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Drug Interactions
Avoid alcoholic beverages when taking Sonata; the drug increases alcohol's effect. Also forgo high-fat meals immediately before taking Sonata; they tend to slow or reduce the drug's effect.

- If Sonata is used with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Sonata with the fol lowing:
- Carbamazepine (Tegretol)
- Cimetidine (Tagamet)
- Diphenhydramine (Benadryl)
- Imipramine (Tofranil)
- Phenobarbital
- Rifampin (Rifadin)
- Thioridazine (M ellaril)

How to Use
Do not take Sonata unless you plan to be in bed for at least four hours after taking it. If you need to be alert and active in less than four hours, your performance could be impaired. Never attempt t o drive a car or operate other dangerous machinery right after taking Sonata.

Use Sonata only for temporary relief of insomnia; sleep medicines tend to lose their effect when taken for more than a few weeks. Remember, too, that taking sleeping pills for extended periods or in high doses can lead to physical dependence and the danger of a withdrawal reaction when the drug is abruptly stop ped. Be especially wary if you've ever had addiction problems with alcohol or other drugs.

Special warnings about this medication
If you develop any unusual and strange thoughts or behavior while taking Sonata, be sure to discuss it with your doctor. Some changes that have occurred in people taking this medicine are like those s een in people who drink alcohol and then act in a manner that is not normal. Other changes may be more unusual and extreme, such as confusion, hallucinations (seeing, hearing, smelling, or feeling thi ngs that are not there), and unusual excitement, nervousness, or irritability.

Other medical problems
Sleep medicines may cause a special type of memory loss or "amnesia". When this occurs, a person does not remember what has happened during the several hours between use of the medicine and the time w hen its effects wear off. This is usually not a problem since most people fall asleep after taking the medicine. In most instances, memory problems can be avoided by taking Sonata only when you are ab le to get at least 4 hours of sleep before you need to be active again. Be sure to talk to your doctor if you think you are having memory problems.

What side effects may occur?
Although side effects from Sonata are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- drowsiness
- dizziness
- lightheadedness
- lack of coordination
- headache
- constipation
- dry mouth
- muscle aches

If you experience any of the following symptoms, call your doctor immediately:

- skin rash
- itching
- fast or irregular heartbeat
- chest pain
- difficulty breathing
- fever
- behavior changes or acting differently
- mental confusion
- a bnormal thinking or dreams
- hallucinations
- depression
- worsening of insomnia
- problems with memory

Symptoms of overdose
An overdose of drugs such as Sonata can be fatal. If you suspect an overdose, seek medical attention immediately.

Symptoms of Sonata overdose may include:
Drowsiness, mental confusion, grogginess, lack of coordination, flaccid muscles, labored breathing, coma


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