Zolpidem: Medline. Plus Drug Information. Zolpidem comes as a tablet (Ambien) and an extended- release (long- acting) tablet (Ambien CR) to take by mouth. Zolpidem also comes as a sublingual tablet (Edluar, Intermezzo) to place under the tongue and an oral spray (Zolpimist) which is sprayed into the mouth over the tongue. If you are taking the tablets, extended- release tablets, sublingual tablets (Edluar), or oral spray, you will take the medication as needed, not more than one time a day, immediately before bedtime. If you are taking the sublingual tablets (Intermezzo), you will take the medication as needed, not more than one time during the night if you wake up and have difficulty returning to sleep. Zolpidem will work faster if it is not taken with a meal or immediately after a meal. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use zolpidem exactly as directed. You will probably become very sleepy soon after you take zolpidem and will remain sleepy for some time after you take the medication. Plan to go to bed right after you take zolpidem tablets, extended- release tablets, sublingual tablets (Edluar), and oral spray and to stay in bed for 7 to 8 hours. We offer both Lunesta & Ambien detox programs for sleep aid addiction. Our Lunesta & Ambien addiction treatment is strictly outpatient. Ambien withdrawal can include painful symptoms which can be greatly lessened or avoided with proven, natural methods of tapering and and customized holistic treatments. Tinsley Harrison Internal Medicine Residency Program Excellence Without Ego. Welcome to UAB's Tinsley Harrison Internal Medicine Residency Program. Take zolpidem sublingual tablets (Intermezzo) only when you are already in bed and can remain in bed for at least 4 more hours. Do not take zolpidem if you will be unable to remain asleep for the required number of hours after taking the medication. If you get up too soon after taking zolpidem, you may experience memory problems. Swallow the extended release tablets whole; do not split, chew, or crush them. Tell your doctor or pharmacist if you cannot swallow tablets. Do not open the pouch that contains the sublingual tablet (Intermezzo) until you are ready to take the tablet. To remove the sublingual tablet (Edluar) from the blister pack, peel off the top layer of paper and push the tablet through the foil. To take either brand of sublingual tablet, place the tablet under your tongue, and wait for it to dissolve. Do not swallow the tablet whole or take the tablet with water. To use the oral spray, follow these directions and those that appear in the package label. Before using zolpidem spray for the first time, or if you have not used the spray bottle for 1. Line up the arrows on the cap and the base of the container. Squeeze the cap at the arrows and pull the cap and base apart to separate. Remove the clear protective cap from the pump. To prime the pump, hold the container upright. Point the black spray opening away from your face and other people. Press down on the pump with your forefinger, release and let it return to the starting position and repeat 4 more times. You should see a fine spray come out of the container. To use zolpidem spray, hold the container upright with the black spray opening pointed directly into your mouth, over the top of your tongue. Press down fully on the pump to make sure that a full dose of zolpidem is sprayed. Let the pump return to the starting position. If your doctor prescribed only one spray of zolpidem, put the clear protective cap back over the pump at the top of the base after each use. If your doctor has prescribed two sprays of zolpidem for your dose, a second spray should be used. Snap the child- resistant cap back onto the base and rotate the cap and base so that the arrows are not lined up. This is to help prevent a child from using the spray mist bottle. Your sleep problems should improve within 7 to 1. Call your doctor if your sleep problems do not improve during this time or if they get worse at any time during your treatment. Zolpidem should normally be taken for short periods of time. If you take zolpidem for 2 weeks or longer, zolpidem may not help you sleep as well as it did when you first began to take the medication. Talk to your doctor about the risks of taking zolpidem for 2 weeks or longer. Zolpidem may be habit forming. Do not take a larger dose of zolpidem, take it more often, or take it for a longer time than prescribed by your doctor. Do not stop taking zolpidem without talking to your doctor, especially if you have taken it for longer than 2 weeks. If you suddenly stop taking zolpidem, you may develop unpleasant feelings or mood changes or you may experience other withdrawal symptoms such as shakiness, lightheadedness, stomach and muscle cramps, nausea, vomiting, sweating, flushing, tiredness, uncontrollable crying, nervousness, panic attack, difficulty falling asleep or staying asleep, uncontrollable shaking of a part of your body, and rarely, seizures. You may have more difficulty falling asleep or staying asleep on the first night after you stop taking zolpidem than you did before you started taking the medication. This is normal and usually gets better without treatment after one or two nights. Your doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with zolpidem and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http: //www. Drugs/Drug. Safety/ucm. Medication Guide. Ambien Uses, Dosage, Side Effects & Warnings. Generic Name: zolpidem (zole PI dem)Brand Names: Ambien, Ambien CR, Edluar, Intermezzo, Zolpimist. What is Ambien? Ambien (zolpidem) is a sedative, also called a hypnotic. Zolpidem affects chemicals in the brain that may be unbalanced in people with sleep problems insomnia). Ambien is used to treat insomnia. The immediate- release tablet is used to help you fall asleep when you first go to bed. The extended- release form, 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. Your doctor will determine which form of Ambien is best for you. Important information. Ambien 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. Zolpidem 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. 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, walking, making phone calls, or having sex and later having no memory of the activity. If this happens to you, stop taking Ambien and talk with your doctor about another treatment for your sleep disorder. Do not take this medicine if you have consumed alcohol during the day or just before bed. Zolpidem may be habit forming. Keep the medication in a place where others cannot get to it. Before taking this medicine. Some people using Ambien have engaged in activity such as driving, eating, walking, making phone calls, or having sex and later having no memory of the activity. If this happens to you, stop taking Ambien and talk with your doctor about another treatment for your sleep disorder. 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. To make sure Ambien is safe for you, tell your doctor if you have: kidney disease; liver disease; lung disease such as asthma, bronchitis, emphysema, or chronic obstructive pulmonary disease (COPD); sleep apnea (breathing stops during sleep); myasthenia gravis; a history of depression, mental illness, or suicidal thoughts; ora history of drug or alcohol addiction. Ambien may be habit forming and should be used only by the person it was prescribed for. Never share this medicine 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. It is not known whether Ambien will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Zolpidem can pass into breast milk and may harm a nursing baby. Tell your doctor if you are breast- feeding a baby. The sedative effects of zolpidem may be stronger in older adults. Do not give this medicine to anyone younger than 1. It is dangerous to try and purchase Ambien 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 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. How should I take Ambien? In January 2. 01. Food and Drug Administration (FDA) lowered the recommended dose for Ambien, Edluar, and Zolpimist. 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. Take Ambien exactly as prescribed by your doctor. Follow all directions on your prescription label. Never take this medicine 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. Ambien may be habit- forming. Never share this medicine 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. Do not share this medication with another person, even if they have the same symptoms you have. The recommended doses of Ambien 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. Never take this medicine if you do not have a full 7 to 8 hours to sleep before being active again. Ambien 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 1. Do not take this medicine for longer than 4 or 5 weeks without your doctor's advice. Do not stop using Ambien 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. Insomnia symptoms may also return after you stop taking Ambien. 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. Do not crush, chew, or break an Ambien CR tablet. Swallow the pill whole. Store at room temperature away from moisture and heat. Do not freeze. What happens if I miss a dose? Since Ambien is taken only at bedtime if needed, you are not likely to miss a dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1- 8. An overdose of Ambien 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. What should I avoid? Ambien 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. Dizziness or severe drowsiness can cause falls, accidents, or severe injuries. Avoid taking Ambien 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 Ambien. Do not take this medicine if you have consumed alcohol during the day or just before bed. Ambien side effects. Ambien may cause a severe allergic reaction. Stop taking Ambien and get emergency medical help if you have any signs of an allergic reaction to zolpidem: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. 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. Stop using Ambien and call your doctor at once if you have: chest pain, fast or irregular heartbeat, feeling short of breath; trouble breathing or swallowing; orfeeling like you might pass out. Common Ambien side effects may include: daytime drowsiness, dizziness, weakness, feeling "drugged" or light- headed; tired feeling, loss of coordination; stuffy nose, dry mouth, nose or throat irritation; nausea, constipation, diarrhea, upset stomach; orheadache, muscle pain. 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- 8. FDA- 1. 08. 8. See also: Side effects (in more detail)What other drugs will affect Ambien? You may need a lower dose of Ambien 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). Tell your doctor if you are currently taking any of these medications. Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Ambien, especially: chlorpromazine; itraconazole or ketoconazole; rifampin; oran antidepressant- -imipramine, sertraline. 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. More about Ambien (zolpidem) Consumer resources Professional resources Other formulations Related treatment guides. Where can I get more information? Your pharmacist can provide more information about Ambien. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Ambien only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. Multum') is accurate, up- to- date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise.
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