed, or if you took another medicine to help you sleep.
Do not drive or engage in other activities that require complete alertness after taking Intermezzo until you feel fully awake.
What are the possible food and drug interactions associated with this medication?If Intermezzo is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your healthcare provider before combining Intermezzo with the following: alcohol, imipramine, ketoconazole, rifampin, or sertraline.
May I receive this medication if I am pregnant or breastfeeding?The effects of Intermezzo during pregnancy are unknown. Intermezzo can be found in your breast milk if you take it while breastfeeding. Tell your healthcare provider immediately if you are pregnant, plan to become pregnant, or are breastfeeding.
What should I do if I miss a dose of this medication?Intermezzo should be taken only as needed.
How should I store this medication?Store at room temperature. Protect from moisture.