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Zopiclone falls risk — GPhC CRA MCQ

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ModerateCNS TherapeuticsZopiclone falls riskGPhC CRA

A 72-year-old woman prescribed zopiclone 7.5mg nightly after bereavement asks for another supply because she has been taking it for six weeks. She has had two falls at night and takes amlodipine. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Refer to the prescriber for review and discuss falls risk from hypnotic use

Hypnotics such as zopiclone should generally be used short term because of dependence, tolerance and adverse effects. Older people are at increased risk of falls, confusion and next-day impairment. Repeated supply after six weeks and reported falls require prescriber review. Adding sedating antihistamines or alcohol would increase harm.

Reference: BNF; NICE CKS Insomnia