Zolpidem

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Zolpidem


Generic Name: Zolpidem Tablets (ZOLE-pih-dem)
Brand Name: Ambien

Zolpidem is used for:

Short-term treatment of insomnia (difficulty falling or staying asleep).

Zolpidem is a sedative-hypnotic, or sleep medicine. It works by helping to increase certain natural chemicals in the brain that cause sleep.

Do NOT use Zolpidem if:

  • you are allergic to any ingredient in Zolpidem
  • you are taking sodium oxybate (also known as GHB)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Zolpidem :

Some medical conditions may interact with Zolpidem . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, plan to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you are depressed, have alcohol or substance abuse problems, have liver disease, or have breathing problems, especially when sleeping

Some MEDICINES MAY INTERACT with Zolpidem . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • HIV protease inhibitors (eg, ritonavir) or sodium oxybate (GHB) because they may increase the risk of Zolpidem "s side effects

This may not be a complete list of all interactions that may occur. Ask your health care provider if Zolpidem may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Zolpidem :

Use Zolpidem as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet is available with Zolpidem . Talk to your pharmacist if you have questions about this information.
  • Take Zolpidem by mouth with or without food.
  • Zolpidem works very quickly; use Zolpidem right before going to sleep.
  • Use Zolpidem only when you are able to get a full night"s sleep (7 to 8 hours).
  • Sleep medicines are usually used only for short periods of time, such as 1 to 2 days, and generally not longer than 1 or 2 weeks. If your sleep problems continue, talk with your doctor. Long-term use of Zolpidem (more than 1 month) is not advised.
  • If you miss a dose of Zolpidem , skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once and do not take more than your total daily dose in any 24-hour period.

Ask your health care provider any questions you may have about how to use Zolpidem .

Important safety information:

  • Zolpidem may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Zolpidem with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not drink alcohol or use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using Zolpidem ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
  • When you first start taking Zolpidem , it may have a "carryover" effect on you the next day. Use extreme care while doing anything that requires complete alertness (eg, driving a car).
  • Sleep medicines may cause a special type of memory loss or "amnesia." To prevent memory problems, be sure to use Zolpidem only when you are able to get a full night"s sleep (7 to 8 hours) before you need to be active again. Be sure to talk to your health care provider if you think you are having memory problems.
  • Use Zolpidem with caution in the ELDERLY; they may be more sensitive to its effects, especially dizziness or drowsiness.
  • Zolpidem should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Zolpidem while you are pregnant. Zolpidem may cause prolonged sleep in the fetus when used during the last weeks of pregnancy. Zolpidem is found in breast milk. Do not breast-feed while taking Zolpidem .

When sleep medicines are used every night for more than a few weeks, they may lose their effectiveness to help you sleep. This is known as TOLERANCE. Sleep medicines should usually be used only for short periods of time, such as a few days and generally no longer than 1 or 2 weeks. If your sleep problems continue, contact your doctor.

When used for longer than a few weeks or at high doses, some people develop a need to continue taking Zolpidem . This is known as DEPENDENCE or addiction. Be sure to tell your doctor if you have been dependent on alcohol, prescription medicines, or street drugs in the past.

If you stop taking Zolpidem suddenly, you may have WITHDRAWAL symptoms. This may include unpleasant feelings. In more severe cases, you may have stomach and muscle cramps, vomiting, sweating, and shakiness. Seizures may rarely occur. If you take Zolpidem for more than 1 to 2 weeks, do not stop taking it without talking to your doctor.

Possible side effects of Zolpidem :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Daytime drowsiness or "heavily sedated" feeling; diarrhea; dizziness; drowsiness; feeling uncoordinated; light-headedness; memory loss.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); aggressive behavior; agitation; confusion; hallucinations; loss of personal identity; pounding in the chest; strange behavior; suicidal thoughts; worsening of depression.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately. Symptoms of an overdose may include light coma; sleepiness.

Proper storage of Zolpidem :

Store Zolpidem at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Zolpidem out of the reach of children and away from pets.

General information:

  • If you have any questions about Zolpidem , please talk with your doctor, pharmacist, or other health care provider.
  • Zolpidem is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is summary only. It does not contain all information about Zolpidem . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other healthcare provider.

Issue Date: November 1, 2006
Database Edition 06.4.1.002
Copyright © 2006 Wolters Kluwer Health, Inc.




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