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Under no circumstances should a person take more than 10 mg in one day. Zolpidem should be taken exactly as directed by the prescribing physician. Because zolpidem is used to help people fall asleep, it should not be used with other drugs either over-thecounter, herbal, or prescription that also cause drowsiness for example, antihistamines or alcohol. Zolpidem should be used only with close physician supervision in people with liver disease and in the elderly, because these individuals are especially sensitive to the sedative properties of zolpidem.
Zolpidem should not be used before driving, operating machinery, or performing activities that require mental alertness. People with a history of drug abuse, psychiatric disorders, or depression should be carefully monitored when using zolpidem since zolpidem may worsen symptoms of some psychiatric disorders. If zolpidem is needed for more than seven to ten days, patients should be re-evaluated by a physician to determine if another disorder is causing their difficulty sleeping.
Zolpidem can be habit-forming when taken over a long period. People using zolpidem should not stop taking the drug suddenly, but gradually reduce the dose over a few days before quitting, even if zolpidem has been used only a for short time. Some sleeping pills such as zolpidem can cause aggressiveness, agitation, hallucinations , and amnesia memory problems , rapid, racing heartbeat, and chest pains. These side effects are rare, but the patient should call a physician immediately if they occur.
Although drowsiness is desired when trying to fall asleep, a few people continue to be drowsy the next day. Daytime drowsiness may cause people, especially the elderly, to be less coordinated and more susceptible to falls. Other less common side effects are anxiety, confusion, dizziness, and stomach upset. Any drug that causes drowsiness may lead to substantially decreased mental alertness and impaired motor skills when taken with zolpidem. Some examples include alcohol, antidepressants such as imipramine or paroxetine , antipsychotics such as thioridazine , and antihistamines commonly found in allergy and cold medications.
The effectiveness of zolpidem may be reduced if taken with rifampin, an antibiotic that is commonly used to treat tuberculosis infections. Mosby's Medical Drug Reference. Facts and Comparisons Staff. Drug Facts and Comparisons. Medical Economics Company, Definition Zolpidem is classified as a hypnotic drug. Description Although the way zolpidem helps people sleep is not entirely understood, it is believed to mimic a chemical in the brain called gamma-aminobutyric acid GABA that naturally helps to facilitate sleep.
Recommended dosage The usual dose of zolpidem in adults is 5—10 mg. Precautions Because zolpidem is used to help people fall asleep, it should not be used with other drugs either over-thecounter, herbal, or prescription that also cause drowsiness for example, antihistamines or alcohol. Side effects Some sleeping pills such as zolpidem can cause aggressiveness, agitation, hallucinations , and amnesia memory problems , rapid, racing heartbeat, and chest pains.
Interactions Any drug that causes drowsiness may lead to substantially decreased mental alertness and impaired motor skills when taken with zolpidem. Often, these people do not remember these events. This problem can be dangerous to you or to others. If you find out that you have done any of these activities after taking this medication, tell your doctor right away.
Your risk is increased if you use alcohol or other medications that can make you drowsy while taking zolpidem. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction , including: This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
Call your doctor for medical advice about side effects. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at Before taking zolpidem, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems.
Talk to your pharmacist for more details. Before using this medication , tell your doctor or pharmacist your medical history, especially of: The effects of this drug can last even after you wake up the next day. If you did not get 7 to 8 hours of sleep or took other medications that made you sleepy or are more sensitive to this drug, you may feel alert but not think clearly enough to drive.
Alcohol or marijuana can make you more dizzy. Wait at least 8 hours after taking this drug before driving, and do not drive, use machinery, or do anything that needs alertness until you can do it safely. This medication may also increase the risk of falls. Talk to your doctor if you are using marijuana. Children may be more sensitive to the side effects of this drug, especially dizziness and hallucinations. Older adults may be more sensitive to the side effects of this drug, especially dizziness, confusion, unsteadiness, and excessive drowsiness.
These side effects can increase the risk of falling. Before having surgery, tell your doctor or dentist about all the products you use including prescription drugs , nonprescription drugs, and herbal products. During pregnancy , this medication should be used only when clearly needed. Infants born to mothers who have taken sedative-hypnotics near the time of delivery may have undesirable effects such as breathing problems or withdrawal symptoms. Discuss the risks and benefits with your doctor.
A small amount of this medication passes into breast milk. Consult your doctor before breast -feeding. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Do not start, stop, or change the dosage of any medicines without your doctor's approval. A product that may interact with this drug is: Other medications can affect the removal of zolpidem from your body, which may affect how zolpidem works.
Examples include azole antifungals such as ketoconazole , rifampin , St. John's Wort, among others. Tell your doctor or pharmacist if you are taking other products such as opioid pain or cough relievers such as codeine, hydrocodone , alcohol, marijuana , other drugs for sleep or anxiety such as alprazolam , lorazepam , zopiclone , muscle relaxants such as carisoprodol , cyclobenzaprine , or antihistamines such as cetirizine , diphenhydramine.
Check the labels on all your medicines such as allergy or cough -and-cold products because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. If someone has overdosed and has serious symptoms such as passing out or trouble breathing , call Otherwise, call a poison control center right away. US residents can call their local poison control center at Canada residents can call a provincial poison control center.
Symptoms of overdose may include slowed breathing or a deep sleep from which you cannot be awakened. Do not share this medication with others. It is against the law. As you get older, your sleep pattern may naturally change and your sleep may be interrupted several times during the night. Consult your doctor or pharmacist for ways to improve your sleep without medication, such as avoiding caffeine and alcohol close to bedtime , avoiding daytime naps, and going to bed at the same time each night.
If you miss a dose, do not take it unless you have time to sleep for 7 to 8 hours afterwards. Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so.