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Zolpidem Uses, Dosage Side Effects



11/26/2014
08:02 | Author: Emma Coleman

Zolpidem
Zolpidem Uses, Dosage Side Effects

Follow all directions on your prescription label. Never take this medicine in larger amounts, or for longer than prescribed.

Avoid taking zolpidem during travel, such as to sleep on an airplane. You may be awakened before the effects of the medication have worn off. Amnesia (forgetfulness) is more common if you do not get a full 7 to 8 hours of sleep after taking zolpidem.

feeling like you might pass out.

Zolpidem is used to treat insomnia. The immediate-release forms of zolpidem are Ambien, Intermezzo, Edluar, and Zolpimist, which are used to help you fall asleep. The extended-release form of zolpidem is Ambien CR, which has a first layer that dissolves quickly to help you fall asleep, and a second layer that dissolves slowly to help you stay asleep.

Do not share this medication with another person, even if they have the same symptoms you have. The recommended doses of zolpidem are not the same in men and women, and this drug is not approved for use in children. Misuse of this medication can result in dangerous side effects.

Zolpidem comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

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Usual Geriatric Dose for Insomnia:

CSA Schedule 4 Some potential for abuse.

Do not share this medication with another person, even if they have the same symptoms you have. The recommended doses of zolpidem are not the same in men and women, and this drug is not approved for use in children. Misuse of this medication can result in dangerous side effects.

Some people using this medicine have engaged in activity such as driving, eating, or making phone calls and later having no memory of the activity. If this happens to you, stop taking zolpidem and talk with your doctor about another treatment for your sleep disorder.

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.

A new prescription insomnia drug that's the first of its kind was approved by the U.S. Food and Drug Administration on Wednesday. Belsomra (suvorexant).

nausea, constipation, diarrhea, upset stomach; or headache, muscle pain.

Never take Ambien, Edluar, or Zolpimist if you do not have a full 7 to 8 hours to sleep before being active again.

a history of drug or alcohol addiction.

Pregnancy Category C Risk cannot be ruled out.

lung disease such as asthma, bronchitis, emphysema, or chronic obstructive pulmonary disease (COPD);

a history of depression, mental illness, or suicidal thoughts; or.

Zolpidem may be habit forming and should be used only by the person it was prescribed for. 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.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Do not give this medicine to anyone younger than 18 years of age.

Since zolpidem is taken only at bedtime, you will not be on a frequent dosing schedule.

Approval History Calendar Drug history at FDA.

Stop using zolpidem and call your doctor at once if you have:

Generic Name: zolpidem (zole PI dem) Brand Names: Ambien, Ambien CR, Edluar, Intermezzo, Zolpimist.

trouble breathing or swallowing; or.

Your doctor will determine which form of zolpidem is best for you.

Do not take Intermezzo for middle-of-the-night insomnia unless you have 4 hours of sleep time left before being active.

Zolpidem is a sedative, also called a hypnotic. It affects chemicals in your brain that may become unbalanced and cause sleep problems (insomnia).

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Do not crush, chew, or break an Ambien CR tablet. Swallow the pill whole.

Zolpidem may be habit forming. Keep the medication in a place where others cannot get to it.

The sedative effects of zolpidem may be stronger in older adults.

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 the medicine.

Data sources include Micromedex (updated Sep 26th, 2014), Cerner Multum (updated Oct 16th, 2014), Wolters Kluwer (updated Oct 9th, 2014) and others. To view content sources and attributions, refer to our editorial policy.

Zolpidem may impair your thinking or reactions. You may still feel sleepy the morning after taking this medicine, especially if you take the extended-release tablet, or if you are a woman. Wait at least 4 hours or until you are fully awake before you do anything that requires you to be awake and alert.

Minerva Neurosciences, Inc., a leader in the development of new therapies to treat neuropsychiatric diseases and disorders, today announced that the U.S. Food.

Belsomra (suvorexant) has been approved by the U.S. Food and Drug Administration to treat insomnia. It's among a new class of drugs called orexin receptor.

Immediate release: 5 mg once a day immediay before bedtime. Alternatively, the dose may be administered as one 5 mg sublingual tablet placed under the tongue to disintegrate. The sublingual tablet should not be swallowed or taken with water. The recommended duration of zolpidem therapy is generally 7 to 10 days. The dosage can be titrated up to 10 mg nightly if necessary depending on patient response. Controlled release: 6.25 mg orally once a day immediay before bedtime. Sublingual: The recommended and maximum dose is 1.75 mg only once per night (to be taken only if the patient has at least 4 hours of bedtime remaining before the planned time of waking). If zolpidem is used daily for more than a few weeks, abrupt discontinuation is not recommended. Such cessation may precipitate symptoms of withdrawal. The safety of immediate release zolpidem has only been established for treatment regimens of up to five weeks. Administration of immediate release zolpidem for therapies longer than five weeks is therefore not recommended. Comments: FDA is recommending that the bedtime dose of zolpidem be lowered because blood levels in some patients may be high enough the morning to impair activities that require alertness, including driving. Women are more susceptible to this risk because they eliminate zolpidem more slowly than men. This includes products which are marketed as generics and under the brand names Ambien (R), Ambien CR (R), Edluar (R), and Zolpimist (R). Patients who take insomnia drugs can experience impairment of mental alertness even if they feel fully awake. The risk for next morning impairment is highest for patients taking the extended-release forms. FDA is requiring manufacturers to lower the dose for women from 10 mg to 5 mg for immediate-release products and from 12.5 mg to 6.25 mg for extended-release products. FDA urges health care professionals to caution all patients (men and women) who use these products about the risks of next morning impairment for activities that require mental alertness. The recommended doses of Intermezzo (R), a lower dose zolpidem product approved for middle-of-the-night awakenings, are not changing.

See also: Pregnancy and breastfeeding warnings (in more detail).

Insomnia melatonin lorazepam amitriptyline Ativan Ambien temazepam Elavil diphenhydramine doxepin Restoril Lunesta eszopiclone triazolam zaleplon Sonata doxylamine Rozerem Halcion Dalmane flurazepam Ambien CR Silenor estazolam Tylenol PM Unisom SleepTabs More.

FDA pregnancy category C. It is not known whether zolpidem will harm an unborn baby. l your doctor if you are pregnant or plan to become pregnant while using this medication.

Zolpidem may also be used for purposes not listed in this medication guide.

daytime drowsiness, dizziness, weakness, feeling "drugged" or light-headed;

Usual Adult Dose for Insomnia:

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 zolpidem 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.S. Food and Drug Administration (FDA) or visit www.fda.gov/buyonlineguide.

You may need a lower dose of zolpidem if you take other medicines that make you sleepy or slow your breathing (such as cold medicine, pain medication, muscle relaxants, and medicine for depression, anxiety, or seizures). l your doctor if you are currently taking any of these medications.

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Zolpidem may impair your thinking or reactions. You may still feel sleepy the morning after taking this medicine, 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.

Insomnia symptoms may also return after you stop taking zolpidem. These symptoms may seem to be even worse than before you started taking the medication. Call your doctor if you still have worsened insomnia after the first few nights without taking zolpidem.

Common zolpidem side effects may include:

See also: Side effects (in more detail).

To make sure zolpidem is safe for you, l your doctor if you have: kidney disease; liver disease;

Availability Rx Prescription only.

Ambien, Edluar, and Zolpimist are used to help you fall asleep when you first go to bed. Intermezzo, is used to help you fall back to sleep if you wake up in the middle of the night and then have trouble sleeping.

Immediate release: Men: 10 mg orally once daily immediay before bedtime Women: 5 mg orally once daily immediay before bedtime Alternatively, the dose may be administered as a sublingual tablet placed under the tongue to disintegrate once a day immediay before bedtime. The sublingual tablet should not be swallowed or taken with water. The recommended duration of zolpidem therapy is generally 7 to 10 days. Each metered actuation (one spray) of zolpidem tartrate oral spray delivers 5 mg of zolpidem. Controlled release: Men: 12.5 mg orally once daily immediay before bedtime Women: 6.25 mg orally once daily immediay before bedtime Sublingual: The recommended and maximum dose is 1.75 mg SL for women and 3.5 mg SL for men only once per night (to be taken only if the patient has at least 4 hours of bedtime remaining before the planned time of waking). If zolpidem is used daily for more than a few weeks, abrupt discontinuation is not recommended. Such cessation may precipitate symptoms of withdrawal. The safety of immediate release zolpidem has only been established for treatment regimens of up to 5 weeks. Administration of immediate release zolpidem for therapies longer than 5 weeks is not recommended. Comments: FDA is recommending that the bedtime dose of zolpidem be lowered because blood levels in some patients may be high enough the morning to impair activities that require alertness, including driving. Women are more susceptible to this risk because they eliminate zolpidem more slowly than men. This includes products which are marketed as generics and under the brand names Ambien (R), Ambien CR (R), Edluar (R), and Zolpimist (R). Patients who take insomnia drugs can experience impairment of mental alertness even if they feel fully awake. The risk for next morning impairment is highest for patients taking the extended-release forms. FDA is requiring manufacturers to lower the dose for women from 10 mg to 5 mg for immediate-release products and from 12.5 mg to 6.25 mg for extended-release products. FDA urges health care professionals to caution all patients (men and women) who use these products about the risks of next morning impairment for activities that require mental alertness. The recommended doses of Intermezzo (R), a lower dose zolpidem product approved for middle-of-the-night awakenings, are not changing.

Report any new or worsening symptoms to your doctor, such as: depression, anxiety, aggression, agitation, confusion, unusual thoughts, hallucinations, memory problems, changes in personality, risk-taking behavior, decreased inhibitions, no fear of danger, or thoughts of suicide or hurting yourself.

chest pain, fast or irregular heartbeat, feeling short of breath;

Seek emergency medical attention or call the Poison Help line at. An overdose of zolpidem can be fatal when it is taken together with other medications that can cause drowsiness.

sleep apnea (breathing stops during sleep); myasthenia gravis;

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stuffy nose, dry mouth, nose or throat irritation;

Do not take this medicine if you have consumed alcohol during the day or just before bed.

This list is not complete. Other drugs may interact with zolpidem, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Zolpidem can pass into breast milk and may harm a nursing baby. l your doctor if you are breast-feeding a baby.

Some people using this medicine have engaged in activity such as driving, eating, or making phone calls and later having no memory of the activity. If this happens to you, stop taking zolpidem and talk with your doctor about another treatment for your sleep disorder.

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.

Overdose symptoms may include sleepiness, confusion, shallow breathing, feeling light-headed, fainting, or coma.

Zolpidem may cause a severe allergic reaction. Stop taking this medicine and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In January 2013, the Food and Drug Administration (FDA) lowered the recommended dose for zolpidem. If you have taken zolpidem in the past, your doctor may direct you to take a lower dose of this medicine than you did before.

Do not take this medicine if you have consumed alcohol during the day or just before bed.

Store at room temperature away from moisture and heat. Do not freeze. Keep the Zolpimist bottle upright when not in use.

tired feeling, loss of coordination;

Cerner Multum, Inc. Version: 8.02. Revision Date:, 3:09:39 PM.

l your doctor about all medicines you use, and those you start or stop using during your treatment with zolpidem, especially: chlorpromazine; itraconazole or ketoconazole; rifampin; or an antidepressant--imipramine, sertraline.

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You should not use this medication if you are allergic to zolpidem. The tablets may contain lactose. Use caution if you are sensitive to lactose.

Zolpidem is for short-term use only. l 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.

Zolpidem may cause a severe allergic reaction. Stop taking zolpidem and get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

In January 2013, the Food and Drug Administration (FDA) lowered the recommended dose for zolpidem. If you have taken zolpidem in the past, your doctor may direct you to take a lower dose of this medicine than you did before.


Zolpidem