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Commercial Name:<br/> Imovane<br/>Principal Ingredient:<br/> Zopiclone<br/>Production form:<br/> Pills <br/>Utilization:<br/> Sleep Aids<br/>Available Dosage:<br/> 5.0 mg and 7.5 mg<br/>This product is shipped from EU<br/> Lunesta <br/>Active Ingredient:<br/> Eszopiclone<br/> Used to treat a certain sleep problem (insomnia)<br/>Available Dosages: 2mg

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Name – Patient / Client (Last, First MI) Name – Individual Preparing This Form Name – Staff Contact MEDICATION CATEGORY DAILY TOTAL DOSAGE RANGE Sedative, Hypnotic Name / Telephone Number – Institution The anticipated dosage range is to be individualized, may be above or below the recommended range but no medication will be administered without eszopiclone your informed and written consent .

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