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Information on Ambien

Pronounced: AM-bee-en
Generic name: Zolpidem tartrate

Why is Ambien prescribed?

Ambien is used for short-term treatment of insomnia (difficulty falling asleep or staying asleep, or early awakening). A relatively new drug, it is chemically different from other common sleep medications such as Halcion and Dalmane.

Most important fact about Ambien

Sleep problems are usually temporary and require medication for a week or two at most. Insomnia that lasts longer could be a sign of another medical problem. If you find that you need this medicine for more than 7 to 10 days, be sure to check with your doctor.

How should you take Ambien?

Ambien works very quickly. Take it just before going to bed. Take only the prescribed dose, exactly as instructed by your doctor.

--If you miss a dose...

Take Ambien only as needed. Never double the dose.

--Storage instructions...

Store at room temperature. Protect from extreme heat.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, tell your doctor immediately. Only your doctor can determine whether it is safe to continue taking Ambien.

More common side effects may include:

allergy
daytime drowsiness
dizziness
drugged feeling
headache
indigestion
nausea

Less common side effects may include:

abdominal pain
abnormal dreams
abnormal vision
agitation
amnesia
anxiety
arthritis
back pain
bronchitis
burning sensation
chest pain
confusion
constipation
coughing
daytime sleeping
decreased mental alertness
depression
diarrhea
difficulty breathing
difficulty concentrating
difficulty swallowing
diminished sensitivity to touch
dizziness on standing
double vision
dry mouth
emotional instability
exaggerated feeling of well-being
eye irritation
falling
fatigue
fever
flu-like symptoms
gas
general discomfort
hallucination
hiccup
high blood pressure
high blood sugar
increased sweating
infection
insomnia
itching
joint pain
lack of bladder control
lack of coordination
lethargy
light-headedness
loss of appetite
menstrual disorder
migraine
muscle pain
nasal inflammation
nervousness
numbness
paleness
prickling or tingling sensation
rapid heartbeat
rash
ringing in the ears
sinus inflammation
sleep disorder
speech difficulties
swelling due to fluid retention
taste abnormalities
throat inflammation
throbbing heartbeat
tremor
unconsciousness
upper respiratory infection
urinary tract infection
vertigo
vomiting
weakness

Rare side effects may include:

abnormal tears or tearing
abscess
acne
aggravation of allergies
aggravation of high blood pressure
aggression
allergic reaction
altered production of saliva
anemia
belching
blisters
blood clot in lung
boils
breast pain
breast problems
breast tumors
bruising
chill with high temperature followed by heat and perspiration
decreased sex drive
delusion
difficulty urinating
excessive urine production
eye pain
facial swelling due to fluid retention
fainting
false perceptions
feeling intoxicated
feeling strange
flushing
frequent urination
glaucoma
gout
heart attack
hemorrhoids
herpes infection
high cholesterol
hives
hot flashes
impotence
inability to urinate
increased appetite
increased tolerance to the drug
intestinal blockage
irregular heartbeat
joint degeneration
kidney failure
kidney pain
laryngitis
leg cramps
loss of reality
low blood pressure
mental deterioration
muscle spasms in arms and legs
muscle weakness
nosebleed
pain
painful urination
panic attacks
paralysis
pneumonia
poor circulation
rectal bleeding
rigidity
sciatica (lower back pain)
sensation of seeing flashes of lights or sparks
sensitivity to light
sleepwalking
speech difficulties
swelling of the eye
thinking abnormalities
thirst
tooth decay
uncontrolled leg movements
urge to go to the bathroom
varicose veins
weight loss
yawning

Why should Ambien not be prescribed?

There are no known situations in which Ambien cannot be used.

Special warnings about Ambien

When sleep medications are used every night for more than a few weeks, some may lose their effectiveness. Remember, too, that you can become dependent on some sleep medications if you use them for a long time or at high doses.

Some people using Ambien--especially those taking serotonin-boosting antidepressants--have experienced unusual changes in their thinking and/or behavior. Alert your doctor if you notice a change.

Ambien and other sleep medicines can cause a special type of memory loss. It should not be taken on an overnight airplane flight of less than 7 to 8 hours, since "traveler's amnesia" may occur.

When you first start taking Ambien, until you know whether the medication will have any "carry over" effect the next day, use extreme care while doing anything that requires complete alertness, such as driving a car or operating machinery. Older adults, in particular, should be aware that they may be more apt to fall.

Use Ambien cautiously if you have liver problems. It will take longer for its effects to wear off.

If you take Ambien for more than 1 or 2 weeks, consult your doctor before stopping. Sudden discontinuation of a sleep medicine can bring on withdrawal symptoms ranging from unpleasant feelings to vomiting and cramps.

When taking Ambien, do not drink alcohol. It can increase the drug's side effects.

If you have breathing problems, they may become worse when you use Ambien.

Possible food and drug interactions when taking Ambien

If Ambien is used with certain other drugs, the effects of either drug could be increased, decreased, or altered. It is especially important to check with your doctor before combining Ambien with the following:

The major tranquilizer, chlorpromazine (Thorazine)
The antidepressant drug, imipramine (Tofranil)
Serotonin-boosting antidepressants such as Paxil, Prozac, and Zoloft
Drugs that depress the central nervous system, including Valium, Percocet, and Benadryl

Special information if you are pregnant or breastfeeding

If you are pregnant or plan to become pregnant, inform your doctor immediately. Babies whose mothers take some sedative/hypnotic drugs may have withdrawal symptoms after birth and may seem limp and flaccid. Ambien is not recommended for use by nursing mothers.

Recommended dosage

ADULTS
The recommended dosage for adults is 10 milligrams right before bedtime. Your doctor will prescribe a smaller dose if you are likely to be sensitive to the drug or have a liver problem. Never take more than 10 milligrams of Ambien per day.

CHILDREN
Safety and effectiveness have not been established in children below the age of 18.

OLDER ADULTS
Because older people and those in a weakened condition may be more sensitive to Ambien's effects, the recommended starting dosage is 5 milligrams just before bedtime.

Overdosage

People who take too much Ambien may become excessively sleepy or even go into a light coma. The symptoms of overdose are more severe if the person is also taking other drugs that depress the central nervous system. Some cases of multiple overdose have been fatal.

If you suspect an overdose, seek medical attention immediately.