Ambien (Zolpidem) 5mg and 10mg : Side Effects, Precaution, Interaction, Warning and Dosages
Introduction of Ambien (Zolpidem)
Ambien drug (generic name is Zolpidem) is used for medication of insomnia or the trouble of falling asleep or staying asleep. Zolpidem belongs to a class of medications called sedative-hypnotics. It performs by slowing activity in the brain to allow sleep. It belongs to the group of medicines called central nervous system (CNS) depressants, which reduces activities of the brain per se the nervous system. Zolpidem will aid you get to sleep faster and sleep right through the night. Sleep medicines should only be used for short periods of time in most cases, such as 1 or 2 days, and must not exceed 1 or 2 weeks.
Ambien drug class(generic name is Zolpidem) is can only be available with your doctor's prescription.
What is Ambien Drug?
Zolpidem is a generic name, sold under the brand name Ambien, is a prescription mainly used for the short-term medication of sleeping problems.It belongs to the cluster of medicines called central nervous system (CNS) depressants, which slows down the nervous system. Zolpidem (ambien generic name) will improve you get to sleep faster and sleep throughout the night.It reduces the time to sleep start by about 15 minutes and at higher doses aids people to stay asleep longer. It is administered orally (by mouth) and is offered in standard tablets or sublingual tablets and oral spray.
Zolpidem (Ambien, Intermezzo) is an low-priced drug used to remedy insomnia (sleeplessness). Zolpidem drug class is more common than similar drugs, which is available in generic and brand versions. Most Medicare and insurance plans coversGeneric zolpidem, but some pharmacy coupons or cash prices may be lower.
Only after counseling and behavioral changes have been tried before it is recommended for use.
What are the Ingredients in Ambien?
Ambien(Zolpidem) 5mg and 10mg Tablets contain
- Each 5mg tablet contains 5mg of Ambien(Zolpidem) tartrate as the active substance.
- Each 10mg tablet contains 10mg Ambien(Zolpidem) tartrate as the active substance.
The other ingredients of Ambien pill (Zolpidem) 5mg and Ambien10mg tablets includes lactose monohydrate, microcrystalline cellulose, hypromellose, sodium starch glycol late, magnesium stearate, titanium dioxide (E171), macrogol 400.
Ambien (zolpidem tartrate) 5mg and 10mg Tablets appearance and contents of the pack
Etizolam has Various Possible Effects:
- Ambien(Zolpidem) 5mg Tablets are round, white to off-white, film-coated tablets.
- Ambien(Zolpidem) 10mg Tablets are oblong, white to off-white, film-coated tablets, with a score line and SN10 on one side.
- Ambien(Zolpidem) 5mg Tablets are supplied in cartons of 28 tablets.
- Ambien(Zolpidem) 10mg Tablets are supplied in cartons of 28 tablets.
How Ambien (Zolpidem) works?
Ambien belongs to the class of medications known as hypnotics. It was approved by the FDA in 1992. This was designed for short-term use to fight insomnia and was a pleasant change from the customary sleep aid at the time. Halcion was prevalent at that time had been incriminated in psychosis, suicide, and addiction. And this leads to being banned in half a dozen countries.
What is zolpidem used for? Ambien (zolpidem) performs by stimulating the neurotransmitter GABA and attaching it to the GABA receptors in the same location as the benzodiazepines such as Xanax and Valium. What is ambien used for? The extra GABA activity prompted by the drug impedes the neuron activity that is linked with insomnia. In short, it slows down the brain. Ambien is exceptionally efficient at initiating sleep; it normally works within 20 minutes. However, it does not have an impact on prolonging sleep except it is taken in the monitored release form.
Even though the Ambien recommending data cautioned, that medicines in the hypnotic class had infrequent side effects including sleep walking, “abnormal thinking,” and “strange behavior,” these behaviors were recorded as extremely rare, and any anecdotal evidence of “sleep driving,” “sleep eating,” or “sleep shopping”—all behaviors now related with Ambien blackouts—were considered as uncommon coincidences, or attributed to mixing the medication with alcohol. Not until 2006, Patrick Kennedy’s middle-of-the-night car accident and following explanation to arriving officers. Kennedy asserted that he had taken the sleep aid and had no memory of what happened that night. Hence, the strange side effects of Ambien started to obtain national attention. You can visit our site for more information regarding the Online Pharmacy.
What Is The Important Information About Zolpidem?
Read if there is Medication Guide available. Also, the Patient Information Leaflet supplied by your pharmacist prior to yourbeginning of taking zolpidem and each time you get a refill. Ask your doctor or pharmacistif you have any questions or thing you do not understand.Take this medicine by mouth on an empty stomach as instructed by your doctor, typically once a night.
Take it right before you get into bedsince zolpidem works quickly. Do not take it with or after a meal because it will not work as fast as taken with empty stomach. Avoid taking a dose of this drug unless you have time for a full night's sleep of at least 7 to 8 hours. How long does ambien last? Most likely it will last 7-8 hrs.You may have several memory loss and may have difficulty safely performing any activity that involves alertness, such as driving or operating machinery, If you have to wake up before that.
Dosage of Ambien:
Dosage depends on your gender, age, medical condition, other treatments you may be taking, and response to treatment.
Do not raise your dose, avoid taking it more often, or using it for longer duration than prescribed. Do not take more than 10 milligrams a day. Because the drug is removed from women’s body more slowly than in men, they are normally prescribed a lower dose.
Older adults are usually recommended a lower dose to lessen the risk of side effects.This treatment may trigger withdrawal reactions, particularly if it has been used frequently for a long time or in high doses. In such cases, withdrawal symptoms like nausea, vomiting, flushing, stomach cramps, nervousness, shakiness may happen if you abruptly stop using this medication.
To avoid withdrawal reactions, your doctor may lessen your dose gradually. Consult your doctor or pharmacist for more details, and report any withdrawal responsespromptly.Alongside with its benefits, this medication may seldom cause abnormal drug-seeking behavior (addiction). This risk may be heightened if you have misused alcohol or drugs in the past. Take this treatmentprecisely as specified to reduce the risk of addiction.
When this treatment is used for a long time, it may not work as well. Talk with your doctor if this treatment stops working well.Ask your doctor if your disorder persists after 7 to 10 days, or if it aggravates. You may have difficulty sleeping the first few nights after you stop taking this medication. This is called rebound insomnia and is normal. It will typicallybe gone after 1-2 nights. If this effect persists, call your doctor.
Before Taking Ambien:
Ambien sleeping pills can be an efficient treatment for chronic insomnia. Ambien sleeping pill can have side effectslike any other drug. One probable side effect of sleeping pills is daytime drowsiness.
Sleep medications are effective hypnotics. They can be useful because they cause a strong need to sleep. But you donot want this drowsiness to continue after you wake up.One way to lessen the risk of daytime drowsiness is to take a sleeping pill at the right time of night. Most sleeping pills, like Ambien should be taken right before you get in bed. Sleeping pill overdose is also possible to develop if misuse.
You must only take these sleeping pills when you have the time to get a full night of sleep. This means that you must take the medicine at least seven to eight hours before you need to wake up. Taking a sleeping pill in the middle of the night significantly raises the risk of daytime drowsiness. It also increases the danger that you will get out of bed without being fully awake. This may lead to problems such as “sleep driving.”
Many individuals with insomnia wake up in the middle of the night and has difficulty to go back to sleep. This is called “sleep maintenance insomnia.”
How Should I Take Zolpidem?
You should check with your doctor or pharmacist of how you should take Zolpidem. Always take zolpidem exactly as your doctor has told you. One must follow the instruction of your doctor strictly.
Taking Ambien (Zolpidem) medicine
Take this medicine by mouth
- Swallow thewhole tablet with a drink of water.
- The advised dose per 24 hours is 10mg of zolpidem. A lower dose may be recommended to some patients.
- Zolpidem should be taken as a solo intake just before bedtime.
- Make sure you have a time of at least 8 hours after taking this medicine before doing activities that need your attentiveness.
- Do not go beyond 10mg per 24 hours.
- The normalduration of treatment is 2 days to 4 weeks.
How much zolpidem to take
Adults : The advised Ambien dosage is one 10mg tablet (or two 5mg tablets) just before bedtime. A lower dose of ambien for sleep may be given to some patients.
Elderly : The usual dose is one 5mg tablet just before bedtime.
Patients with liver problems : The normalbeginning dose is one 5mg tablet just before bedtime. This may be raised to two 5mg tablets (or one 10mg tablet) by your doctor if needed.
Children and adolescents : This medicine must not be given to children under 18 years old.
What Happens If I Miss a Ambien (Zolpidem) Dose?
If you fail to remember to take your tablet at bedtime, then you should not take it at any other time, otherwise you may feel drowsy, dizzy and confused during the day. Do not take a double dose to make up for a missed dose of medicine.Zolpidem must only be taken at bedtime.
Seek a doctor or go to a hospital right away, if you take more zolpidem than you ought. Take the medicine pack with you. So the doctor will know what you have taken.
Using large amount zolpidem can be very risky. The resulting zolpidem side effects may happen feeling drowsy, confused, sleeping deeply and possibly falling into a coma.
Keep using zolpidem until your doctor tells you to stop. Do not stop taking zolpidem abruptly but tell your doctor if you want to stop. Your doctor will require to reduce your dose gradually and stop your tablets over a period of time. Your sleep problems may come back and you may get
Seek and tell your doctor immediately if you get any of the following side effects of zolpidem:
- Feeling anxious, shaky, irritable, agitated, or confused
- Feeling restless
- Limp or weak muscles
- A lower level of awareness and problems with focusing or concentrating
- Nightmares, seeing or hearing things that are not real (hallucinations)
- Being more sensitive to light, noise and touch than normal
- Relaxed grip on reality
- Numbness and tingling in your hands and feet
- Aching muscles
- Changes in your behavior
- Fits (seizures)
What Happens If I Overdose a Ambien (Zolpidem)?
Consult with a doctor or go to a hospital casualty department immediately, if you take additional zolpidem than you ought to. Taking too much zolpidem can be very risky. The following effects may occur feeling drowsy, confused, sleeping deeply and possibly falling into a coma.
Overdose can result to coma or even death. Usually, when ambient overdose occurs, there are often other drugs in the person's system.
Zolpidem overdose can be countered with the benzodiazepine receptor antagonist flumazenil, which replaces zolpidem from its binding site on the benzodiazepine receptor to quickly reverse the effects of the zolpidem. It is unknown if dialysis is useful.
Zolpidem has possible for either medical abuse when the drug is continued long term without or against medical advice, or for recreational use when the drug is taken to attain a "high".The evolution from medical use of zolpidem to high-dose ambien addiction or drug dependence can occur with use. However, someconsider it may be more expected when used without a doctor's advice of continued use.When physiological drug tolerance precedes to higher doses than the usual 5 mg or 10 mg. When used through inhalation or injection, or when taken for uses other than as a sleep help.Recreational use is more common in those have history of drug dependency. Tolerance and drug dependence can still happen in those without a history of drug dependence. Chronic users of high doses are more expectedto create physical dependence on the drug, which may cause serious withdrawal symptoms, including seizures, if sudden withdrawal from zolpidem occurs.
Side Effects of Zolpidem?
Zolpidem (Ambien) may cause side effects. Inform your doctor if any of these symptoms are serious or the symptoms persist:
- 'drugged feeling'
- unsteady walking
- difficulty keeping balance
- stomach pain or tenderness
- changes in appetite
- uncontrollable shaking of a part of the body
- pain, burning, numbness, or tingling in the hands, arms, feet, or legs
- unusual dreams
- redness, burning, or tingling of the tongue (with sublingual tablets)
- dry mouth or throat
- ringing, pain, or itching in the ears
- eye redness
- muscle aches or cramps
- joint, back, or neck pain
- heavy menstrual bleeding
Several side effects can be severe. If you experience any of the following symptoms, seek your doctor at once:
- swelling of the eyes, face, lips, tongue, or throat
- feeling that the throat is closing
- difficulty breathing or swallowing
- shortness of breath
- yellow eyes or skin
- light-colored stools
- pounding heartbeat
- chest pain
- blurred vision or other vision problems
Zolpidem may cause other side effects not listed above. Hence, call your doctor if you have any uncommon problems while you are taking this prescription. Some side effects might be fatal and can cause death.
Stop taking zolpidem and see a doctor or go to a hospital immediately if:
Having an allergic reaction. These indications may include: an itchy, lumpy rash (hives) or nettle rash (urticaria), inflammation of the hands, feet, ankles, face, lips or throat which may cause problem in eating or breathing.
If you have any of the following Ambien side effects below, seek your doctor immediately:
Common side effects (may affect less than 1 in 10 people)
- Poor memory while taking zolpidem (amnesia) and bizarre behavior during this time. This is more likely to impinge on you in the few hours after you take this prescription. After taking zolpidem and by having 7-8 hours’ sleep, this is less prone to cause you a problem.
- Sleeping problems may worsen after taking this prescription.
- Seeing or hearing things that are not real (hallucinations)
Uncommon side effects (may affect less than 1 in 100 people)
- Blurred eyesight or ‘seeing double’
Rare side effects (may affect less than 1 in 1,000 people)
- Being less mindful of your environment
- Falling, particularly in the elderly
- Sleep-driving and other sleep-related behavior
There were reported incidents of people doing things while asleep that they do not remember when waking up after taking a sleeping medicine. This involves sleep-driving, sleepwalking, preparing and eating food, and having sex. Alcohol and some medicines for depression or anxiety can boost the likelihood that this serious effect will occur.
Ambien (Zolpidem) Warnings
The risks of using the prescription must be considered against the good it will do. This is a judgment you and your doctor will make up. The following should be considered when taking Ambien (generic name is Zolpidem):
- Inform your doctor and pharmacist if you are allergic reaction to zolpidem, any other medications, or any of the ingredients in the zolpidem product you are using. Request your pharmacist or check the Medication Guide for a complete list of the ingredients of the medicine.
- Inform your doctor and pharmacist what other prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are using or planning to take. Do not forget to mention any of the following if you are taking them: antidepressants (mood elevators) including imipramine (Tofranil) and sertraline (Zoloft); chlorpromazine; itraconazole (Onmel, Sporanox); ketoconazole (Nizoral); medicines for anxiety, colds or allergies, mental illness, pain, or seizures; rifampin (Rifadin, Rimactane, in Rifamate, in Rifater); sedatives; sleeping pills; and tranquilizers. Your doctor may have toadjust the doses of your medications or supervise you cautiously for side effects.
- Avoid taking more than one sleeping pill on the same night. If you have taken a zolpidem product or a different kind of sleeping pill at bedtime and you wereawakenedin the middle of the night, you should not take a zolpidem sublingual tablet (Intermezzo) or any other sleeping pill.
- Inform your doctor what herbal products you are taking, particularly St. John's wort.
- Inform your doctor if you drink or have ever drunk large amounts of alcohol, use or have ever used street drugs, or have overused prescription medications. Also inform your doctor if you have or have ever had depression; mental illness; thoughts of harming or killing yourself (suicide) or trying to do so; a trouble with heavy snoring; sleep apnea (disorder in which breathing briefly stops many times during the night); other breathing difficulties or lung diseases such as asthma, bronchitis, and emphysema; myasthenia gravis (condition that causes weakness of certain muscles); or kidney or liver disease.
- Inform your doctor if you are pregnant, especially if you are in the last few months of your pregnancy, plan to become pregnant, or are breastfeeding. Seek your doctor if you become pregnant while taking zolpidem.
- Ask your doctor about the dangers and advantages of taking zolpidem if you are 65 years of age or older. Older adults should not normally take zolpidem because it is not as secure or efficient as other medications that can be used to treat the same condition.
- Inform the doctor or dentist that you are taking zolpidem, if you are having surgery, including dental surgery. If you want to find out more information about the Xanax, go through our site.
Precautions for Zolpidem
This prescription comes with a Medication Guide. Read and follow the instructions thoroughly. If you have any questions or information you do not understand, ask your doctor.
When you are about to go to sleep or when you are having difficulty falling asleep, take zolpidem just before going to bed. This drug works very fast to put you to sleep. Swallow the extended-release tablet whole. Do not split, crush, or chew it.
Avoid taking this medicine if your schedule does not allow you to get a full night's sleep of 7 to 8 hours. You may remain to feel drowsy and may suffer memory problems if you wake up before this, because the effects of the medicine have not had time to wear off.
Take this medicine on an empty stomach.Avoid taking this medicine if you have drunk alcohol the same evening or just before bedtime. Zolpidem may cause drowsiness, decreased mental alertness, prolonged reaction time, problems with coordination the day after you take it, and may boost the risk that you could fall. If you get out of bed in the middle of the night, take extra care to be sure you do not fall. Your capacity to drive or operate machinery the day after you take zolpidem may be diminished even if you feel totally awake. Avoid driving a car or operating machinery the day after you take an extended-release zolpidem product. Discuss to your doctor about the hazards of driving or operating machinery the day after you take any other zolpidem products.
Avoid drinking alcohol during your medication with zolpidem. Alcohol can make the side effects of zolpidem harsher.Behavior and mental health may change in unforeseen ways while you are taking this prescription. It is difficult to know if these changes are triggered by zolpidem or if they are caused by physical or mental illnesses that you may previously have or unexpectedly develop. This might be long term side effects of ambien.
Inform your doctor immediately if you experience any of the following symptoms: aggressiveness, strange or unusually outgoing behavior, hallucinations (seeing things or hearing voices that do not exist), feeling as if you are outside of your body, memory problems, difficulty concentrating, anxiety, becoming easily agitated, slowed speech or movements, new or worsening depression, thinking about killing yourself or trying to do so, confusion, and any other changes in your usual thoughts, mood, or behavior. Inform your family or anyone with you of which symptoms may be dangerous so that they can call the doctor if you are incapable to get treatment on your own.
Zolpidem Drug interactions
Drug interactions may alter how your medicines work or enhance your risk for severe side effects. This does not include all probable drug interactions. Keep a list of all the products you use, including prescription, nonprescription drugs and herbal products. And confer it with your doctor or with your pharmacist.
Avoid start, stop, or adjust the dosage of any prescriptions without your doctor's authorization. Sodium Oxybatemay interact with this drug.Other drugs can affect the removal of zolpidem from your body, which may impinge on how zolpidem works. These drugs examples include rifampin, azole antifungals such as ketoconazole, among others.
The probability of serious side effects like slow/shallow breathing, severe drowsiness/dizziness, decreased alertness) may be heightened if this prescription is utilized with other products that may also alter breathing or cause drowsiness.
Hence, tell your doctor or pharmacist if you are taking other products such as alcohol, other medication for sleep or anxiety like alprazolam, diazepam, lorazepam, muscle relaxants, and narcotic pain relievers (such as codeine).
Inspect the labels on all your prescriptionslike allergy or cough-and-cold products, because they may contain ingredients that can trigger drowsiness. Inquire your pharmacist regarding using those products carefully.
While taking zolpidem, you should not drink alcohol and should not be given opioid drugs nor take such drugs recreationally. Opioids can also boost the risk of developing psychologically dependent on zolpidem. Usage of opioids with zolpidem heightens the risk of respiratory depression and death.
If individuals take zolpidem while they are also taking antipsychotics, other sedatives, anxiolytics, antidepressant agents, antiepileptic drugs, and antihistamines, the following sedation can be aggravated. Some individuals taking antidepressants may have visual hallucinations when they also took zolpidem.
Cytochrome P450 inhibitors, especially CYP3A4 and CYP1A2 inhibitors, fluvoxamine and ciprofloxacin will enhance the effects of a given dose of zolpidem.
Cytochrome P450 activators like St. John's Wort may decline the activity of zolpidem.
Only as directed by your doctor you take this medicine. Do not take extra of it, avoid taking it more frequently, and must not take it for a longer time than your doctor instructed. It may become habit-forming if too much is taken and can cause mental or physical dependence.
What other drugs will affect Zolpidem?
Zolpidem may boost the effect of the following medicines:
If taking zolpidem with the following medications, drowsiness and next-day psychomotor impairment effects, involving impaired driving ability, may be increased:
- Medicines for mental problems (antipsychotics).
- Medicines for depression such as sertraline.
- Some medicines for moderate to severe pain (narcotic analgesics).
- Medicines for epilepsy (anticonvulsants).
- Medicines used in surgery (anaesthetics).
- Medicines to calm or reduce anxiety or for sleep problems (hypnotics).
- Medicines for hay fever, rashes or other allergies that can make you sleepy (sedative antihistamines) such as chlorphenamine or promethazine.
- While taking zolpidem with antidepressants including bupropion, desipramine, fluoxetine, sertraline and venlafaxine, you may see things that are not real (hallucinations).
It is not advised to take zolpidem with fluvoxamine, ciprofloxacin or St. John’s Wort (a herbal medicine) used for mood swings and depression.
There are risks from concomitant use with opioids. Concomitant use of zolpidem and opioids (strong pain killers, medicines for substitution therapy and some cough medicines) raises the risk of drowsiness, difficulties in breathing (respiratory depression), coma and may be life-threatening. Concomitant use should only be considered when other treatment alternatives are not feasible.
Moreover, if your doctor does advise zolpidem together with opioids the dosage and duration of concomitant medication should be restricted by your doctor.