Zolpidem is also called by the brand name Stilnoct. Zolpidem can be taken by most adults aged 18 and over. To make sure zolpidem is safe for you, tell a doctor if you: have had an allergic reaction to zolpidem or any other medicines in the past have liver or kidney problems have myasthenia gravis , an illness that causes muscle weakness have breathing problems or sleep apnoea where you stop breathing for short periods while sleeping have ever had mental health problems have ever had issues with alcohol or drugs are trying to get pregnant, already pregnant, or breastfeeding.
Zolpidem tablets come in 2 different strengths — 5mg and 10mg. Important Do not take more than your prescribed dose. What if I forget to take it? Never take 2 doses at the same time. Never take an extra dose to make up for a forgotten one. What if I take too much? Urgent advice: Contact for advice now if:. Go to Common side effects A common side effect is a bitter or metallic taste in your mouth or a dry mouth.
Serious side effects Some people can get serious side effects with zolpidem. Stop taking zolpidem and call a doctor as soon as possible if you: develop memory loss amnesia see or hear things that are not real hallucinations fall over — particularly if you are over the age of 65 think things that are not true — these are called delusions feel low or sad — this could be a sign of depression Serious allergic reaction In rare cases, it's possible to have a serious allergic reaction anaphylaxis to zolpidem.
Information: You can report any suspected side effect to the UK safety scheme. Zolpidem and breastfeeding If a doctor or health visitor says that your baby is healthy, it's OK to take zolpidem while breastfeeding. Do not share a bed with your baby if you're taking zolpidem. Non-urgent advice: Tell a doctor or a pharmacist if you're:. Speak to a doctor or a pharmacist before starting on zolpidem if you take any of the following: drowsy antihistamines such as chlorphenamine or promethazine medicines to treat schizophrenia and bipolar disorder medicines to treat depression medicines for epilepsy medicines to calm or reduce anxiety medicines for sleep problems medicines used to treat fungal infections such as ketoconazole and itraconazole ritonavir a medicine used to treat HIV infections strong painkillers such as codeine , methadone, morphine , oxycodone, pethidine or tramadol Mixing zolpidem with herbal remedies and supplements Do not take any herbal remedies that make you feel sleepy while taking zolpidem.
These can increaase the drowsy sedating effects of your medicine. Important For safety, tell a doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements. How does zolpidem work? How long will it take to work? Zolpidem should work within 1 hour of taking it. How will zolpidem make me feel? Will I sleepwalk with zolpidem? If this happens to you, stop taking zolpidem and go back to the doctor for advice. How long will I take it for?
You'll usually be prescribed zolpidem for just 2 to 4 weeks. See the doctor again if these changes do not help. Can I get addicted to zolpidem? If you just take it for a few weeks, you're unlikely to become addicted to zolpidem. However, you may become dependent on this medicine if you take it for longer than 4 weeks. Ask a doctor or pharmacist for advice about stopping zolpidem. Is it safe to take for a long time? What will happen when I stop taking it? If you have been taking zolpidem for less than 4 weeks, you're unlikely to have any problems.
Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
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Men: initially 6. Both: if 6. Elderly, debilitated, or mild to moderate hepatic impairment: 6. Risk of complex sleep behaviors eg, sleep-walking, sleep-driving, engaging in other activities while not fully awake ; discontinue immediately if occur.
Monitor for CNS depressant effects and next-day impairment. Reevaluate if insomnia fails to remit after 7—10 days of use. Suicidal tendencies. Evaluate any new onset of behavioral changes. There have been a few reports of withdrawal symptoms in newborns exposed to Ambien and Ambien CR in the third trimester 29 weeks to delivery. These symptoms included shortness of breath and sleepiness. In rare cases, the newborns required a ventilator to help them breathe.
But in most cases, withdrawal symptoms were treated and went away within a few hours to a few weeks. They can explain the risks and benefits, and provide possible alternatives to treat your insomnia. Ambien and Ambien CR are known to pass into breast milk. The side effects can include:. Because of the risk for side effects, talk with your doctor about Ambien or Ambien CR and breastfeeding. They can discuss the risks and benefits of taking either drug. They can also tell you about other options for treating your condition or feeding your child.
As with all medications, the cost of Ambien and Ambien CR can vary. The cost you find on GoodRx. Keep in mind that you may be able to get a day supply of Ambien or Ambien CR. If approved by your insurance company, getting a day supply of the drug could reduce your number of trips to the pharmacy and help lower the cost.
Before approving coverage for Ambien or Ambien CR, your insurance company may require you to get prior authorization. This means that your doctor and insurance company will need to communicate about your prescription before the insurance company will cover the drug. The insurance company will review the prior authorization request and decide if the drug will be covered. If you need financial support to pay for Ambien or Ambien CR, help may be available.
To know if Ambien or Ambien CR is covered by your health insurance plan, call your insurance provider. You can also talk with your pharmacist about possible ways to lower the cost of Ambien or Ambien CR.
Ambien and Ambien CR may be available through a mail-order pharmacy. Some Medicare plans may help cover the cost of mail-order medications.
Ambien and Ambien CR are available in generic forms of a drug called zolpidem. Generics are considered to be as safe and effective as the original drug. And generics tend to cost less than brand-name drugs. They may have a preference for one version or the other. Ambien and Ambien CR can interact with several other medications. They can also interact with certain supplements.
Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works. Other interactions can increase the number of side effects or make them more severe. Below is a list of medications that can interact with Ambien and Ambien CR.
This list does not contain all drugs that may interact with them. Before taking Ambien or Ambien CR, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.
If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. You should not take St. Taking this supplement can cause Ambien and Ambien CR to not work or work less well than usual. However, you should check with your doctor or pharmacist before using any supplement while taking Ambien or Ambien CR.
If you have any questions about eating certain foods with Ambien and Ambien CR, talk with your doctor. You should take Ambien and Ambien CR according to the instructions your doctor or other healthcare professional gives you.
You should take Ambien or Ambien CR right before you go to bed. Be sure to take your dose at least 7 or 8 hours before you plan on waking up. You should not take Ambien or Ambien CR with food. And you should not take either medication right after you eat. Keep in mind that taking Ambien or Ambien CR on an empty stomach may help you fall asleep faster. This is because taking either drug with a meal or right after a meal can slow the effects of the medication.
This means it may not work as quickly as usual and increase your risk for next-day side effects. You should not crush, split, or chew Ambien CR. This can cause the medication to not work as intended. Instead, you should swallow Ambien CR tablets whole. This drug has a boxed warning. It alerts doctors and patients about drug effects that may be dangerous.
Unusual sleep behaviors have been reported in people taking Ambien or Ambien CR. These behaviors include sleepwalking , attempting to drive while asleep, and performing other activities while not actually awake. These behaviors may result in serious injury to yourself or others and, in rare cases, death.
Before taking Ambien or Ambien CR, talk with your doctor about your health history. Ambien or Ambien CR may not be right for you if you have certain medical conditions or other factors affecting your health. When you get Ambien and Ambien CR from the pharmacy, the pharmacist will add an expiration date to the label on the bottle. This date is typically 1 year from the date they dispensed the medication.
The expiration date helps guarantee that the medication is effective during this time. If you have unused medication that has gone past the expiration date, talk with your pharmacist about whether you might still be able to use it.
How long a medication remains good to use can depend on many factors, including how and where you store the medication. Be sure to keep either form of Ambien in a tightly sealed container away from light. Avoid storing this medication in areas where it could get damp or wet, such as bathrooms. This helps prevent others, including children and pets, from taking the drug by accident. It also helps keep the drug from harming the environment.
This article provides several useful tips on medication disposal. You can also ask your pharmacist for information about how to dispose of your medication.
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