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Precautions while Using this Medicine
If you think you need to take zolpidem for more than 7 to 10 days, be sure to discuss it with your doctor. Insomnia that lasts longer than this may be a sign of another medical problem.

This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or a nesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine.


Special warnings about this medication
The presence of other medical problems may affect the use of zolpidem. Make sure you tell your doctor if you have any other medical problems, especially:
- Alcohol abuse (or history of) or
- Drug abuse or dependence (or history of)¡XDependence on zolpidem may develop
- Emphysema, asthma, bronchitis, or other chronic lung disease or
- Mental depression or
- Sleep apnea (tem orary stopping of breathing during sleep)¡XZolpidem may make these conditions worse
- Kidney disease or
- Liver disease¡XHigher blood levels of zolpidem may result, increasing the chance of de effects



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



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



Why is this medication prescribed?
Ambien ( Zolpidem ) is in a class of drugs called sedative / hypnotics or sleep medications. Ambien ( Zolpidem ) affects chemicals in your brain that may become unbalanced and cause insomnia. Ambien ( Zolpidem ) induces sleep and causes relaxation. It is used to treat sleep disorders such as trouble falling asleep, waking up many times during the night, or waking up too early in the morning. Ambie n ( Zolpidem ) is for short-term use only--usually 7 to 10 days. Longer-term use must be monitored closely by a doctor. Ambien ( Zolpidem ) may also be used for purposes other than those listed in thi s medication guide.

Other Medicines
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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