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What special precautions should I follow?
Children¡XStudies on this medicine have been done only in adult patients, and there is no specific information comparing use of zolpidem in children with use in other age groups.
Older adults
Confusion and falling are more likely to occur in the elderly, who are usually more sensitive than younger adults to the effects of zolpidem.
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Special warnings about this medication
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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Side Effects of This Medicine
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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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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Proper Use of This Medicine
Zolpidem comes as a tablet to take by mouth. It usually is taken once a day at bedtime as directed. It usually begins working within 15 minutes. This medication usually is taken 7-10 days. Follow the
directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take zolpidem exactly as directed.
Zolpidem can be habit-forming.
Do not take a larger dose, take it more often, or for a longer period than your doctor tells you to
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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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