HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Can Lunesta Be Taken In Place Of Ambien?

I have had insomnia for over 25 years. Mr doctor gave me ambien 10mg which is not as effective an lunesta. Ive asked her to switch back to Lunesta because the pharmacy was out of stock, but when it came in she never returned me calls, or the pharmacys request to change the med. everythings about money obviously. I got my answer already rich+=sleep noy rich=imsominia
Tue, 6 Dec 2016
Report Abuse
General & Family Physician 's  Response
As per your history is concerned both are available in the market you should know mode of action of AMBIEN as follow -
Zolpidem is an imidazopyridine derivative that acts by binding to the benzodiazepine (BZD) receptors of the GABA receptor complex resulting in neuronal hyperpolarisation, action potential inhibition, increased in chloride conductance and decreased in neuronal excitability. It has strong sedative action but only minimal anxiolytic, myorelaxant and anticonvulsant properties due to its selectivity for the BZ1-receptor over the BZ2-receptor. Zolpidem has a rapid onset but short duration of hypnotic action.
Onset: Immediate release: 30 min.
Duration: Immediate release: 6-8 hr.
Absorption: Rapidly absorbed from GI tract. Food reduces both the rate and extent of GI absorption. Absolute bioavailability: Approx 70%. Time to peak plasma concentration: Immediate release: 1.6 hr; extended release: 1.5 hr.
Distribution: Distributed into breast milk. Volume of distribution: 0.54 kg/L. Plasma protein binding: Approx 92%.
Metabolism: Undergoes first pass metabolism, metabolised primarily by CYP3A4 isoenzyme.
Excretion: Via urine (48-67%) and faeces (29-42%) as inactive metabolites. Elimination half-life: Approx 2.5 hr.

And LUNESTA is as follows-
Eszopiclone may interact w/ γ-aminobutyric acid (GABA) receptor complexes at binding domains located close to or allosterically coupled to benzodiazepine receptors.
Absorption: Rapidly absorbed from the GI tract. Delayed w/ high-fat or heavy meal. Time to peak plasma concentration: Approx 1 hr.
Distribution: Plasma protein binding: 52-59%.
Metabolism: Extensively metabolised via oxidation and demethylation by CYP3A4 and CYP2E1 isoenzymes to several active and inactive metabolites.
Excretion: Via urine (up to 75%; as metabolites). Half-life: Approx 6 hr.

Ambien-Zolpidem
Lunesta-eszopiclone
So never change any compound without the advise of Doctor(Thanks)
I find this answer helpful

Note: For further follow up on related General & Family Physician Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Loading Online Doctors....
Can Lunesta Be Taken In Place Of Ambien?

As per your history is concerned both are available in the market you should know mode of action of AMBIEN as follow - Zolpidem is an imidazopyridine derivative that acts by binding to the benzodiazepine (BZD) receptors of the GABA receptor complex resulting in neuronal hyperpolarisation, action potential inhibition, increased in chloride conductance and decreased in neuronal excitability. It has strong sedative action but only minimal anxiolytic, myorelaxant and anticonvulsant properties due to its selectivity for the BZ1-receptor over the BZ2-receptor. Zolpidem has a rapid onset but short duration of hypnotic action. Onset: Immediate release: 30 min. Duration: Immediate release: 6-8 hr. Absorption: Rapidly absorbed from GI tract. Food reduces both the rate and extent of GI absorption. Absolute bioavailability: Approx 70%. Time to peak plasma concentration: Immediate release: 1.6 hr; extended release: 1.5 hr. Distribution: Distributed into breast milk. Volume of distribution: 0.54 kg/L. Plasma protein binding: Approx 92%. Metabolism: Undergoes first pass metabolism, metabolised primarily by CYP3A4 isoenzyme. Excretion: Via urine (48-67%) and faeces (29-42%) as inactive metabolites. Elimination half-life: Approx 2.5 hr. And LUNESTA is as follows- Eszopiclone may interact w/ γ-aminobutyric acid (GABA) receptor complexes at binding domains located close to or allosterically coupled to benzodiazepine receptors. Absorption: Rapidly absorbed from the GI tract. Delayed w/ high-fat or heavy meal. Time to peak plasma concentration: Approx 1 hr. Distribution: Plasma protein binding: 52-59%. Metabolism: Extensively metabolised via oxidation and demethylation by CYP3A4 and CYP2E1 isoenzymes to several active and inactive metabolites. Excretion: Via urine (up to 75%; as metabolites). Half-life: Approx 6 hr. Ambien-Zolpidem Lunesta-eszopiclone So never change any compound without the advise of Doctor(Thanks)