You should not use Ambien alongside any CNS depressants. Take the container with you, even if it is empty. Risk of next-morning impairment after use of insomnia drugs; FDA requires lower recommended doses for certain drugs containing zolpidem Ambien, Ambien CR, Edluar, and Zolpimist ". Chlorpromazine can also cause decreased alertness and a decrease in psychomotor performance. Interactions Any drug that causes drowsiness may lead to substantially decreased mental alertness and impaired motor skills when taken with zolpidem. If you have a sleeping disorder, these are the best places online for information, support, and advice.
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Your doctor has weighed the risks of you using this medicine against the benefits they expect it will have for you. Pharmaceutical companies cannot give you medical advice or an individual diagnosis. It contains the active ingredient, zolpidem tartrate. It is used to treat people with sleeping difficulties insomnia. It must not be used for more than 4 weeks at a time. Zolpidem works by binding to special sites in the brain which produce sleep.
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed this medicine for another reason. Use in children Children or adolescents under the age of 18 must not take this medicine. When you must not take it Do not take this medicine if:. You are hypersensitive to, or have had an allergic reaction to, zolpidem or any of the ingredients listed at the end of this leaflet. Symptoms of an allergic reaction may include: If you think you are having an allergic reaction, do not take any more of the medicine and contact your doctor immediately or go to the Accident and Emergency department at the nearest hospital.
You are, or have been, drinking alcohol or you believe that you may have alcohol in your bloodstream. You suffer from sleep apnoea a condition where you temporarily stop breathing while you sleep. You suffer from myasthenia gravis a condition in which the muscles become weak and tire easily. The packaging is torn, shows signs of tampering or it does not look quite right. Before you start to take it Tell your doctor if:. These medicines may be affected by zolpidem or may affect how well it works.
You may need different amounts of your medicines, or you may need to take different medicines. Your doctor or pharmacist can tell you if you are taking any of these medicines. They may also have more information on medicines to be careful with or avoid while taking zolpidem. How to take this medicine Follow carefully all directions given to you by your doctor. Their instructions may be different to the information in this leaflet. If you do not understand any written instructions, ask your doctor or pharmacist for help.
How much to take Your doctor will tell you how much of this medicine you should take. This will depend on your condition and whether you are taking any other medicines. Do not stop taking your medicine or change your dosage without first checking with your doctor. The usual adult dose of zolpidem is 10 mg. If you are over 65 years of age or debilitated in any way, the usual dose is 5 mg at night. If you have a liver problem, the usual dose is 5 mg. This can be increased to 10 mg if advised by your doctor.
How to take it Swallow the tablets whole with a full glass of water unless your doctor has told you to take half a tablet. When to take it Take zolpidem immediately before you go to bed because it puts you to sleep quite quickly. It also works more quickly if you take it on an empty stomach. Zolpidem should only be taken when you are able to get a full night's sleep 7 to 8 hours before you need to be active and alert again.
How long to take it for Zolpidem should only be used for short periods treatment should not exceed 4 weeks. Continuous long term use is not recommended unless advised by your doctor. If you forget to take it If you forget to take zolpidem before you go to bed, and you wake up late in the night or very early in the morning, do not take it. If you take it later than normal, you may have trouble waking at your normal time.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints to help you remember. If you take too much overdose If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre Tel: Alternatively, go to the Accident and Emergency department at your nearest hospital. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention. If you take too much zolpidem your consciousness may be impaired ranging from drowsiness to light coma , or can be fatal.
Things you must do Tell your doctor that you are taking this medicine if:. If you become pregnant while you are taking zolpidem, stop taking it and tell your doctor immediately. Breast-feeding is not recommended whilst taking zolpidem. If the tablets have not started to work after 7 to 14 days go to your doctor to discuss what to do next.
Tell any other doctors, dentists and pharmacists who are treating you that you take this medicine. Things you must not do Do not give this medicine to anyone else, even if their symptoms seem similar to yours. Do not take your medicine to treat any other condition unless your doctor tells you to. Do not stop taking your medicine, or change the dosage, without first checking with your doctor. If you stop taking this medicine suddenly, there is a chance that your original symptoms of sleeplessness may become worse, or you get withdrawal symptoms such as muscle pain, sensitivity to light, touch or sound, headache, anxiety, tension, restlessness, confusion, strange thoughts, numbness, tingling, mood changes, irritability or, feeling not part of your body.
Do not drink alcohol before, during or immediately after taking this medicine. This can increase the risk of side effects. Things to be careful of Because zolpidem will make you sleepy or effect your alertness and response time, you should not operate dangerous machinery or drive motor vehicles for at least 8 hours after you take it. You should also be careful the next morning when you wake up. Make sure you know how you react to zolpidem before you drive a car or operate machinery.
This is especially important if you are taking other drugs that also make you drowsy, because they may make you even drowsier when taken with zolpidem. Be careful if you are over the age of 65, unwell or debilitated in some way, or taking other medicines. You should not use this medicine if you are allergic to zolpidem.
The tablets may contain lactose. Use caution if you are sensitive to lactose. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Zolpidem can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast-feeding a baby. It is dangerous to try and purchase zolpidem on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.
Samples of this medicine purchased on the Internet have been found to contain haloperidol Haldol , a potent antipsychotic drug with dangerous side effects. For more information, contact the U. Take zolpidem exactly as prescribed by your doctor. Follow all directions on your prescription label. Never take zolpidem in larger amounts, or for longer than prescribed. Read all patient information, medication guides, and instruction sheets provided to you.
Ask your doctor or pharmacist if you have any questions. Zolpidem may be habit-forming. Never share zolpidem with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law. Never take Ambien, Edluar, or Zolpimist if you do not have a full 7 to 8 hours to sleep before being active again.
Do not take Intermezzo for middle-of-the-night insomnia unless you have 4 hours of sleep time left before being active. Zolpidem is for short-term use only. Tell your doctor if your insomnia symptoms do not improve, or if they get worse after using this medication for 7 to 10 nights in a row. Do not take zolpidem for longer than 4 or 5 weeks without your doctor's advice. Do not stop using zolpidem suddenly after long-term use, or you could have unpleasant withdrawal symptoms.
Ask your doctor how to avoid withdrawal symptoms when you stop using this medicine. Insomnia symptoms may also return after you stop taking zolpidem. These symptoms may seem to be even worse than before you started taking the medicine. Call your doctor if you still have worsened insomnia after the first few nights without taking zolpidem. Do not swallow the Edluar or Intermezzo tablet whole.
Place the tablet under your tongue and allow it to dissolve in your mouth without water. Spray Zolpimist directly into your mouth over your tongue. Prime the spray before the first use by pumping 5 test sprays into the air, away from your face. Prime the spray with 1 test spray if it has not been used for longer than 14 days. Store at room temperature away from moisture and heat. Keep the Zolpimist bottle upright when not in use. Dosage Information in more detail.
Seek emergency medical attention or call the Poison Help line at An overdose of zolpidem can be fatal, especially when it is taken together with other medications that can cause drowsiness. Overdose symptoms may include sleepiness, confusion, shallow breathing, feeling light-headed, fainting, or coma. You may still feel sleepy the morning after taking zolpidem, especially if you take the extended-release tablet, or if you are a woman.
Wait until you are fully awake before you drive, operate machinery, pilot an airplane, or do anything that requires you to be awake and alert. Avoid taking zolpidem during travel, such as to sleep on an airplane. You may be awakened before the effects of the medicine have worn off. Amnesia forgetfulness is more common if you do not get a full 7 to 8 hours of sleep after taking zolpidem.