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CASE REPORT
Paradoxical insomnia in a patient taking zopiclone
  1. Adam Abba-Aji1,2,
  2. Prajjita Bardoloi3
  1. 1Department of Psychiatry, University of Alberta Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada
  2. 2Department of Young Adult, Alberta Hospital Edmonton, Edmonton, Alberta, Canada
  3. 3Queen Elizabeth II Hospital, Grande Prairie, Alberta, Canada
  1. Correspondence to Dr Adam Abba-Aji, abbaaji{at}ualberta.ca

Summary

We present a case of a man aged 20 years who was diagnosed with a major depressive disorder and was started on escitalopram and zopiclone. The patient had a significant response to escitalopram except that he developed severe insomnia which dramatically resolved following discontinuation of zopiclone. The patient was recommenced on low dose of zopiclone and unfortunately redeveloped moderate insomnia. The patient was thoroughly investigated and zopiclone was determined to have paradoxically caused the insomnia.

https://doi.org/10.1136/bcr-2016-217335

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    Footnotes

    • Contributors This case report was conceptualized and designed by AA-A and PB. AA-A provided technical guidance around all aspects of the case report. AA-A and PB provided literature review to the case report. The manuscript was written by AA-A who is the corresponding author.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.