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Precautions while Using this Medicine
This medicine may cause some people, especially older persons, to become drowsy, dizzy, lightheaded, clumsy or unsteady, or less alert than they are normally. Even though zolpidem is taken at bedtime,
it may cause some people to feel drowsy or less alert on arising. Also, this medicine may cause double vision or other vision problems. Make sure you know how you react to zolpidem before you drive,
use machines, or do anything else that could be dangerous if you are dizzy, or are not alert or able to see well.
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What side effects may occur?
Although side effects from zolpidem are not common, they can occur. Tell your doctor if any of these symptoms are severe or do not go away:
- drowsiness
- upset stomach
- vomiting
- constipation
- diarrhea
- headache
- dry mouth
- muscle aches
If you experience any of the following symptoms, call your doctor immediately:
- skin rash
- itching
- fast or irregular heartbeat
- chest pain
- difficulty breathing
- fever
- behavior changes
- mental confusion
- abnormal thinking or dreams
- d
epression
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Stop Using This Medicine
If you will be taking zolpidem for a long time, do not stop taking it without first checking with your doctor. Your doctor may want you to reduce gradually the amount you are taking before stopping co
mpletely. Stopping this medicine suddenly may cause withdrawal side effects.
After taking zolpidem for insomnia, you may have difficulty sleeping (rebound insomnia) for the first few nights a
fter you stop taking it
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Drug Interactions
It is especially important that your health care professional know if you are taking any of the following:
- Other central nervous system (CNS) depressants (medicines that cause drowsiness)
or
- Tricyclic antidepressants (amitriptyline [e.g., Elavil], amoxapine [e.g., Asendin], clomipramine [e.g., Anafranil], desipramine [e.g., Pertofrane], doxepin [e.g., Sinequan], imipramine [e.g.
, Tofranil], nortriptyline [e.g., Aventyl], protriptyline [e.g., Vivactil], trimipramine [e.g., Surmontil])¡XThe CNS depressant effects of either these medicines or zolpidem may be increased, possibly
leading to unwanted effects
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How should you take this medication?
Since Ambien ( Zolpidem ) is usually taken only if you need it to help you sleep, missing a dose will not cause any problems. Take the missed dose only if you can be sure that you will get 7 or 8 full
hours of sleep after the dose. If you do not sleep for 7 or 8 full hours, you may experience carryover effects from Ambien ( Zolpidem ) after you wake up.
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Special warnings about this medication
The presence of other medical problems may affect the use of zolpidem. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse (or history of) or
-
Drug abuse or dependence (or history of)¡XDependence on zolpidem may develop
- Emphysema, asthma, bronchitis, or other chronic lung disease or
- Mental depression or
- Sleep apnea (tem
orary stopping of breathing during sleep)¡XZolpidem may make these conditions worse
- Kidney disease or
- Liver disease¡XHigher blood levels of zolpidem may result, increasing the chance of
de effects
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