Selling or giving away zolpidem tartrate may harm others, and is against the law. Tell your healthcare provider if you have ever abused or have been dependent on alcohol, prescription medicines or street drugs.
Do not take zolpidem tartrate if you are allergic to zolpidem or any other ingredients in zolpidem tartrate. See the end of this Medication Guide for a complete list of ingredients in zolpidem tartrate. Do not take zolpidem tartrate if you have had an allergic reaction to drugs containing zolpidem, such as Ambien CR, Edluar, Zolpimist, or Intermezzo. Zolpidem tartrate may not be right for you. Before starting zolpidem tartrate, tell your healthcare provider about all of your health conditions, including if you:.
Talk to your healthcare provider about the risk to your unborn baby if you take zolpidem tartrate. Using zolpidem tartrate in the last trimester of pregnancy may cause breathing difficulties or excess sleepiness in your newborn. Monitor for signs of sleepiness more than usual , trouble breathing, or limpness in the newborn if zolpidem tartrate is taken late in pregnancy. Zolpidem tartrate passes into your breast milk. Talk to your healthcare provider about the best way to feed your baby while you take zolpidem tartrate.
Tell your healthcare provider about all of the medicines you take, including prescription and nonprescription medicines, vitamins and herbal supplements. Medicines can interact with each other, sometimes causing serious side effects. Do not take zolpidem tartrate with other medicines that can make you sleepy unless your healthcare provider tells you to.
Know the medicines you take. Keep a list of your medicines with you to show your healthcare provider and pharmacist each time you get a new medicine. Only take 1 zolpidem tartrate tablet a night if needed. Do not take zolpidem tartrate if you drank alcohol that evening or before bed. You should not take zolpidem tartrate with or right after a meal. Zolpidem tartrate may help you fall asleep faster if you take it on an empty stomach. Call your healthcare provider if your insomnia worsens or is not better within 7 to 10 days.
This may mean that there is another condition causing your sleep problem. If you take too much zolpidem tartrate or overdose, get emergency treatment. Symptoms include more outgoing or aggressive behavior than normal, confusion, agitation, hallucinations, worsening of depression, and suicidal thoughts or actions.
Symptoms include swelling of the tongue or throat, and trouble breathing. Get emergency medical help if you get these symptoms after taking zolpidem tartrate. Call your healthcare provider right away if you have any of the above side effects or any other side effects that worry you while using zolpidem tartrate.
These are not all the side effects of zolpidem tartrate. Ask your healthcare provider or pharmacist for more information. In elderly patients, zolpidem blood levels can be higher, and the lower doses are already recommended. In contrast to younger patients, zolpidem blood levels in elderly patients are not affected by gender.
As more data became available, FDA continued to assess the benefits and risks of zolpidem treatment. Over the years, FDA has received reports of possible driving impairment and motor vehicle accidents associated with zolpidem; however, in most cases it was difficult to determine if the driving impairment was related to zolpidem or to specific zolpidem blood levels because information about time of dosing and time of the impairment was often not reported.
Recently, data from clinical trials and driving simulation studies have become available that allowed FDA to better characterize the risk of driving impairment caused by specific blood levels of zolpidem and to recognize the increased risk of driving-impairing blood levels of zolpidem in women.
This led FDA to require the manufacturers of certain zolpidem-containing products to revise the dosing recommendations. No, they are different. Next-morning impairment occurs when patients are awake the next morning, but levels of the insomnia medicine in their blood remain high enough to impair activities that require alertness, including driving. Complex sleep-related behaviors occur when patients get out of bed while not fully awake, and sleep walk or do an activity such as drive a car, prepare and eat food, make phone calls, or have sex.
Both problems are made worse by high levels of zolpidem. The changes that FDA is requiring to the dosing recommendations in the drug labeling are expected to decrease the risk of both next-morning impairment and complex sleep-related behaviors.
At this time, FDA is only requiring the manufacturers of certain zolpidem-containing products to revise their dosing recommendations. FDA is continuing to evaluate ways to lower the risk of next-morning impairment with other insomnia medicines. FDA is currently evaluating other insomnia medicines to determine if they affect men and women differently.
OTC insomnia medicines also have a risk for next-morning impairment. FDA is not recommending that patients who are currently taking prescription insomnia medicines switch to OTC insomnia medicines.
Patients who drive or perform activities that require full alertness the next morning should discuss with their health care professional if the insomnia medicine they are using is right for them. Patients can decrease their risk of next-morning impairment by taking the lowest dose of their insomnia medicine that treats their symptoms.
It is important for patients to take their insomnia medicine exactly as prescribed. Taking a higher dose than prescribed or using more than one insomnia medicine is dangerous if patients drive or perform activities that require full alertness the next morning, even if the drugs are taken at the beginning of the night.
Zolpidem oral tablet can interact with several other medications. Different interactions can cause different effects. For instance, some can interfere with how well a drug works, while others can cause increased side effects. Below is a list of medications that can interact with zolpidem.
This list does not contain all drugs that may interact with zolpidem. Before taking zolpidem, be sure to tell your doctor and pharmacist 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. Taking zolpidem with certain medications raises your risk for side effects. This is because zolpidem and these other medications can cause the same side effects. As a result, these side effects can be increased. Examples of these drugs include:. Taking zolpidem with certain medications raises your risk for side effects from zolpidem.
This is because the amount of zolpidem in your body may be increased. When zolpidem is used with certain drugs, it may not work as well to treat your condition.
This is because the amount of zolpidem in your body may be decreased. The following information describes dosages that are commonly used or recommended.
However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs. The liver of an older adult may not work as well as it used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk for side effects. Your doctor may start you on a lowered dosage or a different treatment schedule.
This can help keep levels of this drug from building up too much in your body. This may cause trouble driving.
This drug may cause changes in behavior, such as increased agitation. You may act differently. Symptoms can include muscle cramps, vomiting, sweating, flushing reddening and warming of your skin , and emotional changes. These can include feelings of nervousness, panic attacks, and uncontrollable crying. If you have an allergic reaction, call your doctor or local poison control center right away.
If your symptoms are severe, call or go to the nearest emergency room. Taking it again could be fatal cause death. Eating food with zolpidem may make the drug take longer to work. You should take this drug on an empty stomach.
Drinking alcohol can increase your risk for sedation and drowsiness from zolpidem. If you drink alcohol, talk with your doctor. You may need to be monitored more closely for side effects. For people with depression: This drug may make your symptoms of depression worse. Ask your doctor if this drug is safe for you. For people with myasthenia gravis: This drug may slow your breathing or make it shallow. This can decrease the amount of oxygen in your blood. If you have myasthenia gravis, you may already have lower oxygen levels.
For people with sleep apnea: This drug may slow your breathing or make it shallow. If you have sleep apnea, you may already have lower oxygen levels. For people with liver disease: If you have liver problems or a history of liver disease, you may not be able to process this drug well.
This may increase the levels of the drug in your body and cause more side effects. It may also cause a serious condition called hepatic encephalopathy. With this condition, the poor function of your liver causes problems with the way your brain works. Symptoms can include being confused, forgetting things, and slurring your speech.
If you have severe liver damage, you should not use zolpidem. Research in animals has shown negative effects to the fetus when the mother takes zolpidem.
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